HomeMy WebLinkAboutX2016-1155 - Permits (2)Ewr City of Newport Beach
Community Development Department Division COMB Permit : X201 6-1155
Y P P 9 X 2 0 1 6 1 1 5 5
iF t: n 100 Civic Center Drive, Newport Beach, CA 92660 <.plan Check No : 0744-2016
u
Permit Counter Phone: (949) 718-1888 Issued Date : 1171202016
newportbeachca.gov/civic Final Date: 12/17/2021
°"�r coawP Combination Type - SFP \Per4jit5tatus: Expired
Work Class - Alteration IDSIDe8tion Area : 6
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID I ECTION, BUT N O� R THA 3 YURS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUND HIGHJdrNSITY—VW\S AND NCWNRK AN SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 3 HARBOR POINTE
Description: SFR - REMODEL KITCHEN AND
Owner:
Address
Phone:
Applicant: PULASKI RO- H.
Address : 412 HA G ST
NEW T BEACFy
Phone: (. 400-1R34/
Phone:
Code Edition
Type of Cons
Occupancy C
Bldg Height:
Building Setbacks
Flood Zone :
Use Zone:
PROCESSED BY:
/AAA—A.A 1 Add
yhaiiF V IYV .
W. . Expire :
0
"SIV-B
SPECIAL CONDITIONS:
Side:
Fir klers
and Zone
Nf nits :
No ries :
5�as /
® ress .
Eate
661" Lic
Engineer
q
A� ���1 Address
ensation Ins 4 g�a P ne�j
gn
V,�� hone :
ROLLY H.
HNG ST NEW PORT BEACH, CA
1934
NO Construction Valuation
NO Added/New/TI sq. ft. Bldg : 0
1 Alteration sq. ft. Bldg
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
area)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law tot the
Section 7031-5. Business and Professions Code: Any city or county that requires a permit to construct, alter
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors'
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any
of more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do of or
Iusiness and Professions Code: The Contractors' State License Law does not apply to an nw f propetrjj��;;
nprovements are not intended or offered for sale. If, however, the building or improvemet ' sold wilt`tkfi
nproved for the purpose of sale). @9
1, as owner of the properly, am exclusively contracting with licensed Contracts constructive profo
ply to an owner of property who builds or Inproves thereon, and who contra or the projects with -
am exempt from licensure under the Contractors' State License Law the follrnvsn reason:
ly my signature below I acknowledge that, except for my personal to ' ace In whit nusl have resided to
oil a structure that I have bull) as an owner-"" ar if it has not be constructed Its anbr by "con„odlrgc
Tofessions Code, is available upon request when this 'as
is ! 'mitre rat the INeb sif q,
lignalom of Property Owner or Authorized Agent
ACENSED CONTRACTOR'S DECLARATION r�
hereby affirm under penalty of perjury that I am I sed u r p isions o Fla ter Kt nung wi•
ad effect. License Class \ as N , �
VORKERS' COMPENSATION DE ATION�\
s) K cafe l below byTV I marks) I have placed next to the applicable ilem(sj
demolish, or repair a.
sf ure, prior to its issuance, also requires the applicant for
tense Law (Chapter (co
�n
ma ' g with Section 7000) of Division 3 of the Business and
of Sechon 703 - a
4§�'
_
id � or a permit subjects the applicant to a civil penalty of
�... p t pp p Y
and the
:s' or oar
7044, B "ass
and Professions CI
Tract pursuant to the Contractors'
I one year prior to completion of the
s. I understand that a copy of the al
7000) of Division 3 of the
tided or offered for sale (Section 7044,
or improves the property, provided that the
is burden of proving that it was not built or
Law).
Slate License Law does not
Id by this permit, I cannot
7044 of the Business and
Professions C&te.eft.mv license is In full farce
'ARNING: FAILURE TD aEDIIRE WORK Eft$CESSATION ERAGE IS UNL e;' HALL SUBJECTVM�� IMINAL PENALTIES AN�((A,FINES U6I ONE HUNDRED
OST OF COMPENRATIpN, nAMAOES A oVI0E0FORIN GTIOND THE L OR INTERES a lMTellTT
hereby affirm urrderpenal erjury one o e following d I sip' • vl�"
I have and will m in areal of cans So see -Ire Inr work a '\ assued by the D tin tl(•7fiO�11(♦, Relations as . Plead •lo;
adormance of the k (or wJ.tigflrls permit is is' d. P t o. - ��_"""- - h
11 have and wi n n coo ors' co anon as req ed on 700 of the Labo Cade. r the rmarce of t work f 4V lc Ii
Isurance carriarpoli numbe R^_
re of Agent `
certify that, in the pe e Qn of
if I should became su - `kNo e
lature of Applicant.
Imby affirm under penalty of p ltl�t I
Ider's Name _
my signature below, -I certify to ea f lh
I am the property owner or authodz
I have read this application and the i
I agree to comply with all applicable cit
I authorize representatives of this city or
this issued. I shelf rttt fli]7�ISy day person in any
i3t I visions of Section,, Labor Code, I shall
AGENCY
rinOtvin,,=
\
thowner z
I h is c Fact.
4nand state
purposes.
ACTION DATE i BY Nk�4% N PART M OF C.F 40Tii ANpAC.A DE OD REDFFRAI
PERMIT EXPIRED UZ —4 aQIi nit-4� 'I L%. LIAtiI7f`FDA#$FSTOS NOTIFICATION TO
PER BAIT EXTENDED
II D
PERMi7 FlNAL
=� ASBES IOS NO14 ICA I ION IS N01APPI.ICABLIE TO
CERTIFICATE OF
PROPOSED DEMO[ITION
OCCUPANCYIS$UED
i SIGNATURE:
IN ADDITION TO THE
3700 of the Labor Code, for
permit is issued. My workers'
as to co subject to the workers' compensation laws of California, and agre
y hose provisions. Date
this permit is issued (Section 3097, Civil Code).
FOR OFFICE USE ONLY
Name
Date