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HomeMy WebLinkAboutXR2023-2695 - Permits"�Ev ar City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-2695 04, d d Community Development Department- Building Division X R 2 e 2 3 2 6 9 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0434 Permit Counter Phone: (949) 718-1888 Issued Date : 0912712023 �.�.. r newportbeachca.gov/civic Final Date: �FoaN� Combination Type - SFP ELEC Permit Status: Issued Work Class - Alteration Inspection Area : 3 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 BLK LOT 41 Description: DELTA 1 & 2 - RECONFIGURE CLOSET @ ENTRY, DIRECT VENT FRPLC IN LIVING ROOM, NEW OUTLETS THROUGHOUT, LIGHTING IN GARAGE Owner: PRECHTI KRISTINE REVOC TR Address : 1646 N FOLIAGE DR WICHITA, KS 67206 Phone: Applicant: JULIA ALT Address : PO BOX 51898 IRVINE, CA 92619 Phone : (949) B61-1478 Owner/Builder : Address : Phone: R TR KR PRECHTL Contractor: ZIMMERMANN CONSTRUCTION Address : 34764 ELDORADO RD LAKE ELSINORE, CA 92530 Phone : (949) 412-3431 Con State Lic : 897758 Lic Expire : 06/30/2025 Bus Lic : BT30079649 Bus Lic Expire : 09/30/2023 Workers' Compensation Insurance Carrier: WESCO INSURANCE CO Policy No : WWC3646866 W. C. Expire : 5/1/2024 Architect : Address : Phone: State Lic Engineer: CHRISTENSON PAUL Address: 663 VALLEY AVE AT#101 SOLANA BEACH, CA 92075 Phone : (858) 509-8505 Designer: JULIAALT Address : PO BOX 51898 IRVINE, CA 92619 Phone: (949)861-1478 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U.R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Si g4s.Unit Residential (6000 indicates minimum lot area) PROCESSED BY: . r'') SPECIAL CONDITIONS: ("q .-^jj tt $2,000.00 0 0 0 I hereby affirm under penally 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 the 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 Busiffsss and Professions Code) or that he or she is exempt from licensure 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will de L) 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 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. 11, 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 witha licensed Contractor pursuant to the Contractors' State License Law), Ell am exempt from licensure under the Contractors' State License Law for the following reason: By my signature before; I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the Improvements Covered by this permit, 1 cannot legaili soF 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 Professions Code, is available upon request when this application is submitted or at the following Web sAte:http:fiwww.leginfo.ca.govlcalaw.html, Signature of Property Owner or Authorized Agent �.._„_ __�_., Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (Commencing with Section 00 f DAL" n_ he Business and Pr. io a I'fo ce and effect. License Class License No Dart —1 C Contractor Signatu e WORKERS' COMPENSATION DECLARATION , WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO.ONE HUNDRED THOUSAND DOLLARS iS10g(00), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS INTEREST, AND ATTORNEY'S FEES. Ihereby affirm under penalty of perjury one of the fallowing declarations: Ihn u I have and will maintain 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, forth of the work for which €his permit is issued. Policy No. ve and will maintain workers' compensation insurance, Be required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensaiior Ira co carrier and policy number are: rer Policy Number Expiration Date me of Agent Phone it certify that, in the pedormenoe of. wor or w this is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree i, if I should become subject t, . wor s' c lion i, - f action 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant _„� CLARATION REGA ONSTRU T10 IL A ENCY baby affirm under p al of perjury th t re Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode). Infer's Name _ _ Lender's Address 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 1 have or ' e s c ect. I agree to comply with all applicable city and county o an s at ws r g to building construction. �J I authorize representatives of this city or county to v -,d property for inspection purposes./�j���// nature of Propertyy Owner cr Authorized Ager Print Property Owner's or Authorized Agent's Nam / l/ TON DATE aY I DECLA ION. OF COMPLIANCE WITI4 CODE OF FEDERAL FOR OFFICE USE ONLY Z RFG UL nON5 PART 61 OF TITLE 40 AND AOMD RUIF J PERMITEXPIRED I U i UBMIT'E') ASRFSTOS NOTIFICATION TO PERMIT CANCE1tED -0.5A ..... rT E.... PERMMENDED ....... ...... TT--rr ..... ...._... ' LJAO,MD PERMIT FINAL pt ///JJJ ❑ASBLSTOS NOTIFICATIUN IS NOT AFr'LICABLE 'I'U CERTIFICATE OF G l 3��rZ PROPOSED DEMOLITION OCCUPANCY ISSUED tl6AATLRE: