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Home My WebLink AboutXR2023-1386 - Permits4 �EWPOa� City of Newport Beach D Community Development Department - Building Division ui 100 Civic Center Drive, Newport Beach, CA 92660 2 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Cq<IFpRN\P Combination Type - SFP ELEC MECH PLUM Work Class - Alteration IIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII jj COMB Permit : XR2O23-1384 Plan Check No: PC2023-1256 Issued Date : D810912023 a r� '.`3. «q r-1 Final Date: d „4 , 9"� i 7 l Permit Status: Issued 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 : 1938 PORT TRINITY PL Legal Desc : N TR 7031 BILK LOT 3 Description : SFR REMODEL MASTER BATHROOM 208 SF Owner: KARRO WAYNE TR THE W H & M R KARRO Contractor: B Z CONSTRUCTION INC Architect LIVING FAMILY T Address : 1938 PORT TRINITY PL Address : 25561 ADRIANA STREET Address NEWPORT BEACH, CA 92660 MISSION VIEJO, CA 92691 Phone: (949) 307-3439 Phone : (949) 338-4529 Phone Con State Lic : 836849 State Lic Lic Expire : 06/30/2024 Applicant: OSCAR ALMENDAREZ Bus Lic: BT30066346 Engineer: BAICH BRENDON CHAD Address : 31234 W NINE DR Bus Lic Expire : 03/31/2024 Address : 1898 WILDROSE AVE LAGUNA NIGUEL, CA 92677 POMONA, CA 91767 Phone: (951) 990-4834 Workers' Compensation Insurance Phone: (909) 568-9919 Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder: Policy No : 9161554 Designer : OSCAR ALMENDAREZ Address : W. C. Expire : 6/25/2024 Address : 31234 W NINE DR LAGUNA NIGUEL, CA 92677 Phone: Phone: (951) 990-4834 Code Edition : 2022 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 : 208 , . , , Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 23, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS DECLARATION I hereby affirm under penally of perjury that I are exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Its I ;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for rho permit to file a signed statement that he of she is licensed pursuant to the provisions of the ContractorsStale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and crofessions 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 de (_) 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 improved for the purpose of sale). ❑ 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 property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 0 I am exempt from licensure under the Contractors' Slats 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 boon constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and Professions Code, Is available upon request when this application is submitted or at the following Web site:http:liwwvv.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized AgentDate„ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 icommencing 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, WORKERS' COMPENSATION DECLARATION fs ✓YARNING: 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 (6100,000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Ali ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 irmance 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' comparl rance carrier and policy number are: Policy Number of Agent _ Date 3 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 Iat, If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions, pasture of Applicant _ _ _ _, Date_ b ECL.ARATION REGARDING CONS tON LENDING AGENCYTi 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 _ _ T 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 4ois application and the information I have provided is correct. I agr3e to comply with all applicable city and county ordinances and slate laws relating to building construction. I aut'rorize rcpc:aen:alives of this city or country to enter the above -identified property for inspection purposes ignatc-e of Property Owner or Authorized Agent .--7 Pont Property Owners or Authorized Air cots Name dl ftl 1 ` tL) ItI'1-I-L Date ACTICh ' DATE By j DECLARATI OF COMPLIANCE WITH CODE OF FEDERAL i REGULATIONS PART 51 OF TITI E 40 AND AQMD RUIF. 1403 FOR OFFICE USE ONLY PS9PAT EXPIRED i 0 1 SUBMITTED ASBESTOS NOTIFICATION TO .. P 7'9 TCANCELLED .... }.__..�{- __.� —_. t IJCPA F_. ✓ T EXTENDED QMD F R,b71T E,NAL IZ-��23f ipI ASBESTOS NOTIfICA'4'fON I5 N01'APPLICAk1EE TO C.'_ I f.TECF I PROPOSED DEMOLITION OC'I lNCy SSUCD i SIGNATORE: