HomeMy WebLinkAboutXR2022-2438 - Permits��gWPD,pT City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
Cq[/F00.N`P newportboachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
11111111111111111111111111111111111111111111111111111111111COMB Permit : XR2022-2438
Plan Check No: PC2022-2276
Issued Date : 0110912023
Inspection Area : 1
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 : 404 39TH ST Legal Desc :
Description: SFR REMODEL TO KITCHEN 102 SF' REMODEL PATIO 123 SF
Owner: CHRISTENSEN MARIA A TR RAINBOLT Contractor: JUANPEREZ
FAMILY TR
Address : 739 STARGAZER ST Address : 13357 BIXLER AVE
BEAUMONT, CA 92223
Phone
Applicant: JUANPEREZ
Address : 13357 BIXLER AVE
DOWNEY, CA90242
Phone: (818) 310-9727
Owner/Builder:
Address :
Phone
Architect :
Address :
DOWNEY, CA 90242
Phone : (818) 310-9727
Phone
Con State Lic : 1031625
State Lic
Lic Expire : 10/31/2023
Bus Lic : BT30080393
Engineer
Bus Lic Expire : 01/31/2024
Address
Workers' Compensation Insurance
Phone:
Carrier: EXEMPT
Policy No: EXEMPT
Designer
W. C. Expire:
Address
Code Edition : 2019 Fire Sprinklers : NO
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups: U,R-3 No of Units: 1
Bldg Height : No of Stories : 2
B,uiklinb Setbacks:
Flood Zone: -X
Use Zone: R-2 - Two -Unit Residential
PROCESSED BY: ` X
SPECIAL CONDITIONS:
Phone
Construction Valuation :
$35,000.00
Added/New/TI sq. ft. Bldg :
0
Alteration sq. ft. Bldg :
102 -
Added/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
CONSTRUCTION
NOISE
ON THE WEEKEND-,
If
s ,1. I�L_� f �r°m...,t
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 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'
.he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Lew (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 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
lot more than five hundred dollars ($500).
I, as Owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
mproved for the purpose of sale).
1 1„ as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stele License Law does not
apply 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),
am exempt from Ilcensure-under the Contractors' State license Law for the following rPeace!
--- --
3y my signature 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 legaill
sell a structure that I have built as an owner -builder if it has not been constructed in its ontirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and
orofessions Code., is available upon request when this application is submitted or at the following Web site:hltp:llwww.leginfo.ca.gov/calaw.html.
3lgnature of Property Owner or Authorized Agent - Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of pequry that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o fvisi of the Business and Professions Code, and m lice�is In full force
and effect. License Class License. No Data " Contractor Signal T =
NORKERS' COMPENSATION DECLARATION
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
JOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FFFS.
hereby affirm under penalty of perjury one of the following declarations:
1 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
lerformance of the work for which this permit is issued. Policy No.
:11 have and w1 in.1main 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' compensatiol
nsuran.:e carrierand policy number are:
Policy Number
of Agem
Date
certify that, a, toe performance of the work for which this permit is issued. I shall not employ any person in any manner so as ID become subject to the workers' compensation laws of California, and agre
if i 5hould bLQ.T,a subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply W lh those provisions.
mature of Ap,hcart _ Date �'-'� Z_�
Hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
.a.wer s Name Lender's Address
my signature below, I certify to each of the following:
am the property owner or authorized to act on the property owner's behalf.
Love read tni4 apnlication and the information I have provided is correct.
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 enter the above -identified property for inspection purposes. �� ��
3i0natUre Of PrODertv Owner or Authorized AgarL— Print Property Owner's or Authorized Agent's Name Date
ACTION DATE i BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY �-
iREEGGHULATIONS PART 61 OF TITLE 40 AND AQMD RULE
EXPIRED
PERMIT EXTENOED
PERMIT FINAL y G� (RUSKSTOS NOTIFICATION15 NOT APPLICABLE TO
CERTIFICATE OF 1_ZS` I PROPOSED DEMOI�LT
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