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HomeMy WebLinkAboutXR2022-2921 - PermitsCity of Newport Beach �v,E�waoRr D @ Community Development Department- Building Division t`y 100 Civic Center Drive, Newport Beach, CA 92660 Perm_ -0unter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CgGrFORN�P 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