HomeMy WebLinkAboutXR2023-0529 - Permits�gWPO,4T City of Newport Beach II III I IIII IIII IIIIIIIII IIIII IIIIIIII II COMB Permit : XR2023-0529
0� @ Community Development Department- Building Division X R 2 0 2 3 0 5 2 9
y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0434
Prrmit Counter Phone: (949) 644-3288 Issued Date : 04/10/2023
.aInspection Requests Phone: (949) 644-3255
°g4FoaN`P newportbeachca.gov/inspections Inspection Area : 3
Combination Type - SFP ELEC MECH PLUM
Work Class - Addition/Alteration
PERMITS EXPIRE 180 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 : 1600 SKYLARK LN
Legal Desc : N TR 3057 BILK LOT 41
Description: SFR - INTERIOR REMODEL 1,808 SF - CONVERT 196 SF OF LIVING ROOM/DINING ROOM TO'CALIFORNIA ROOM'
Owner: PRECHTI KRISTINE R TR KR PRECHTL
Contractor: ZIMMERMANN CONSTRUCTION
Architect
REVOC TR
Address : 1646 N FOLIAGE DR
Address : 34764 EL DORADO RD
Address
WICHITA, KS 67206
LAKE ELSINORE, CA 92530
Phone :
Phone : (949) 412-3431
,
Phone
Con State Lic : 897758
State Lic
Lic Expire : 06/30/2023
Applicant: JULIA ALT
Bus Lic : BT30079649
Engineer : CHRISTENSON PAUL
Address : PO BOX 51898
Bus Lic Expire : 09/30/2023
Address : 663 VALLEY AVE AT#1t31 -
IRVINE, CA 92619
SOLANA BEACH, CA 92075"
Phone: (949) 861-1478
Workers' Compensation Insurance
Phone: (858) 509-8505
Carrier: WESCO INSURANCE COMPANY
Owner/Builder :
Policy No: WWC3586245
Designer: JULIA ALT
Address :
W. C. Expire: 5/1/2023
Address : PO BOX 51898
IRVINE, CA 92619
Phone:
Phone: (949) 861-1478
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : W0,000.00
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 : 2,004
Bldg Height :
No of Stories : 1
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
NRul6Zs Dje-e_
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State. License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s)
,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 to its issuance, also requires the applicant for
:he permit to file a signed statement that he 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
Professions Code) or that he or she is exempt from ficensure 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 ($500).
0 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 does 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 it was not built or
improved for the purpose of sale).
❑ I, as owner 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),
❑ 1 am exempt from rcensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvementscovered by this permit, I.cannot legal
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
0rof^rsions Cede, i, available upon request when this application is submitted or at the following Web site;http:/iwww.leginfo.ca.gov/calaw.htmi.
Signature of Propc'y Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
herol y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Oivisiop,3 Of the Business and Pro sic od red Be, • full force
and ef92ct. Licelrse,Class License No Date V ! Contractor Signature
4"IORY,ERS' COMPENSATION DECLARATION
WAINIA, FAILURE TO "rURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO TH
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEeS.
I hereby affirm under penalty of perjury one of the following declarations:
Phav- and will malrtain a certificate of consent to self -insure for workers' Compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for it
perfib-11 nice of the work for which this permit is issued. Policy ND.
ofad, and wi6 main'ain 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' compansatk
insurance carrier and policy number are:
Policy plumber
of Agent
Date
31 certify that, in the performance oUbsyrork for wftiqhA I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
hat, if I should becomEZItNG
act to rker ' nsa ' Ion 3700 of the Labor Code, I shall forthwith comply with those provisions. / J
,ignalure of ApplicanDate `7 — 7 � — � S
IECLARAT€ON F 00 STRU ON LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade).
enders Name Lenders Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property Owner's behalf.
I have read this application and the information I have provided is correct n
I agree to comply with all applicable city and county ord' c s and l s r mg to. Ngconstruction. / I// '/ y ///�/��/
I authorize representatives of this city or cou rylajp r t abcs1. arty for inspection Purposes. b f /t'ff l U �/! /n� — U--
.,,,n>u m „r wn..err., rtun,cr �r AnIHnAr>d nnani % /i Print ProneM Owner's or Authorized Aaent's Nam OaEYJ l
ACTION
1403
PERMIT CANCELLED
OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
ZZ rPROPOSEDifA5NT
LEI Lf' TO
O
CERTIFICATE OF o
OCCUPANCYISSUED 516