HomeMy WebLinkAboutXR2023-1361 - Permits�EWPoRT City of Newport Beach i II
Community Development Department- Building Division COMB Permit : XR2O23-1361
10D Civic Center Drive, Newport Beach, CA 92660
m x R 2 9 2 3 1 3 6 1 Plan Check No : 2558-2021
S Permit Counter Phone: (949) 718-1888 Issued ssued Date : 05/24/2023
°gciFoa" `P Combination Type - MFP ELEC ?*. t !'�' ""' ""' �'^*,-^'- .-, Inspection Area: 4
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
Job Address: 92 OCEAN VISTA Legal Desc : N TR 9676 BILK LOT 13 UN 115 TR 9676 LOT 13 UNIT 115 OF PROJE CT LOCATED ON AP
Description: MFR *ADDITIONAL SCOPE* REWIRE ENTIRE HOUSE, LED LIGHTS
Owner: JOEL GO
Address : 256 W TULIP TREE AVE
ORANGE, CA 92865
Phone
Applicant: CARPE DIEM CONSTRUCTION INC
Address : 366 A 15TH STREET
COSTA MESA, CA 92627
Phone: (949)423-9235
Owner/Builder :
Address :
Contractor: CARPE DIEM CONSTRUCTION INC
Address : 366 A 15TH STREET
COSTA MESA, CA 92627
Phone :
(949) 423-9235
Con State Lie
: 1055080
Lie Expire :
06/30/2023
Bus Lie:
BT30074368
Bus Lie Expire : 02/28/2024
Workers' Compensation Insurance
Carrier: ACCREDITED SURETY AND CASUALTY
COMPANY INC
Policy No: 1ATCA160057620
W. C. Expire : 8/22/2023
Architect
Address
Phone:
State Lie
Engineer: BURKE LEO
Address: 34167 PACIFIC COAST HWY #D
DANA POINT, CA 92629
Phone: (949)226-7130
Designer
Address
Phone:
Phone:
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation :
$20,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups :
U,R-3
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
Flood Zone :
X
Use Zone :
PC - Sea Island Apartments
'
PROCESSED BY:
SPECIAL CONDITIONS:
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 applicable items)
;Section 7031.5. Business and Professions Code: Any city or county that requires a pemlit to construct, alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
.he 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant der a permit subjects the applicant to a civil penally 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 (_) 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 employeesor 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).
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
a ply 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 Iicensure under the Contractors' State License Law for the following reason _ --- cann_ __ __legally
By my signature below I acknowledge that, except for my personal residence in which I must have resided forat least ono ar prior to complahon of the improvements covered by this permit, I ot
ye
sell a structure that I have built as an owner-buildor it it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the ausiness and
Professions Code., is available upon request when this application is submitted or at the following Web site:http:IJwww.leginfo.ca.govlcalaw.html. Date
Signature of Property Owner or Authorized Agent —`—
LICENSED CONTRACTOR'S DECLARATION icense is In full farce
aiI hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ToLL%, f Div'ulio 3 the Business and Pro sale
and effect. License Class License No Date Contractor Signature
;WORKERS' 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 HUNDREDTHOUSAND DOLLARS IE70a,e00}, 3N ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STOS OF THE LABOR CODE, INTEREST, ANC ATTORNEYS 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' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth
Onto Ines
of the work for which this permit is issued. Policy No.
I 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" compensatio
'.. insurance and
and policy number are:
'', ltarrlar Policy Number Expiration Date
is of Agent
certify that, In the performance
if I should become subject
of
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
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. SI�Y %zDZ��"
7 Date / [ /
fECLARATIOWIREGARUING UVNJ I KUUI ILIN LKINLem" n 111I
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'sAddress _
iy 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 pmvided is correct.
I agree to Comply v,i'h all applicable city and county ordinance n to laws relating to building construction.
I authorize repro .n'atives of this city or county to ante entitled property for inspection purposes.
it ;i3''rc ^f Pro. arty Owner or Authorized A ant Print Property Owner's or Authorized A ent's Name
ACTION DATE I DECLARATION OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
IRMITTPD ASRFSTOS NOTIFICATI0NTO
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OCCUPANCYISSUEV SIGNATUR