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HomeMy WebLinkAboutXR2023-0283 - Permits�EWPORT City of Newport Beach III IIIIIIIII IIIIIIIIIIIIII�IIIIIIIIIII IIIIIIIIII II COMB Permit : XR2023-0283 Community Development Department- Building Division X R 2 0 2 3 0 2 8 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0212 y. n Permit Counter Phone: (949) 644-3288 Issued Date : 0113112023 Inspection Requests Phone: (949) 644-3255 Inspection Area : 5 �C�FOFN� newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM 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: 22 BAFFIN BAY Legal Desc : N TR 15851 BLK LOT 19 Description: SFR - KITCHEN/BATHROOM REMODEL 640 SF W/ DRAINAGE *CITY STANDARD' (123-0327) Owner: BAFFIN BAY LLC Address: 2865 E PACIFIC COAST HIGHWAY 340 Phone: (949)436-1581 Applicant: BAFFIN BAY LLC Address: 2865 E PACIFIC COAST HIGHWAY 340 Phone: (949) 436-1581 Owner/Builder: BAFFIN BAY LLC Address: 2865 E PACIFIC COAST HIGHWAY 340 Phone: (949) 436-1581 Code Edition : 2022 Type of Construction : V-B Occupancy Groups : U,R-3 Bldg Height : Building Setbacks Flood Zone Use Zone: PROCESSED BY: X PC - Newport Coast SPECIAL CONDITIONS: HAULER: CR&R Contractor Address: Phone: Con State Lic Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier: Policy No: W. C. Expire: Architect Address Phone: State Lic Engineer: Address Phone: Designer Address Phone: Fire Sprinklers : NO Construction Valuation : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg No of Units : 1 Alteration sq. ft. Bldg : No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. : $150,00C.00 0 640 0 OWNER -BUILDER DECLARATION 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 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 1G 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 'rofessions Code) or that he or she is exempt from licensure and the hosts for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements ate 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 n roved for thepurpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to corlstruetthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ppty 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). I am exempt from licensure-under the Contractors' State License Law for the following reason ly my signature below I acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the improvements Covered by this permit, I cannot Iogaip oil a structure that I have built as an owner-buiider if it has not been constructed in its entirety by licensed Contractors. I understand that a copy of theapplicable law, Section 7044 or the Business and 'rofessions Code, is available upon request when this applicath n is submitted orat the following Web site:httpalwww.loginfo.ga.gov/calaw.html, signature of Property Owner or Authorized Agent _ `� Date- 1 1-) 71 .10ENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing With Section 7000) of Division 3 of the Business and Professions Cade, and my license is in full force nd effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO T DST OF COMPENSATION, DAMNGES AS PROVIDED FOR IN SECTION 37050F THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: ] have and wilt I,taLt.a, 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 erfcrmar.ce 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 permitis issued. My workers' ranee carrier add policy number are: ier de o nnent Policy Number Date Certify that, in the performance of the work for which this permit is issued. I shell not employ any person in any manner so. as to become subject to the workers' compensation laws of California, and If I snould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signalure of ApplicadL,,,__ Date AEDLARA710N R4GAROING CONSTRUCTION LENDING AGENCY I hereby affirm unc'a- prrajiyof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). Lenders Name Lenders Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I. have provided incorrect. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to e r e above-idantifled property for inspection purposes. Signature of Property Owner or Authorized Agent Nrit Property Owner's or Authorized Agent's Name S A1J f"16z °' - Ni Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY [ REGULATIONS PART 61 OF TITLE 40 AND ADMD RULE 1403 PERMIT EXPIRED PERMIT EXTENpEp I I i OMD _ PERMIT FINAL 07/27/23 1 DL TO ( A5RE51OSNOTIFICATiONISNOTAPPLICA8LE TO CERPRCATF OF I .PROPOSED DEMOLITON OCCUPAIVCY155UED RL i SIGNATURE: d a I 0 N g k -C� C .0 ° O IN nNOl? wn -N6 O O O ° C O a ,Oo... wDan iNw0d dwmo< wS�*w OSDyN0<'o°o °nd� Nww3�� ��p0°C 3p°'w< oOwC� .�OmZ w j m wNCf0Mw Q nw Eml oco3o-non n w�on0,N o-- m�3wo--<wmn> O a N w < a •Do 3 w3 OD =-D -,3 D_ Sr 7 - H!R0 2DmD<im w w 0 5- ON� N owmw m m o 0 N °' y �-a m o oam N m O °.mm y m p0 O S w a M w l Q w y �' `< S n a V 6 3 n W N C w I 3 0 N° d (p N N N w y 3 3 m_ n ? 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(18" x 24" minimum size): YES LINO