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Home My WebLink AboutX2022-0880 - PermitsrFWr<k City of Newport Beach of J Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration COMB Permit : X2022-0880 Plan Check No : 0838-2022 Issued Date : 08/24/2022 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: 11 ULTIMA DR Legal Desc : TRACT 14773, LOT 9 OF PROJECT 935-34 LOCATED ON AP 478-071-1 5 TOGETHER WITH AN UND. 1/13 INT. IN PAR. 9 OF LLA 95-221321 Description : MFR REMODEL 850 SF (KITCHEN, (2) BATHROOMS) Owner: JAMES SOCOLOSKE Contractor: HUNTINGTON BEACH CABINETS & Architect: REMODELING Address: 1424 BAYPOINTE DR NEWPORT BEACH, CA Address : 512 OCEANHILL DR HUNTINGTON 92660 BEACH, CA 92648 Phone : (949) 500-7828 Phone : (714) 580-6221 Con State Lic : 652520 Applicant: Lic Expire : 08/31/2024 Address: Bus Lic: BT30079551 Phone: Bus Lic Expire : 08/31/2023 Workers' Compensation Insurance Owner/Builder: Address Phone : Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height : Building Setbacks Flood Zone Use Zone: PROCESSED BY PC - Newport Coast _,Xf SPECIAL CONDITIONS: Carrier : Policy No : EXEMPT W. C. Expire: Fire Sprinklers : NO Fire Hazard Zone : Yes, as determined by the state. No of Units : 4 No of Stories : 2 Address Phone: State Lic Engineer: Address Phone: Designer Address Phone: Construction Valuation : $75,000 PO Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 300 Added/New sq. ft. Garage : 0 1NSiP7C t�t� OWNER -BUILDER DECLARATION 7 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 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 ContractorsState 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). ❑ 1, 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 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 Irmyproved for the purpose of sale). LJ 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 properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 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 legally sell a structure that I have built as an owner -builder 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 submitted or at the following Web site:http://www.leginfo.ca.90V/GalaW,htMi. 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 7 ) f Div i ion 3 of the Business and Profe��s§gtons Cede, and rA license is in fu force and effect. License Class �, License No L,rj Z6 Date 2 Contractor SignatureX WORKERS' COMPENSATION DECLARATION ,�� NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS i$1D0,0001, to ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37W OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 111 have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN ao,fom,aoce of the wo,k for which this permit is issued. Policy No. ha,G 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' range carrier and policy number are: Policy Number Agent Date 'x%f,ity 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 I should become subject to t e worker compensa((on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'yraturc of Applicant _ �Y�Q3� _ _ _ _ _ __ _______ ___ Date, �'`Z�1 ECLARATION`REGARDING O STRU�ENDING AGENCY {{ l Zz - Tal aar 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). Name Lenders 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 state laws relating to building construction. I authorize representatives of this city or county to enlel4he aboyf-IdeCtified property for inspection purposes. of ProDertv Owner or Authorized ACTION DATE BY ptCCARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED _ _ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED ! EPA PERMITEXrENDED MD PERMITFINALI Z7� AS STOS NOTIFICATION 15 NOT APPLICABLE r0 CERTIFICATE OF ® P 05PD DEMO ION /,/1 /I OCCUPANCY ISSUED SIGNATURE: -ll ` /do FOR OFFICE USE ONLY All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.