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Home My WebLink AboutXR2022-2620 - Permits�EwroR> o� City of Newport Beach IIIIII II III II I IIIIIII IIIII COMB Permit : XR2022-2620 Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2450 Nam^ i Permit Counter Phone: (949) 644-3288 Issued Date : 09/30/2022 cq `P Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 cicoaN newportbeachca.gov/inspections Combination Type - MFP 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 M Job Address : 905 BALBOA BLVD lt</, A Legal Desc : N TR 234 BLK 9 LOT 24 �"i t Description: MFR KITCHEN RENOVATION AND DRYWALL REPAIR Owner: BUTLER MARILYN K TR Contractor: GCSUNRISE LLC Architect Address : 1543 HILLCREST AVE Address`. 1439'W CHAPMAN AVE #297 =Address GLENDALE, CA 91202 ORANGE, CA 92868 Phone : Phone : - (714),:273 0846 Phone Con State Lie : 1050953 State Lie Applicant: GCSUNRISE LLC Address: 1439 W CHAPMAN AVE #297 ORANGE, CA 92868 Phone: (714)273-0846 Owner/Builder : Address : Phone Code Edition : 2019 Type of Construction : V-B Occupancy Groups : R-2 Bldg Height: Lie Expire: 04/30/2024 Bus Lie: BT30079805 Engineer: ALSON KEN Bus Lie. Expire : 09/30/2023 Address : 9744 MAPLE ST#101 BELLFLOWER, CA 90706 Workers' Compensation Insurance Phone: (562) 866-3625 Carrier.: STATE+COMPENSATION+INSURANCE+FUN D Policy No: 9308498 Designer: W C. Expire: 11/612022 Address Phone: - Fire Sprinklers : NO Construction Valuation `. Fire Hazard Zone :.. NO Added/New/TI sq. ft. Bldg No of Units : 3 Alteration sq. ft. Bldg : No of Stories : 2 - Added/New sq. ft. Garage Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 0 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: 0 ° ° ..°..° ° ° oo•u®s o I hereby affirm under penalty of perjury. that I am exempt from the Contractors' State. License Law :far the reason(s) Indicated below by the obeckmatk(s) I have placed next to the applicable ftem(s) w ion 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 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 ar )fessions Code) or that he or she is exempt from licensors 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 c 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 U portions of the work, and the structure is not intended oroffered-.for sale (Section 7044, imess and Professions Cods: The Contractors' State License Law does not apply to an owner of property who, through employees'orpersonal effort, builds or improves the: property; provided that the )rovements 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 not bullt. or )roved for the purpose of sake), I, as owner of the property,am exclusively contractingwith licensed Contractors to construct the project .{Section 7044, Business and Professions Code: The Contractors' State License Lawdoes not >ly to an owner of property who builds or improves thereon, and who contracts for theprojects 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: my signature below I acknowledge that, except foamy personal residence in which I must have resided for at Yeast one year prior to completion of the improvements covered by this permit, I cannot leg a structure that I have built as an owner-bulider if It has not been .constructed in its entirety by licensed contractors. I undorstand that a copy oftheapplicable few, Section 7044 of the Business and Ifesslotis Code, is available upon request when this application is submitted oratthe following Web site:bop:ltwww.ieginfo.ca.govfcalaw:htmL nature of Property OwnerorAuthorized Anent. Oare. affirm I am Rcensed under provisions of License, No PORKERS' COMPENSATION DECL ARA'i'fON f r t EARNING; FAILURE TO SECURE. WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL. SUBJECT AN. EMPLOYER TO CRININAL PENALTIES 0:40 CIVIL:PINES UP TO ONE AST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 311%OF THE LABOR COOe. INTEREST, AND ATTORNEYS FEES. hereby affirm under pen ally of perjury one Of the following declarations: license is in full force: (S100,000), IN ADDITION 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 'ormance of the work for whicit thie permit. is issued. Policy No, have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performanceofthe work for which this: permit is issued. My workers' compensa.'i Rance caner and policy number ar@„ is of Agent certify that in the perforr��mmMCI , if I should becom94sul-lect to there is a Policy Number Expiration Date Phone# h this permit 'is issued. I shall not employ any .person -in anymanner so as to become subject to the workers' cD ponsation laws of California, and agre isation provisions of Secfion.3700 of the Labor Coded I shall forthwith comply with those provisions. q Date L I,3�1 22 )ING AGENCY -tom Anstruction lending agency for the performance of the work for whichthispermit is issued (Section 3097,: vil ode). 8y n-iy signature Da ow, I certify to each Of the following: I am the property owner or authorized to act on the:: property owner's behalf. • �i tiava read IL applicatfon,and the information IJordinances have provided -incorrect. i agree to comply,Yyih all applicable city and apd siata taws relating to builtling construction. 011d''u?Vrize rebWgPa6ves of file city or coutar t a above-irlemNflEd property for Inspection purposes. �Q q' 2 Sigiatilre of Prope- Owner or Authorized ent Print property Owner's or Authorized A eAI'S Name. at ACTION • • DATE By V I DE.- TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE. USE ONLY REGULATIONS PART 63 OF TITLE40 AND AQMO RULE PERMIT EXTENDED iJAQmo PERL1tTFiNAL 10-1$"- ASBESTO. N iF1CATI0N IS.NOT APPLICABLE TO CERTiFiCATE OF OPOSED LITtON OCCUPANCYiSSUED SIGNATURE; - —