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Home My WebLink AboutXR2023-3496 - Permitso��EWPOR @ City mm Off DeWpOrt Beach evelopment Department a mnt-Building Division IIIII IIIII III IIIII IIIII IIII IIIIIII IIIIIIIIIII III II COMB Permit : XR2O23-3496 F 100 Civic Cem,r Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 12/12/2023 n.newportbeachca.gov/civic Final Date: e,GiFOPN�P Combination Type - SFP PLUM Permit Status: Issued Work Class - Alteration Inspection Area : 4 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 : 1B65 PORT CARLOW PL Description: SFR REMOVE AND REPLACE SHOWER Owner: CIMBALUK JULIAN TR J & H Address : 1 B65 PORT CARLOW PL NEWPORT BEACH, CA 92660 Phone Applicant: BEN MEDINA Address: 31225 LA BAYA DR WESTLAKE VILLAGE, CA 91362 Phone: (818) 735-7876 Owner/Builder : Address : Phone : Legal Desc : N TR 6938 BLK LOT 11 Contractor: REBORN CABINETS Address : 5515 E LA PALMA AVE #250 ANAHEIM, CA 92807 Phone: (714)507-1694 Can State Lic: 443682 Lic Expire : 11130/2024 Bus Lic: BT30066303 Bus Lic Expire : 12/31/2023 Workers' Compensation Insurance Carrier: GENERAL CASUALTY COMPANY OF WISCONSIN Policy No: 152000448 W. C. Expire : 12/23/2023 Architect Address Phone: State Lic Engineer Address Phone: Designer: Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: Occupancy Groups: U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: TOTAL sq. ft. : Building Setbacks : Front: 19, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: $8,300.00 0 0 0 DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate. License Law for the reason(s)indicated below by the chockmark(s) I have placed next to the applicable Dem(s) (Section 7031.5. Business and Professions Code: Any city or county that requires a permit to Construct, alter, improve, demolish, or repair any structure, poor 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 licansure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500), 13 I, as owner of the property, or my employees with wages as their sole compensation, will do C_) all of or U 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 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 Improvod for thepurpose 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' Stale License Law does not asp -(ply 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). u . I am exempt from licensure under the Contractors' State License Law for the following reason .............._._.._____ By my signatura below I acknowledge that, except for my personal residence In which I must have resided For at least one year prior to completion of the improvements covered by this permit I cannot legal) sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is z rai'able upon request when this application is submitted oral the following Web site:http:llwww.teginfo.ce.gov)calavchtml. &&nature of Property Owneror Authorized Agent - __ Date _... LI,7EN61-D CON'CRAC.TOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se 'on 700 Divi ,i of the Busines d Professi e, and my license is In full force anJ e.fecl. License lass License No D t 7i Contractor I aW€ tNORKERS' COMPENSATION DECLARATION AG: FAILURE TO SECUsa WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNr eE ui DOLLARS 1E100,000), IN ADDITION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, Ante ATTORNEY'$ FEES. heresy affirm under pen.Ilty of perjury one of the following dectarations: 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 br,nn .a of the work for which this permit is issued. Policy No and will mointe;n 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 ind pclicy number are'. a of Agent enify that, in the performance of the If { she become subject to the wg )tore o A l cant C Policy Number Dale for which 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 Agra co anon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IN LENDING AGENCY ta rreby affirm under penal of hat there is a construction lending agency for the performance of the work for which this permit is issued (Sectlon3097, Civil Code). rder's Name i Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property I have read this application and the Information I have mcv I agree to comply with all applicable city and county or an I authorize representatives of this ci r county to en er t nature of Prooertv Owner or Authorized geDt� ACTION laws relating to building construction. ad property for inspection purposes. OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TRUE 40 AND AOMD RULE FOR OFFICE USE ONLY PERMIT EXPIRED 1 1 LJ I SUBMITTED ASBESTOS NOTIFICATION TO __._ __. --- PERM77EX7ENDED { PERMITFINAi _ _ QI/�/Zy �_�,__....__,.,.— D��r„ 1BE5Tp5 OTI FILA7 IS NOTAPPLICABLE TO CERTIFICATE OF �M5 PIT EOD MOLITION OCCUPANCYISSUEO ISGNA.