HomeMy WebLinkAboutXR2022-2921 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Perm_ -0unter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
COMB Permit : XR2022-2921
X R 0 2 2 2 9 2 1���
Plan Check No: PC2022-2785
Issued Date : 0112612023
Inspection Area : 3
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 : 1746 TRADEWINDS LN Legal Desc : N TR 3082 BLK LOT 77
Description: SFR -GARAGE TO LIVEABLE 336 SF / 2ND FLR REMODEL 414 SF
Owner: KALATSCHAN JIM/KALATSCHAN STEPHANIE
Contractor: JENKINS CONSTRUCTION
Architect
Address : 1746 TRADEWINDS LN
Address: 168 MONTE VISTA AVE
COSTA MESA, CA 92627
Address
NEWPORT BEACH, CA 92660
Phone : (714) 351-0676
Phone
Phone : (714) 350-8900
Con State Lie : 901221
State Lie
Applicant: KALATSCHAN JIM/KALATSCHAN STEPHANIE
Lie Expire : 07/31/2023
Bus Lie: BT30035239
Engineer : 1800FORE16TH DALE L
1800E ST
Address : 1746 TRADEWINDS LN
Bus Lie Expire : 04/30/2023
Address :
92
SANTA ANA, CA 92701
NEWPORT BEACH, CA 92660
Workers' Compensation Insurance
5-28
Phone: (714) 635-2800
Phone: (714) 350-8900
Carrier: STATE FUND
Policy No: 9076367
Designer : CRAIG HAMPTON
owner/Builder :
W. C. Expire : 10/20/2023
Address : 5500 E QUARTERSAWN ST
Address :
BOISE, ID 83716
Phone: (949) 209-8883
Phone:
Fire Sprinklers : YES
P
Construction Valuation : $80,000.00
Code Edition :
Fire Hazard Zone : NO
Added/Newsq. ft. Bldg : 0
V-13
Type of Construction : V-B
1
Alteration sq. ft. Bldg 750
occupancy Groups : U,R-3
No of Units :
2
Added/New sq. ft. Garage : 0
Bldg Height :
No of Stories :
TOTAL sq. ft.: 0
Building Setbacks : Front: 20. Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum
PROCESSED BY,
SPECIAL CONDITIONS:
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 Item(s)
Section 7031A 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 Divisl_ 3 of the Business and
'rofasslons 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 appicant to a civil penalty of
ict more than five hundred dollars ($500),
I, as owner of the property, or my employees with wages as their sole compensation, will do (_} aft of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
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
mproved for the purpose of sale)-
1 I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law dues 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),
1 am exempt from licensors under the Contractors' State License Law for the following reason:
y my signature below I acknowledge that, except for my personal residence in which I must have resided (oral least one year prier to completion ofthe -improvements covered by thi rmiI, I cannot lagall;
:ell a structure that I have built as an evmor-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 t o Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww. eginfo.ca,govlcalaw,html,
>ignature of Property Owner or Authorized Agentto
_ICENSED CONTRACTOR'S DECLARATION "^ "—
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0). f_D'vi ion of the Business and Profe I ns o , and ense is In full farce.
and effect. License Class License. No Date / Contractor Signature
VORICERS' COMPENSATION DECLARATION
EARNING FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($000,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0703 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
fd will maintain a cedificale 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
of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
no of Agent
certify that, in the performa 1
If I should become sub( tto'
ialure of Applicant 7
hereby affirm under penalty of perjury that there is a
_endor's Name
3y my signature below. I certify to each of the followin+
I am the property owner or authorized to act on tht
I have read this application and the information I
I agree to comply with all applicable city and c unl
I authorize representatives of this city or cot t. to
Signature of Property Owner or Authorized A it
ACTION I nATF I R
PERMIT EXOR€D
PERMIT CA.NCEtf
Policy Number Expiration Date
Phone ti
t this p it 1 issued. I shall not employ any person in any manner so as to become subject to the workers' com nsatio Is of California, and agre
Asa' prey' Ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
I r ENC Da�� ;4 _
cns c' ending agency r the paparrIlionce of the work for which this permit Is issued (Section 3097, Civil Code).
1403
to building construction.
tINPLIANCE WITH CODE OF FEOEI
61 OF TITLE 40 AND AQNID RULE
NOTI
CERTfftCA7E OF ����r%�LLR/1'.'/'I — uANetnlU /L I I OI'AP
IY - PROPOSfD'D OL i N
OCCUPANCY ISSUED CICNATI In r
FOR OFFICE USE ONILY
Name