HomeMy WebLinkAboutXR2023-3261 - PermitsSEW PORT City of Newport Beach - �� IIIIIII II IIIII I IIII IIIII II III II I �� COMB Permit : XR2O23-3261
Community Development Department- Building Division - X R 2 0 2 3 3 2 6 1
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 718-1888 Issued Date : 11/16/2023
o.newportbeachca.gov/civic Final Date:
Combination Type - SFP ELEC MECH PLUM Permit Status: Issued
Work Class - Alteration Inspection Area : 4
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: 2907 CAROB ST
Description: SFR - BATHROOM REMODEL 65 SF
Owner: COFFMAN JAMES H TR
Address : 2907 CAROB ST
NEWPORT BEACH, CA 92660
Phone
Applicant:
NORA JANANIAN
Address :
1340 CLAUDINA, S
ANAHEIM, CA 92805
Phone:
(714)632-1111
Owner/Builder
:
Address :
Phone
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height:
Legal Desc : N TR 5018 BILK LOT 103
Contractor: CA KITCHENS FLOORS & BATHS INC Architect
Address : 3111 E MIRALOMA AVE
Address
ANAHEIM, CA 92806
Phone: (714)632-1111
Phone:
Con State Lic : 01032562
State Lic
Lic Expire : 11/30/2025
Bus Lic: BT30080152
Engineer:
Bus Lic Expire : 12/31/2023
Address
Workers' Compensation Insurance
Phone:
Carrier: PREFERRED PROFESSIONAL INS CO
Policy No : ON1226101
Designer
W. C. Expire: 12/28/2023
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 : 1
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 - Single -Unit Residential (6000 indicates mini m lot area)
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PROCESSED BY
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SPECIAL CONDITIONS:
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$21,000.00
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OWNER -BUILDER DECLARATION
I hereby affirm under penalty 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 ilem(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
Ilia permit to file a signed statement that ho or she is ticonsed 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 licensers 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)..
El 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
apply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
El 1 am exempt from licensure 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 Improvements covered by this permit, I cannot legally
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
Professions Code, is available upon request when this application is submitted or at the following Web site:http:fiw y.leginfo.ca,gov/calaw.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 provisions of Chapter 9 (commencing with Section TOO ) of :(vision 3 of the BLsiness and Professions drtrly Iipense is In full force
and effect. License Class License No Date �� Contractor Signature 3
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 I11100,0001.I14 ADDITION TO THE
COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
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, for
e 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:
Policy Number Expiration Date
of Agent Phone # _
certify that, in the performance of the
if I should become subject to the.wto
lature of Applicant W
for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agree
yempensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date
5� a n!•'.unlMn nr_cnl�v'
areby 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).
Ides s Name Lander's Address
my signature below, I Certify to each of the following:
I am Ilia property owner or authorized to act on the property owner's behalf.
I have read this application andthe information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building. construction.
I authorize representatives of this city or county to an t ve-Identified property for inspection purposes, nature of Property Owner or Authorized Agent \ \ Print Property Owner's or Authorized Aeent's Nam\e , INCC�,1\C
ACTION
PERMIT EXPIRED
PERMIT C7:lCCt,.ED
PERIVIT &TEND -
- �D
PERMIT ,WIAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY �DECLARAT€ON OF CONIPLIANCE N'ITI-I CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OFTITI.E 40 AND AQNID RULE
PROPOSED C
SIGNATURE:
NOTIFICATION TO
APPLICABLE To
�tlDate