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HomeMy WebLinkAboutXR2023-1956 - PermitsCity of Newport Beach 11111111111111111111111111111111111111111111111111111111� 111 COMB Permit : XR2O23-1956 I Community Development Department- Building Division X R 2 0 2 3 1 9 5 s ., 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: > Permit Counter Phone: (949) 718-1888 Issued Date : 0711812023 .>.newportbeachca.gov/civic Final Date: Combination Type - SFP ELEC MECH PLUM, a F7 `"17— Permit Status: Issued Work Class - Alteration , Inspection Area : 1 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 : 1313 BALBOA BLVD E Legal Desc : A TR BALBOA TR EAST SIDE ADD BLK 22 LOT 7 Description: SFR REMODEL 1ST FLOOR BATHROOM 40 SF **PER CITY STANDARD PLANS`* Owner: COHN KENNETH TR AMANDA M Contractor: ADAIR BUILDERS INC Architect : Address : 3007 ELVIDO DR Address: 7659 LOUISE AVE Address LOS ANGELES, CA 90049 NORTHRIDGE, CA 91325 Phone : (310) 701-4591 Phone : (81 B) 938-3260 Phone: Con State Lie : 1051859 State Lie: Lie Expire : 03/31/2025 Applicant: Tomer Adar Bus Lie : BT30082168 - Engineer Address: 7673 Winnetka Ave Bus Lie Expire : 07/31/2024 Address: Winnetka, CA 91306 Phone: (818) 938-3260 Workers' Compensation Insurance Phone: ' Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No : 9255778 Designer: ADAR BUILDERS INC Address : W. C. Expire: 6/14/2024 ..Address : 7659 LOUISE AVE NORTHRIDGE, CA 91325 Phone: Phone: (818) 938-3260 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $15,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 40 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 " Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 0 Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY B1 �4 CONSTRUCTION WORK ' SPECIAL CONDITIONS: ON SATURDAYS OWNER -BUILDER DECLARATION 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 constructs 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 lcensure and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of riot more than five hundred dollars ($500). 0 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 or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply t0 an owner of property who, through employees' or personal effort, builds or improves the properly, provided that the Improvements are not intended or offered for sale. If, however, the building or improvement Is sold withinone year of completion, the Owner -Builder will have the burden of proving that it was riot 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 property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Contractors' Slate License Law for the following reason. By my signature below I acknowledge that, except for my personal residence in which I must have residod for at least one year prior to completion of the Improvements covered by this permit, I cannot logall7 sell a structure Thal I have built as.an owner -builder it 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:http:/iwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent -_ _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury th am licensed under provisions of Cha ter 9 (commertcinq with Section 7000) of D Isio 3 of the Business and fefa5sT5Rs and arise is in full force and effect. License Class -� License No ��J��iiCT� Date / Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS! COMPENSATION COVERAGE IS UNLAWFUL, A40 SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AGO IT ION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 2706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: El I 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 iperfoo;Rance of the work for which this permit Is issued. Policy No, 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' ranee carrier and policy number a : ,� ler I I/ ��� Policy Number qg< Expiration Date cf Agent ]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 iat, if I should become subject to the Fsr-dJpensation PrOvIslioga of Section 377 -a he Labor shall forthwith comply with those provisions. Ignalure of Applicant r r i _ .Data_ / IECLARATION REGARDING CONSTRUCTjOWL DING AGENCY' hereby affirm under penalty of perjury that there Is a construction lending agency for the performanceof the work for which this permit Is issued (Section 3097, Civil Code). antler's Name _ Lenders Address y my signature below, I certify to each of the following: 1 am the property ocmer or authorized to acton the property owner's behalf. I hmNe read this application and the Information I have provided Is correct. i agtee to comply with all applicable city and county ordln ss and state laws relating to building construction. � I authorize representatives of this city or counte_ejKe above -Identified propge for inspection purposes. M k�r.aturd of Property Owner or Authorized Age AfTION DATE BY PERMIT EXPIRED PERM!! CANCELLED _.._....... ---- ___.._..._.. F E9+41T EXTENDED PERMIT FINAL IERTIFICniE OF OCCUPANCY 155UI4) �1� � vp•Zq /Yn REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 J SUBMITTED ASBESTOS NOTI€ICATION TO NOTIFICATIONISNOTAPPLICABLE TO