HomeMy WebLinkAboutXR2023-1938 - PermitsCity of Newport Beach jj Il IIII II IIIII IIIIIIIII IIIII III IIII III II COMB Permit : XR2O23-1938
Community Development Department- Building Division X R 2 0 2 3 1 9 3 8
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2948-2021
r+� T Permit Counter Phone. (949) 718-1 B88 Issued Date : 07/17/2023
n.newportbeachca.gov/civic Final Date:
c9�icoaN�P Combination Type - SFP Permit Status: Issued
Work Class - Other Inspection Area : 2
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 : 217 VIA KORON Legal Desc : N TR'907 BILK LOT 675 TR 907 LOT 675(AND SWLY1/2 LO
Description: SFR INTERIOR/EXTERIOR ALTERATION APPROX 1500SF. R/R DOORS/SOFFITS. REM KITCHEN/FAMILY RM, POWDER RM, WINE ROOM *CHANGE OF
CONTRACTOR*
Owner: GERARD & HEATHER HART
Address : 217 VIA KORON
NEWPORT BEACH, CA 92663
Phone: (502)403-7666
Applicant: GERARD & HEATHER HART
Address: 217 VIA KORON
NEWPORT BEACH, CA 92663
Phone: (502)403-7666
Owner/Builder : GERARD & HEATHER HART
Address: 217 VIA KORON
NEWPORT BEACH, CA 92663
Phone: (502)403-7666
Contractor
Address :
Architect
Address
Phone :
E % I o*, `-N _^,®°,�,
-tea_ r.-N
Phone :
Con State Lie :
9 s t 4 1 e "i j
h
i—j
State Lie
Lie Expire
Bus Lie:
Engineer :
SILVA CHRISTINA
Bus Lie Expire :
Address :
24482 MUELA
MISSION VIEJO, CA 92692
Workers' Compensation Insurance
Phone :
(949) 795-6256
Carrier :
Policy No:
Designer
W. C. Expire:
Address
Code Edition :
2019
Fire Sprinklers :
Type of Construction :
V-B
Fire Hazard Zone
Occupancy Groups :
U,R-3
No of Units :
Bldg Height:
No of Stories:
Building Setbacks :
Front: 4, Front: 0, Side: 4, Side: 4
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS
Phone:
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg : 0
1 Alteration sq. ft. Bldg :
2 Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 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 applicable items)
(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 Business and
Professions 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
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do 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. Jr, however, the building or Improvement is sotd within one year of completion. the Owner -Builder will have the burden of proving that it was not built or
Im roved 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
to d 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).
[❑ I am exempt from licensure under the Contractors' State License Law for the following reason __,_,__ _ _ V
By my signature below acknowledge that, except for my personal residence in which I must have resided far ai I as one year pnor to completion of the Improvements covered by this permit, cannot legal]
sell a structure that I have built as an owner-buildar it It has not been constructed in Its entirety by licensed contra tors. i understand that a copy of the applicable law. Section 7044 of the Business and
Professions Code., is available upon request when t js applicali Is submi act r at the following Web site.http.11ww .leginfo.ca,govlcalaw.litml,
Signature of Property Owner or Authorized Agent c ��.,_ Datd
LICENSED CONTRACTOR'S DECLAF
I hereby affirm under penalty of perjury that I am licensed under p visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force
and effect License Class Licen e No Date Contractor Signature
COMPENSATION DECLARATION
rARNING: 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 1E100,0001, IN ADDITION TO THE
CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES.
hereby affirm under penally of perjury one of the following declarations:
I I have and will maintain a Certificate of consent to seluinsure for workers' compensation, issued by the Director of Industrial Relations as provider) for by Section 3700 of the Labor Code, for thi
erformance of the work for which this permit is issued. Policy No.
11 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' compensatior
lsurance carrier and policy number are
to of Agent
Policy Number Expiration Date
Phone t#
I certify that, in the performance 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 agre
that, if I should become 'ub' cl to the workers corn nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. p.�f
Signature of Applicant _ D�Cvfll
C� V7- Zj
DECLARATION REiGAR G C ST I N ...._ tN-ENCY—�--
hereby affirm under penalty of perjury at there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,ode}.
Lender's Name _ Lender's Addre55
By 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 andthe information I have provided is correct.
I agree to comply with all applicable city and cou ty ordinances and state laws relating to building construction.
I authorize representatives of this city cr cou o enle he abe - led property for inspection purposes.
Signature of Property Owner or Authorized P enl not Property Owner's or Authorized A ent's Nam _ ,�` - i• le _D_�' �.J} Z
ACTION DATE. BY A tON OT COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RF GU TIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
PERMIT CANCELLED
r.:D.:SBEST05
PERMIT EXTENDED I ! JA4Mn
FERM17 FIT1AL 5NU IFICAtION IS U1 APPLICAtlLE 'I0CERTIFICATE Of �NAsf�l
D LITION,/t�,OCCUPANCY fSSUEO ��RE: ./f 1 i�l \ 1�