HomeMy WebLinkAboutXR2024-0524 - PermitsEw vo�rr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U24-o524
04 @' Community Development Department - Building Division X R 2 0 2 4 0 5 2 4
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0437
Permit Counter Phone: (949) 718-1888 Issued Date : 0310512024
u newportbeachca.gov/civic Final Date:
o9t/Foa"�o- Combination Type - SFP ELEC MECH PLUM Permit Status: Issued
Work Class - Alteration Inspection Area : 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
ON SATURDAY
OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK
ON SUNDAY AND HOLIDAYS IN ALL AREAS
NO CONSTRUCTION RELATED NOISE
p "tip ••, •-.,.-- �,..�,r`� e�
s� -,ji d
Job Address : 333 GRAND CANAL
Legal Desc : A TR BALBOA ISLAND SEC 4 BILK 14 LOT 22 BALBOA ISLA
Description: SFR REMODEL BATHROOM AND LAUNDRY AREA (112 SF)
Owner: KATHLEEN CARRELL
Contractor: BATTRES CONSTRUCTION
Architect : TODD DUNCAN
Address 5902 MEADOWLARK DR HUNTINGTON
Address : 333 GRAND CANAL
Address : 3202 W WARNER AVE
SANTA ANA, CA 92704
:
BEACH, CA 92649
NEWPORT BEACH, CA 92662
Phone:
Phone: (714)754-0709
Phone:
Con State Lic : 940362
State Lic : C039153 ,
Lic Expire : 05/31/2025
Applicant : BATTRES CONSTRUCTION
Bus Lic: BT30072996
Engineer
Address : 3202 W WARNER AVE
Bus Lic Expire : 09/30/2024
Address
SANTA ANA, CA 92704
Phone: (714) 754-0709
Workers' Compensation Insurance
Phone: 11
Carrier: ENDURANCE ASSURANCE CORPORATION
owner/Builder:
Policy No: EAW0000013000
Designer
Address :
W. C. Expire : 12/26/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $9,000.00
0
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
Occupancy Groups : U,R-3
No of Units : 1
2
Alteration sq. ft. Bldg
Added/New sq. ft. Garage : 0
Bldg Height:
No of Stories :
TOTAL sq. ft. 0
Building Setbacks : Front: B, Side: 3, Side: 3, Rear: 5
Flood Zone :
Use Zone : -BI - T o-Unit Residential, Balboa Is]
PROCESSED BY:
SPECIAL CONDITIONS:
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 items)
clion 7031.5. Business and Professions Code: Arty 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
permit to file a signed statement that no 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
fassions Code) or that he or she is exempt from Gcensure 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
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended eroffered for sale (Section 7044,
mess and professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, huilds or improves the property, provided that the
rovements are not intended or offered for sale. If, however, the building crimprovement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or
roved 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' State License Law does not
ly 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).
L1 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 legalt,
sell a structure that 1 have built as an owner -builder if it has not been constructed in its entiroty by licensed contractors. I understand that a copy of the applicable law. Section 7044 ofthe Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.ieginfo.ca.govlcalow.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 00) of Division 3 of the Bus]. s and Professions ,.ode, Ltd arty license is In full force
and effect license Class License No D 2 / S/L _ Contract ignature I
INORKERS' COMPENSATION DECLARATION �T
NARNING: FAILURE TJ SECURe WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED TH AND DOLLARS t$100,000L, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hHleoy dldrm moor oenPity, of perjury one of the following declarations:
-11 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, for th
It'Kmirce of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 37CO of the Labor Code. for the performance of the work for which this permit is issued. My workers'
carrier and policy number are:
Policy Number
sl Agent
Date
certify 'hat, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the
if I shuuld become sonjactt I ttfhe wj'gbkers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Wth those provis ons.
Iature or Applisl
'l AOASk(IAI OC r� \ICTCIiPTYh\I C3S\Iry 1^'\Ihv �V
hereby affirm urad€i-lIpenaity 01.0eriury that there Is a construction lending agency for the performance of the work for which this permit is issued
er is Name Lenders Address
y 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 and the Information I have provided is correct.
I agree to comply with all applicable cit and 5punty ordinances and slate laws relating to building construction.
I authorize representatives of this city orllcpdmy to emet-A ab e-I entified property for inspection purposes,
ignature of Property Owner or Authonzed _ ent 7 � Print ProoeM Owner's or Authorized AoentvS.Nant
ACTION DATE I- BY DfLARATQN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONL
R .G ULATION5 PART 61 OF TITLE 40 AND AOMD RULE
' 1463
PER.M7TEXPIRED (SUBMITTED ASBESTOS NOTIFICATION TO
FERrvtiT EXTENDED OMO
_... _. _......._.._._D sICNA EfT OfMO11T10NIU
PCRNIIF PIMA! NIS NOT APPLICABLE TO
CERTr`ICA CQE ,/`IAA'}
OCCUPANCY ISSUED Yt^" AA 1
orkers' compensation laws of California, and agre
Date * �
97, Civil Cade).
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