HomeMy WebLinkAboutXR2023-2148 - Permitso� ,gw oRT City of Newport Beach II III I IIII II I III IIIIIIIIIIIIIIIIIIIII II COMB Permit : i�R2023-2148
Community Development Department -Building Division X R 2 0 2 3 2 1 4 8
I' Fy 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0556
? Permit Counter Phone: (949) 718-1888 Issued Date : 08I03/2023
.s. newportbeachca.gov/civic Final Date:
C9��FOR�*�P Combination Type - SFP ELEC MECH PLUM Permit Status: Issued
Work Class - Alteration 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
: 1930 PORT TRINITY PL
Legal Desc : N TR 7031 BILK LOT 1
Description
: DELTA 1 - *ADDTL SCOPE*
REMODEL LAUNDRY ROOM 58 SF (REV2023-1512)
Owner:
OCONNOR PAUL D TR P & S
Contractor
Address:
1900 MAIN ST STE500
Address:
IRVINE, CA 92614
Phone
Applicant: SADRU SAASAAB
Address : 3601 JAMBOREE RD, 22
NEWPORT BEACH, CA 92660
Phone : (714) 350-5154
Owner/Builder: OCONNOR PAUL D TR P & S
Address : 1900 MAIN ST STE500
IRVINE, CA 92614
Phone:
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups : R-3
Bldg Height :
Building Setbacks : Front: 22, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone : PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
Phone:
Con State Lie
Lie Expire
Bus Lie ;
Bus Lie Expire
Workers' Compensation Insurance
Carrier ;
Policy No
W. C. Expire:
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories
9INSPcCTOR
Architect
Address
Phone:
State Lie
Engineer
Address
Phone:
Designer
Address
Phone:
NO Construction Valuation : $5,000.00
NO Added/New/TI sq. ft. Bldg : 0
1 Alteration sq. ft. Bldg :
1 Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(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 t$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,
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).
rl I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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 licensure under the Contractors' State License Law for the following reason:
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 legall+
sell a structure that I have built as an owner-buildor if it has not been constructed in its entirety 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 ubmitted or at the following Web site:http liwww.leginfo.ca.govlcalaw.html. n� r
'.Signature. of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION ---�`
I 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 Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t6100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I 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 to
(,performance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, inthe 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 become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant _ Date_ _
ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
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).
ender's Name Lender's Address
y 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 slate laws relating to building. construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes. A �.
ienature of Property Owner or Authorized Agent --_311Print Property Owner's or Authorized AGent's Name
ACTION DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 6t OF TITLE 40 AND AQMD RULE
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PERWITFIAAL ���QQQ��/ '/� _ ? f,J ASBESTOS NO IFICA I ION 15 NOT APPUCAE4£t TO
CERTIFICATE OF ,/rz3 /(rr{y(/LJ PROPOSED DEMOLITIO
OCCUPANCY ISSUED II SIGNATUR .
Date g .-I'
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