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Home My WebLink AboutXR2023-1914 - PermitsaEWPo',T City of Newport Beach 11IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 11COMB Permit : XR2O23-1914 09 rt @ Community Development Department- Building Division X R 2 0 2 3 1 9 1 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1683 Permit Counter Phone: (949) 718-1888 Issued Date : 07/27/2023 u t newportbeachca.gov/civic Final Date: Combination Type - ELEC MECH PLUM Permit Status: Issued Work Class - Alteration 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 : 133 TOPAZ AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 11 LOT 19 Description: DUPLEX REMODEL KITCHEN AND BATHROOMS 300 SF **STOPWORK 122-3689** Owner: The Charles B. Lehman Lehman Trust Address : 133 Topaz Av. newport Beach, CA 92662 Phone: (310)975-9219 Applicant: GUS RENDON Address : 5850 Hannum Ave Culver City, CA 90230 Phone: (310)975-9219 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone: Use Zone : Trust The Charles B. Contractor : Address : Phone: Con State Lic Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No W. C. Expire: 2022 Fire Sprinklers : NO V-B Fire Hazard Zone : NO U,R-3 No of Units : 2 No of Stories : 2 Front: 10, Side: 3, Side: 3, Rear: 5 X; AO 1 R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: ` Architect : Address : Phone: State Lic Engineer: MASOUDSABER[ Address: 1438 25TH STREET,4 SANTA MONICA, CA 90404 Phone: (310)994-0083 Designer: JOSE SIQUINA Address: 17407 SHERMAN WAY VAN NUYS, CA 91406 Phone: (818)391-0132 Construction Valuation : $50,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 NO CONSTRUCTION WORK SPECIAL CONDITIONS: HIGH DENSITY ZONE; A01 FLOOD ZONE; LIQUEFACTION®N.SATURDAYS 1NFE-C OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law tot the reason(s) indicated below by the checkrnark(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 to permit to file a signed statement that he or she is liconsed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Seddon 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 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, iUSdass and Professions Code: The Contractnrs' 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 nprovements 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 nproved for the purpose of sale). 7 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 poly to an owner of properly who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from licensors under the Contractors' State License Law for the following reasun ',y 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 iegall; oll a structure that I have built as an ownor builder if it has not been onstructed in its entirety by licensed contractors. I understand that a copyof the applicable law, Section 7044 f the 8usmoss and 'roiessfons Cade, is available upon request when this applirati tetl or the felt wethttpliwww.laginfo.ca.govlcalaw.html. ng Web sif—�_ lignature of Property Owner or Authorized Agent,_____ t —,_ Date .ICENSED 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 Professions Code, and my license is In full force nd effect. License Class License No 099"l _ �.. RS' COM'.PENSATION DECLARATION 'ARNING; FAILURE TO SECURE WORKERS' COMPENSATrON COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($11DQ000), IN ADDmON TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 770E OF THE LABOR CODE. INTEREST, AND ATTORNEIcs FEES. 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 erformanee 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' ratios carrier and policy number are: Policy Number Expiration Dale of Agent 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 Egret that if I should become subject to the rkers' compensation provisions o n 3700 of the Labor Code I shall forthwith comply with those provisions. Signature of Applicant .,... t�� __ .._- .____ Data - _ DECLARATION REGARDING 0 ACTION LENDING AGENCY �" 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 Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information 1 have provided is correct. kort /✓Sl�— I agree to comply with all applicable city and county ordi and state s relating to building construction. I authorize representatives of this city or county to Sol eve- d property for inspection purposes. ��l/5 ✓ L C..,/vcG ,r / Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agents Name Date ACTION PATE BY l DECLARATION OF COMPLIANCE WITH COPE OF FEDERAL FOR OFFICE USE ONLY RFGULATIONS PART 61 OF TITLE 40 AND ACMO RULE PERMIT EXP'RE9 P€RhrtrT CAf CE6EL7 FERbiITEXTEdOEG ..... ....... .... .__, -. ._..._... .......... __. - _-.........`...�__...._._.__...-. PER,T1, OINAL -/ 12. q CERTfF1CA'C OF OCCUPANCY(5SUED I SURMITTFD ASRFSTOS SIGNATURE: NOLIFICArrON15,40T'APPUCABLE TO