HomeMy WebLinkAboutXR2023-2783 - Permits�EwPORT
City of Newport Beach
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COMB Permit : XR2023-2783
Community Development Department -Building Division
X R 2 0 2 3 2 7 8 3
100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No : PC2023-2431
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Permit Counter Phone: (949) 718-1888
Issued Date : 10/04/2023
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Final Date:
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Combination Type - SFP ELEC PLUM
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Permit Status: Issued
Work Class - Alteration
Inspection Area : 8
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: 660 KINGS RD
Legal Desc : N TR 1219 BLK H LOT 1
Description: SFR REMODEL LAUNDRY AREA (99 SF)
Owner: MAUI VILLAGE PROPERTIES LLC
Contractor : PRESTIGE DEVELOPMENT CO
Architect
Address :
Address : 63 VIA PICO PLAZA #412
Address:
CORONA, CA 92878
SAN CLEMENTE, CA 92672
Phone: (951) 280-3833
Phone: (949) 366-2101
Phone:
Con State Lic : 516061
State Lic
Lic Expire : 06/30/2025
Applicant : STEVEN EDWARD MARSH
Bus Lic: BT30082692
Engineer
Address : 63 VIA PICO PLAZA, 412
Bus Lic Expire : 06/30/2024
Address
SAN CLEMENTE, CA 92672
Phone: (949) 366-2101
Workers' Compensation Insurance
Phone:
Carrier: EXEMPT -NO EMPLOYEES
Owner/Builder:
Policy No: EXEMPT
Designer: STEVEN EDWARD MARSH
Address :
W. C. Expire:
Address: 63 VIA PICO PLAZA, 412
SAN CLEMENTE, CA 92672
Phone:
Phone: (949) 366-2101
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $7,920.00
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 :
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage: 0 ;
TOTAL sq. ft. 0
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10
......
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
BY:
PROCESSED
SPECIAL CONDITIONS:
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 item(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
io 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
'rofessions Code) or that he or she is exempt from licensors 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
of more than rivehundred dollars ($500).
1, 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,
lusinass and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, holds or improves the property, provided that the
rtprovements 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
nproved for the purpose of sale).
3 f, 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
5ply to an owner of properly 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 Ifoensure antler the Contractors' State License Law for the fallowing reason _ _
ly my signature below I acknowledge that, except for my personal residence for which I must have resided for at least oneyear prior to completion of the improvements covered by this permit, I cannot legal
elf a structure that I have built as an owner -builder if It has not been constructed In its entirely by licensed contractors. I understand that a copy of the appficable law, Section 7044 of the Business and
professions Code, is available upon request when this application is submitted or at the following Web site;http:/Iw .laginfe.ce.govicalaw.html.
Signature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that i am licensed under provisions of Chapter 9 (commencing with So it 7000)) Df 9KISi ttl�3 of the Business and . a p license is in full force
nd effect. License Class License No Dafe fLnt r/.47Z Contractor Signature
VORKERS' COMPENSATION DECLARATION"" _
IARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000t, IN ADDITION TO TH'
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T08 OF THE LABOR COOP, INTEREST, AND ATTORNEYS FEES.
hereby aferm under penalty of perjury one of the following declarations:
I 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 ley Section 3700 of the Labor Code, for it
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'
ranee carrier and policy number are:
Policy Number
Date
;orttfy that, in the perfor nice of the work for 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 afire
I( I should become so c e workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p
attire of AppliCant_ _..._.. i.�_--- __..._..,,.._,._.._..____............... .� .____ Date 6!�GN
rreby 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 Code).
rder's Name Lender's Address
my signature below, I certify to each of the following:
I am the prop" owner or authorized to act on the properly owner's behalf.
I have read this application and the information i he a provided is correct.
I a3 c a to comniv with all applicable city and count rdinances and state laws relating to building Construction.
I authorize rap•esenldtives of this city or coon bove-Identified property for Inspection purposes.
ACTION
bearofrFkPIRED
PERNVr CANCE(LEO
PEfi,V((7�-XFENDEC
PFRMIT FINAL
iEATIFICA! E OF
OCCUPANCY ISSr IFD
DATE I BY ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
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SUBMITTED ASBESTOS NOTI FICATION TO
SIGNATURE:
15NOTAPPtICABLE TO
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