HomeMy WebLinkAboutXR2023-3460 - Permits�a WPo�T City of Newport Beach 111111111111111111111111 IIIIIIIIIIIII11111111111111111111111
D Community Development Department- Building Division X R 2 0 2 3 3 4 6 0
100 Civic Center Drive, Newport Beach, CA 92660
u 4k i Permit Counter Phone: (949) 718-1 BB8
newportbeachca.gov/civic
cqi Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
COMB Permit : XR2023-3460
Plan Check No :
Issued Date : 12/07/2023
Final Date:
Permit Status: Issued
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATAHj
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREASAD NO
Job Address: 1807 HIGHLAND DR Legal Desc : N TR 3057 BLK
Description: SFR BATHROOM REMODEL (120 SF) NO STRUC CHANGES "CITY STD
Owner: JEFFREY & AMY KENNEY
Address : 1801 BERYL
NEWPORT BEACH, CA 92660
Phone
Applicant: NEWPORT CONSTRUCTION SVCS
Address: PO BOX 10611
NEWPORT BEACH, CA 92658
Phone: (714) 915-9622
Owner/Builder
Address:
Phone
Code Edition:
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone:
Use Zone :
PROCESSED BY:
Contractor i - NEW RI CC
Address : P OX 1 ' 11"
EWPORTtEAQ
_.Phone: (714)915-962�
Con S e Lic : 1g65935
3 FROM ORIGINAL ISSUANCE DATE
SUNDAY AND HOLIDAYS IN ALL AREAS
�a
(9
4;e .
P� UC&QSVCS
Architect
o
Address
Oe A 92658
'
Phone
State Lic
Sri
Engineer: �,,..�,+,�
Address i��
Ph ee 4
a
CCD
2022 re Sprifti Con uc�t!',oal,)yA'�ion
V- 4,,,.�j, Fire FaFkofie : NO ded(Nr7/TI, ' . ft. Bldg
.. xp R- :„ °`�✓` CJN "tknits� 1 Altera ;n �ft. Bldg
-ia"S . 1 Ad d/ sq. ft. Garage
..sa sq. ft.
Front 20, idea �.' Rear: 6 /
R-1-6000 - Si 1 -Unfit d(3000 indicates minim u' P'ot area)
SPECIAL CONDITIONS:
Lic Lic B '00,W 178
Lic Aire 4 3p/2024
W ers' Compensation Insurance
�1 arrie EXEMPT NO EMPLOYEES'"�.
Policy :o V #EMPT
xplrue : .�
$25,01[)OzOG u
0
0
0
OWNIER-SUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale.Lfcense Law for the-reason(s)indicated below by the checkmark(s) I have placed next io theapplicable terms)
coon 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
permit to filo a signed statement that ho or silo 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
fesslons Code) or that he or she is exempt from ]!censure and the basis?orthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjectsthe applicant to a Civil penalty of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will,do-L) all of or L portions of: the work; and the structure IsnetIntended or offeredforsale (Section 7044,
iness and Professions Code: The Contractorv' 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
rovenients are notlntended or offered for sale. If. however, Ilia building or improvement is sold within one yearof 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, alit exclusively contracting with licensed Contractors to construct. the project (Section 7044, Business and Professions Coder The Contractors' State License Law. does not
ty to an ownerof property who builds or improvaethereon, and who contracts for the projects With a -licensed Contractor pursuant to the Contractors' State License Law),
I am exempt from Ilconsure under the Contractors' State License Law for the following reason
ny signature below I acknowledge that, except for my personal residence in which I must have rositlod fora! toast ono year prior to completion of the Improvements covored by this permit, I cannot IBgall
a structure [hat I have buill as an owner-builddr if it has not been ocristructed in its entirety by licensed contractors. I understand that o copy of the applicable law, Section 7044 of the Business and
fesslons Code, Is available upon request when this application Is submitted or at Ilia following Web sile:hltp:/rvAvw.leg nfo ca:go�dcalav+.htmL
Tatum of Property Owner or Authorized Agent., _ Dale
ENSED CONTRACTOR'S DECLARATION tvva.
reby affirm under penally of parlury that I am licensed under provisions of Chapter 9 (commencing with Set n 00) o Di is(on 3 of th{ tlk'In . -s and"@rrofe�yya�o de, and. my license. is to full force
effect. Licenra Class License No D Iq. �T7.lZ., _c,II fPbntm or gatuF //
VORKERS' COMPENSATION DECLARATION
fARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 13 UNLAWFUL, AND SHALL SUBJECT P
car OF COMPENSATION, DAMAGES A3 PROVIDED FOR IN a[CTION 1706 OF THE LABOR CODE, INTO est, AND
hereby affirm under penalty of perjury one of the following declarations:
I Ywe and will mat rain. a certificate of consent fa .sell InsUre for Workers`
ormance of the work or which €his -permit Is Issued. Policy No..
have and will m,intain workers' compensation Insurance as required 1)
Trance carrier and rc'Icy number are:
a of Agent _
lartlfv that, in
silo Id be
i
ell ute r f I
.roby af4m sneer oen of p
Wet s Name
pry signature below carlify tc
I am the properly owner or at
I have read this applicatiomai
I agree to comply with all app
I authorU.o representatives of
ACTION
Policy Nurnber
3700
I of thewark for which this it i;.ys shell no '
the workers' opens` n provsio S�ectiot>60
NBTRt}GTGNOINCY air.
rjury the are Is a cons 'I on lend nc^' r the` j
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end,
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bonze 4c on Ihe.prope
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CLAR ONO MR 'E WITH
REG
SPAR TITLE 40 At
O!IArEY 5 FEES61 1'13
Issued by, thyq or of It
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to Code. for the. �rft
'1`' / /
U CIVIL FINES UP ONE HUNORE0 OUSANO DOLLARS (1100,000), IN ADDITION TO THE
tr" Relations es provided Icr by S -ion-3700 of the. Labor Code, for th
ince of the work for which this permit is �iaed. My workers`-compensatia
_Expiration Date
o.as to become Sur
comply with those
��1 O
building construction,
nspectlon purposes. f\
PElifNiT EXTENDED__",_-_ �LIt4M,Q __ "'� 'k, "'•
PravnTFINAL vp;�,
ns N[lilFtC ON I " '� 'RPLICAHLE TO
crartricArr OE ' DemOLIT
OCCUPANCYISSUE1 i E, �'�
FOR OFFICE
nsai on lava of California, and agra