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HomeMy WebLinkAboutXR2023-1206 - Permits��EWPORr City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic �14 FoaN�r Combination Type- SFP ELEC MECH PLUM Work Class - Alteration 1111111111111111111111111111�II�11111111111111111111111111COMB Permit : XR2023-1206 Plan Check No : PC2023-1065 Issued Date : 07/20/2023 Final Date: Permit Status: Issued Inspection Area : 6 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: 21 ROCHELLE Legal Desc : N TR 15540 BILK LOT 36 Description: SFR REMODEL MASTER BATHROOM 227 SF Owner: BRADLEY H TR TAYLOR Address : 21 ROCHELLE NEWPORT COAST, CA 92657 Phone: (949)212-2531 Applicant : WAYNE M RIZZO, AIA Address : 484 PROSPECT ST NEWPORT BEACH, CA 92663 Phone: (949)285-7447 Owner/Builder : Address : Phone: Contractor: STN BUILDERS INC Address : 13681 NEWPORT AVENUE #8 TUSTIN, CA 92780 Phone: (714)713-1097 Con State Lic : 817262 Lic Expire : 02/28/2025 Bus Lic : BT30056339 Bus Lic Expire: 08/31/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No! 9111360 W. C. Expire: 9/4/2023 Architect Address Phone: State Lic Engineer: Address Phone Designer: WAYNE M RIZZO, AIA Address: 484 PROSPECT ST NEWPORT BEACH, CA 92663 Phone: (949)285-7447 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $35,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units: 1 Alteration sq. ft. Bldg : 227 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 • - Flood Zone : X • - - Use Zone : PC - Newport Ridge R� PROCESSED BY: SPECIAL CONDITIONS: IRWD I hereby affirm under penally of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) I haveplaced 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 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 or the Business and Professions 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 fore permit' subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, of my employees with wages as their sole compensation, will do U 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 art owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offeredfor 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 of improved for the purpose 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' State 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). I am exempt from licensors under the Contractors' Slate License Law for the following reason - ...__._.__._, ,.._w_..__ ....___..�_ .__ ............ _...__._ ,�.. ._._...__. By 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 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 available upon request when this application is submitted or at the following Web site:http:/lwww,leginfo.ce.govfcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Div'is n 3 of the Business and Professions de, gry Ilcens is�x n full force and effect. License Class License No Date _7zt7 2 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CCVERAGE IS UNLAWFUL, AND SHALL SUBJECt AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN AO.DRION TO THE .COST OF COMPENSATION, DAMAGES AS PRONGED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, issuedby the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th perforlpance of the work for which this permit is issued. Policy No. and will maintain 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 and policy number are'. Policy Number Expiration Dale 7e of Agent certify that, in the performance of the work for which this if I should become subject to Is worker pensati i Is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre lions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. / nature of Applicant_ _ �—� Date— �/Z� ��� CLARATION REGARDING CONSTRUCTION LENDING. AGENCY !reby 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 ,dens Name _ Lender's Address my signature below, i certify to each of the following: I am the property owner or authorized to acton the property owner's behalf. I have road this application and the information I have provided is correct. I agree to comply with all applicable city and County ordinances and stale laws relating to building construction. I authorize repre,=entatives of this city or county to enter ab�'���J�',�'f'i ied prop or inspection purposes. ,I1. f,, hf P:.,,,a.. n... — n mnr:�en Anonf " "" Print Prnnarhr nwier's nr A,dhn 7GA Anent'c Nama "' LI" AC PIN DATE I BY 1 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFG01.ATIONS PART el OF TITLE 40 AND AQMD RULF 1403 f PmAIT EXPIRE) LJ I WRMITTED ASBFS705 NOTIFICATION TO ?ERh IT CAACS.L D OEPA PERMfT EXTENGEJ PEROT FINAL ( CERTifANCY15ATE E % / 7/�'fj%> II-..��Ijj%%�jj�����Q_MD .JQASBES7tl5 NOlIFICAI ION 15 Not APPLICABLE 7 � DEMOLI710P1,..�_ C�- I r)CCL'aANCY lSS;FD SPROPOSED IGNRTUR Civil Code). �fJ LU E* 0?Q z � x U ON o F" U o O W o U M �Q W y Z Z m qo 00 a cLqT zSZ� a� V LL a aA�m o Z� �W �Am� r,0 r WV Awn. 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