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HomeMy WebLinkAboutXR2023-0825 - PermitsaEWPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-0825 D� @ Community Development Department- Building Division F ty 1DO Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0705 Permit Counter Phone: (949) 644-3288 Issued Date : 03/28/2023 fie.. S Inspection Requests Phone: (949) 644-3255 Inspection Area : 4 C9G/Fp0.N�P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - 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 : 324 VISTA TRUCHA Legal Desc : N TR 6885 BLK LOT 22 Description: SFR REMODEL TO KITCHEN AND POWDER ROOM 165 SF Owner: WESLEY HOCKINSON Address: 324 VISTA TRUCHA NEWPORT BEACH, CA Phone : (949) 310-1177 Applicant : WESLEY HOCKINSON Address : 324 VISTA TRUCHA NEWPORT BEACH, CA Phone : (949) 310-1177 Owner/Builder: WESLEY HOCKINSON Address: 324 VISTA TRUCHA NEWPORT BEACH, CA Phone : (949) 310-1177 Code Edition : Type of Construction Occupancy Groups Bldg Height : Building Setbacks Flood Zone Use Zone: PROCESSED BY: 2022 V-B U,R-3 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: Contractor : Architect Address : Address Phone: Phone: Con State Lic : State Lic: Lic Expire Bus Lic: Engineer: Bus Lic Expire : Address Workers' Compensation Insurance Phone Carrier : Policy No: Designer W. C. Expire: Address Phone: Fire Sprinklers : NO Construction Valuation Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg No of Units : 1 Alteration sq. ft. Bldg : No of Stories : 2 Added/New sq. ft. Garage: TOTAL sq. ft. : $15,000.00 0 165 0 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 applicable fteril 3eclion 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 1a 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 l censure 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 at more than five hundred dollars ($500).. %4. s owner of the property, or my employees with wages as their sole compensation, will do II of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owne of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements 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 nproved 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 .poly 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). I I am exempt from licensure under the Contractors' State License Law for the fallowing reason: ly 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 improvements covered by this. permit, I.cannot Iegall) ell a structure that I have built as an owner -builder if it has n t been coniltruclod in its ontiroty by licensed contractors. I understand that a copy of the applicable law. Sectio 7 b the Business and 'rofessions Code, is available upon request whe hi appf lion 's sub Itted or at the Ilowing Web site;http:IM'uAv.leginfo.ca.govlcalav+html. signature of Property Owner or Authorized Agen. _ Date Z� Z3 ACENSED CONTRACTOR'S DECLA:RAT� hereby affirm under penally of perjury that I am Iloense n r pro�isionsof Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C d and my license rs In full force nd effect. License Class License.No Date Contractor Signature VORKERS' COMPENSATION DECLARATION FANNING: 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 ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PRDVIOeD FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate Of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth erformance of the work for which this permit Is issued. Policy No. JI have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Compensator nsurance carrier and policy number are: :arler Policy Number Expiration Date dame of Agent Phone # :1I certify that, in the pert or nee of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compens lion law of California, antl agra hat, if I should becom Ut Jec o the work rs' Dompensabcn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3ignalure of Applicant Date_ Z$ 3ECLARATfON RIEQAVbINQ_*NATRUCV0N LENDING AGENCY hill affirm under penalty of erju that f ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, roil Code). .ender's Name Lender's Address 3y my signature below, I certify to each of ilia 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. I agree to comply with all applicablecity and my o d'mances no slate laws relating to building construction. I authorize representatives of this city or count ent rthe ROD -Identified roperty, for inspection purposes. 31nature of Propertyy Owner or Authorized Agent Print Property Owner's or Authorized A ent's Name jn'LSL� 1�--1`� e 3 Zd z3 ACTION DATE RY ! OE LAR TtON F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE ULA' IONS PART 61 OF TITLE 40 AND AQIYID RULE 1403 PERMIT CANCELLED PFFVIT Fa7ENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED //- ff] ISNOTAPPLICABLE TO O C t d d d r r N - LL N D N O C Ca F. 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