HomeMy WebLinkAboutXR2023-2844 - Permits�EWNor City of Newport Beach
D¢. @ Community Development Department- Building Division
>' y 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Combination Type - SFP
m
Work Class -Alteration
�1111 111111111111111111111111111111111111111111111111111 11111COMB Permit : XR2023-2844
Plan Check No : PC2023-1731
Issued Date : 10/11/2023
Final Date:
Permit Status: Issued
Y S lL Y Inspection Area: 2
PERMITS EXPIRE 18D DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1424 SERENADE TER Legal Desc : N TR 1700 ELK LOT 32
Description : SFR REMODEL FRONT ENTRY 54 SF (REV2023-1998)
Owner: KIM & DAVID STOECKLY
Address : 1424 SERENADE TER
CDM, CA 92625
Phone: (626)298-3304
Applicant: JOJO CROWLEY
Address : 2529 SANTA CATALINA, 103
COSTA MESA, CA 92626
Phone: (714)600-9660
Owner/Builder : KIM & DAVID STOECKLY
Address : 1424 SERENADE TER
CDM, CA 92625
Phone: (626)298-3304
Contractor:
Address :
Phone :
Con State Lic
Lic Expire
Bus Lic :
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire
Architect :
DEAN ABERNATHY
Address :
1107 VALLEY CIR COSTA MESA, CA
92627
Phone:
(949)554-7537
State Lic :
CO23030
Engineer: JAMILBASHARS
Address : 751 SHASTA DR
CORONA, CA 92881
Phone: (714)883-4124
Designer:
Address
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$4,500.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
54
Bldg Height :
No of Stories :
1
Added/New sq. ft. Garage :
0
TOTAL sq, ft.
0
Building Setbacks :
Front: 31, Side: 4, Side: 4, Rear: 10
,
Flood Zone :
X
Use Zone:
R-1 - Single -Unit Residential
. .
ats
PROCESSED BY:
SPECIAL CONDITIONS: REV2023-1998
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable items)
;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct. alter, improve, demolish, or repair any structure, prior Io its issuance, also requires the applicant for
the permit to file a signed statcmont that ho or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Drofessions Code) or that he or she is exempt from lCensure and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($51)(1
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law Ones not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not Intended or offered for sale, If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden Of proving that 4 was not built or
an Dved for the purpose of sale)_
I, as droner of the property. am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑Y S 9 9 u P Y L 1 _.— ..._-- _.
I am exenl pt from licensure under ih_ CDntrar,tars' Slate License Law for the following reason
B m • signature below I acknowledge that, except form ,,croon I rest once un which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal
soil a structure that I have built as an owmor-bmldor If It has not b e' structcd in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when opip ma I mttted o�[_,at-tt following Web siteTttp7ivwnv.leginfo.ca.gov)calaw.html.
Signature of Property Owner or Authorized Agent __, _,_\
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisic
and effect License Class License No
COMPENSATION DECLARATION
Date L U/ l r �d___..__..__
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, andmy license is in full force
_ Date Contractor Signature
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,D00), IN ADDITION TO THE
OST OF COMPENSA410N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OE THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES_
hereby affirm under penalty of perjury one of the following declarations:
I I have and will molnlain a cerlifoate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
erformance of the work for which this permit is Issued. Policy No. _
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers'
rance carrier and policy number are:
>41 Agent
certify that, in the performance of
if I should becomes o 1E
of Applicant
Policy Number
Date
which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
aspens v tsicns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date /D///
hereby affirm under penalty perjury that there Isea east uction lending agency for the performance of the work for which this permit is issued (Section 3097
ender Name Lentfer'K Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the properly owner's behalf.
I have read this application and the information I have provi is correct.
I agree to comply with all applicable city and cou Aiwa and state laws relatil to building construction.
I authorize repnsentr: tives of this city or mty to an e o e-ider roperty for inspection purposes. -n
denature of Pro erAv Ow.ior or Authorized Aoenr ( I) Print Property Owner's or Authorized Agent's Name
AL uh I DATE
PERMri EXPIRED h
P, R4 IT I NCE1 t FD j
PFRro11T EXTENDED
r CERTIFICATE
coot; lril /
CL'PANrAN13 �i�r
.-v rssuer,
BY h_OerlGARAT40N OF`EOfa1ALIANP. ke Th CODE OF FEDERAL
HF.GULATIONS PART 51 OF TIT.£ 40 AND AQNIO RULE
_1403{
I suRMITTED ASRFSTOS NOTIFICATION TO
/f_ll F SBES7O5 4mEdit "N IS NOT APPLI .E 10
PROPOSED Yfpl.I110N
FOR OFFICE USE ONLY
Civil Code).
P �UfiC-6GlJC. Date