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Home My WebLink AboutXR2023-2221 - Permits04", City of Newport Beach 111IIIpIII11111111111111111111111111111111111111111111111COMB Permit:XR2O23-2221 Community Development Department- Building Division X R 2 0 2 3 2 2 2 1 100 Civic Center Drive, Newport Beach, CA 9266D Plan Check No : PC2023-1952 Permit Counter Phone: (949) 718-1888 Issued Date : 08/14/2023 newportbeachca.gov/civic Final Date: oCombination 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 : 802 AMIGOS WAY Legal Desc : N TR 5425 ELK LOT 15 Description: SFR - KITCHEN & BATH ALTERATION 200 SF *123-2517* Owner: PATRIOT FINANCIAL GROUP INC Address : 2501 CHAPMAN AVE E FULLERTON, CA 92831 Phone: (951)756-2909 Applicant: KITCHEN CABINETS EXPRESS INC Address : 6282 BEACH BLVD BUENA PARK, CA 90621 Phone : (714) 228-0099 Owner/Builder Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : PROCESSED BY: Contractor: KITCHEN CABINETS EXPRESS INC Address : 6282 BEACH BLVD BUENA PARK, CA 90621 Phone: (714)228-0099 Con State Lic : 870933 Lic Expire : 01/31/2024 Bus Lic: BT30082366 Bus Lic Expire : 08/3112024 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INS CO Policy No: SNP1445827 W. C. Expire : 7/14/2024 Architect : �` Address: b. ,•P'' Phone : State Lic ,1 Engineer: CONWAY CECIL COOKE Address: 34658V LINDA ROSEA RD"„R TEMECULA, CA 92592 Phone: (310)608-5408 Designer: Address Phone: 2022 Fire Sprinklers : NO Construction Valuation : $25,000.00 V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 200 No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Front: 20, Side: 4, Side: 4 X RM - Multiple Residential SPECIAL CONDITIONS: AS BUILT PERMIT EXPOSE ALL STRUCTURAL, ELECTRICAL PLUMBING, AND MECHANICAL COMPONENTS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkrnark(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' Stale 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora 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 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). ❑ 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 properly whD builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 0 I 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:htip:i/www.teginfo.ca.gov/calaye.html, 519nature 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 Saction 0 0) o Div' ion 3 of the Business and Profs Ions Code, and my license is In full farce and effect. License Class License No Date Contractor Signature 1/NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS t$100,000), IN AODrrION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and wdf 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 th Jerformance of the work for which this permit is issued. Policy No. AT' aye and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, My workers' compensatio nsurance carrier and policy number are: ;arrler C Policy Number Expiration Date Jame of Agent Phone H :1I certify that. in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre hat, If I should become subject t—o/^the � workers' compensation provisions of Section 3700 or the Labor Code-1 shall forthwith comply with those provisions_ 5ignature of Applicant �Y� ' Date )ECLARATION REGAR CCNSTRUCTI G�ENCV hereby affirm under pen Ity of " Iry that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, 1 1 Code). .ender's Name Lender's Address 3y my signature UeloW. I —certify (o each or the follawuig: i am the property owner or authorized to But on the properly 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 or coun D enter the above -Identified property for Inspection purposes - Cy �� 2 . Si nature of Propertyy Owner or Authorized A ernl Print Property Owner's or Authorized Agent's Name I ate _(>j' ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY HFGIRATIONS PART 61 OFTITLE40 AND AQMD RULE 1404 PERMIT EXPIRED LJ I oU rAITTFF ASBESTOS NOTIFICA710N TO PERh41TCANCECCEQ - - L1E PA ......... ._ _. .. _ ....... ...._ PERMIT EXTENDED 1 CAQMD r/M 1'CR,4}tT FYNAL �� ASBE5T05 OT1F'ICA (ION IS NO1 APPLICABLE 10 CERTIFICATE OF • P POSE f D MOLITION OCCUPANCY15SUP) t SIG :ATU, � ..