The URL can be used to link to this page

Home My WebLink AboutXR2023-1770 - Permits�rgWPORT City of Newport Beach IIIIIIIIII IIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIII II COMB Permit XR2023-1770 D Community Development Department- Building Division r s.. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 06128/2023 newportbeachca.gov/civic Inspection Area : 4 °gcicoaN`P Combination Type - MFP Work Class - Alteration 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: 31 CORSICA DR Legal Desc : N TR 12306 BLK LOT 2 UN 1 TR 12306 LOT 2 UNIT 1 OF PROJECT L OCATED ON AP Description: MFR R/R PEX REPIPE @ GARAGE *RENEW EXPIRED PERMIT' Owner: SSD CAROUSEL BEACH PROPERTIES LLC Address : 3315 FAIRVIEW RD COSTA MESA, CA 92626 Phone : Applicant: JAMES LE COURT PLUMBING Address : 27176 BURBANK FOOTHILL RANCH, CA 92610 Phone: (949)661-8002 Owner/Builder : Address : Phone Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U,R-2 Bldg Height: Building Setbacks Flood Zone : X Use Zone: PC - North Ford PROCESSED BY: ERE, SPECIAL CONDITIONS: Contractor: JAMES LE COURT PLUMBING Architect Address : 27176 BURBANK Address FOOTHILL RANCH, CA 92610 (f) Phone: (949) 661-8002 Phone Con State Lie : 868279 State Lie: Lie Expire : 11/30/2023 Bus Lie : BT30011771 Engineer Bus Lie Expire : 09/23/2023 Address Workers' Compensation Insurance Phone : f Carrier: OAK+RIVER+INSURANCE+COMPANY �• Policy No : MKLV5EUL104275 Designer W. C. Expire : 6/27/2023 Address Phone: Fire Sprinklers : NO Construction Valuation Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 No of Units : 4 Alteration sq. ft. Bldg : No of Stories : 0 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION t hereby afB.rm under penaltyof perjury that I am exempt from the Contractors' State License Law foT 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 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 Lew (Chapter g (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from Bcensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a pemtit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portionsofthe work; and the structure is notintended or Offered for sale (Section 7044, Business and Professions Lode: 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). 0 I, Be 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). L1 I am exempt from licensors 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 ID completion of the improvements covered by this pormlt,.I cannot legall sell a structure that I have builtas an owner -builder if It has not been constructed in its entirety by licensed contractors. I understand that 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 fallowing Web site:http:i/v Nw.leginfo.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 0 _ ' ' ro 3 If the Business and Pro sin s Code, s my license is in full force and effect. License Class License No Date �e i Contractor Signature WORKERS' 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 T SAND DD S ffuKOMM, IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, M13 ATTORNEYS Fees. hereby affirm under penalty of perjury one of the following declarations: U -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 )erfonnance 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' componsatiol sure ce carder and policy number are: :airier Policy Number Expiration Date Jame of Agent Phone # 31 certify that in the perfor once of �=ke=mperrsatfGn owhich 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 ogre hat, If I should become so ct to the provisions of. Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Dal 2� Z )ECLARATION REGA 1 ONS7 T1ON LENDING AGENCY hereby affirm under penal of perju th t there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, All Code). _tinder's Name Lenders Address )y my signature below, I comity, to a ch o the following. I am the property owner or aulh z l to act on the. pro 0y owner's behalf, I have read this application and the information I e p vided is Correct. I agree to comply with all applicable city and coon ordi ones a d state fawn relating to building construction. I authorize representatives of this city or Coonty to nterI a ove-identified property for Inspection purposes. >1 nature of Property Owner Or Authorized A ant Print Property Owner's or Authorized All ent's Nama li, r Data L ACTION DATE BY i)ECLAR )ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 77 6ULAT NS PART61 OFTITLE40 AND AOMD RULE PERMIT ENPfRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT fXTENDED 2 OMD _ PERMITFINAL g 27 BESTOS NO IFI I N IS NOT APPLICABLE TO CfRtIftCATf OF ROPI D}"(,•,,' Lf7i OCCUPANCY ISSUED SIGNATURE: \ �1