HomeMy WebLinkAboutXR2023-0118 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
111I��III��III ��III�IIII1111111111111111111111111�������� 11COMB Permit : XR2023-0118
Plan Check No : 2683-2021
Issued Date : 01/19/2023
Inspection Area : 4
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 : 1741 PORT ABBEY PL Legal Desc : N TR 6621 BILK LOT 34
Description: SFR - T/O WOOD SHAKE. RE -SHEATH AS NEEDED. INSTALL 37 SQ 5.9 PSF BORAL TILE, 13 SQ COMP UNDER SOLAR PANELS (PV2023-0032)
Owner: HAHNE CLARK W TR HAHNE FAMILY TR
Address : 1741 PORT ABBEY PL
NEWPORT BEACH, CA 92660
Phone
Applicant: VIN BARBA
Address : 933 NEWHALL ST
COSTA MESA, CA 92627
Phone: (908)489-3933
Owner/Builder :
Address :
Phone
Contractor: BRIGHT LIFE REMODELING
Address : 933 NEWHALL ST
COSTA MESA, CA 92527
Phone:
(908)489-3911
Con State Lie
: 1029267
Lie Expire :
07/31/2023
Bus Lie:
BT30079739
Bus Lie Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No : 9053332
W. C. Expire: 4/19/2023
Architect
Address:
Phone:
State Lie
Engineer:
a r ^ ,� �- t•y s�
Address:
Phone:
Designer:
VIN BARBA
Address :
933 NEWHALL ST
COSTA MESA, CA 92627
Phone :
(908) 489-3933
Code Edition:
2022
Fire Sprinklers :
NO
Construction Valuation :
$50,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg:
0
Occupancy Groups :
U
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories:
2
Added/New sq. ft. Garage :
0
TOTAL sq. ft.
0
Building Setbacks :
Front: 28, Side: 5, Side: 5, Rear: 10
Flood Zone :
X
Use Zone:
PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS: REPLACES EXPIRED PERMIT COMB22-0019
OWNER -BUILDER DECLARATION
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 checkmark(s) I have placed next to the applicableitem(s)
(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 of 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 for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
F1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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 an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements 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
improved for the purpose of Sale).
0 1, 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 improvesthereon; and who contracts for the projects 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.
By my signature below f 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[
sail a structure that I have built as an owner -builder if It has not been constructed in its onthoty by licensed contractors. I understand that a copy of the applicable law, Soction 7044 of the Business and
Professions Code, isavailable upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.govlcalow: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 (Commencing with Section 7000) of Nision 3 of the Business and Pro a, and my lice is in full force
and effect. License Class License. No Da 3 Contractor Signature rl �J
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SV0JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000L IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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' componse60n, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN
Dan,
ance of the work for which this permit Is issued. Policy No.
e 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' compensatio
ce carrier a d policy number are:
S�4+C_ Y'cr�d Policy Number I05 33 32 Expiration Date Ci I « I27i
Name of Agent Phone #
I 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 agre
that, If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant 11\ Da(0(_ 1 �g,ti3
DECLARATION RE, ARDJ9G'C0NbftRUCTION LENDING AGENCY Y �,
I 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).
Lender's Name Lenders Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application 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 oily of county to enter the ?jxe9� dertifled property for inspection purposes.
Si nature of Property Owner or Authorr-,ed Ag3nv_ L/ Print Property Owner's or Authorized A ent's No V r f/! 4Py 5 Date t (o I-3
ACTION DATE At DECLARATION OF COMPLIANCE WITH CODE or FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
140,
PERMIT EXPIRED -C S-J8MITT ED AS3EST05 NOTI FICATION TO
PERMITC4NCELLED --- rD-IE—PA
LJ PERMITEXTENDED }�AQlv1D_—.`�`V--
PEPoNtT FINAL 7PROPOSED
SBESTOSNOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF 23-/ DEMOLITION
OCCUPANCYISSUED ///�������f^ NATUR