HomeMy WebLinkAboutXR2022-2735 - PermitsCity of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
00'.
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
nnewportbeachca.gov/inspections
Combination Type - ELEC MECH PLUM
Work Class - Alteration
- p.h + iY33 �i" ® obi 9 ■
COMB Permit : XR2022-2735
Plan Check No :
Issued Date : 10/14/2022
Inspection Area : 2
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: 221 PEARL AVE Legal Desc : A TRBALBOA (ISLAND RESUB:SEC 1 BLK 6 LOT 11
Description: MFR REMODEL KITCHEN AND FIREPLACE 125 SF
Owner: JONES CRAIG ALLEN TR C & K JONES'Contractor:"
PREFERRED KITCHEN/BATHINC
Architect:
FAMILY TR
Address : 30402 MIRADOR CT
Address : 26 RANCHO CIR
,Address
LAGUNA NIGUEL, CA 92677
LAKE": FOREST, CA 92630
Phone: (949) 633-7329
Phone: (949),830 6300
Phone:
Con State Lic :. 908709 :
State Lic
Lic Expire: 01/31/2024
Applicant: PREFERRED KITCHEN/BATHINC
Bus Lic: BT30066577 -
Engineer:
Address: 26 RANCHO CIR
Bus Lic Expire : 03/31/2023
Address:
LAKE FOREST, CA 92630
Phone: (949) 830-6300
Workers' Compensation Insurance
Phone:
Carriers .STATE COMPENSATION INSURANCE FUND
Owner/Builder :
Policy No : 91.18076
Designer: PREFERRED KITCHEN/BATH INC
Address :
W. C. Expire : 10/5/2023 -
Address : 26 RANCHO CIR
LAKE FOREST, CA 92630
Phone:
Phone: (949)830-6300
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $30,000.00
Type of Construction : V-B
Fire Hazard Zone.:.. NO
Added/New/Ti sq. ft. Bldg :
Occupancy Groups : R-3
No of'Units: 2
Alteration sq. ft. Bldg : 125
Bldg Height :
No: of Stories : 2
Added/New sq. ft. Garage: 0 °
TOTAL sq. ft. Bldg: 0
Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 5
Flood Zone : X; AO 1
'
Use Zone: R-BI - Two -Unit Residential, Balboa Island
�u
PROCESSED BY:
SPECIAL CONDITIONS: HIGH DENSITY ZONE ; A01 FLOODZONE ; LIQUEFACTION
No CONST RUCTION NOISE,,
ON THE WEEKEND
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 checkmaTk(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 fife 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
'rofassions Code) or that he or she is exempt from liconsum andthe 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
rot more than five hundred'. dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of ar U portions of the work, and the structure is not Intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
mprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
m roved for the purpose of sate).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
Ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
= I am exempt from lieensure under the Contractors' State License Law for the following reason: __
iy my signature below I.. acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal]!
:ell a structure that I have buiit as an owner -builder it it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and
Irafessions Coda, is available uponrequest when this app€ication is submitted or at the fallowing Web site:htip:lAvow.leginfo.ca..gov/calaw.html.
signature of Property Owner or Authorized Agent Date
JCENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prafes�im>$ Codegafid my license is in full force
Ind effect. License Class License No Date t to I — L � Contractor Signature (y ,� I
YORKERS' COMPENSATION DECLARATION
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL susieCT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,0001. IN ADDITION TO THE
=0.4T OFCOMPENSATtgN, DAMAGES AR PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE ..INTEREaTI AND ATTORNEY's FEE$,
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to seff4nsum for workers' compensation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code. forth
Ierfonmence 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 Date
of Agent Phone If
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
, if I should becorro subject ko the wiplMitm' compensation. provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Of
Date ( o —I 2J — Z'L
areby affirm under penalty of perjury that there is a construction fending agencyfor the performance of the work forwhich this permit is issued (Section 3097, Civil Code).
iders Name Lenders Address
my signature below, I certify to each of the following:
i am the pr o%il ii avner or authorized to act on the property owner's behalf.
•Ihave read this apt llcation and the information f have providedis correct.
I•agree to cZ AjMq With all applicable city and county ordinances and state laws relating to building construction.
l.authonze &pMentatives of this city or countyiaentew the g2pye-idenfified property for inspection purposes.
ACTN]N • .. • • DATE By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
`• REGULATIONS PART BI OF TITLE 40 AND AQMD RULE
• �a•
<.. • 1403
••I PERMIT EXPIRED .... 1 SURM€TTFO ASRFSTOS NOTIFICATION TO
NOTIFICATION IS NOT APPLICABLE TO
'I PROPOSED