HomeMy WebLinkAboutXR2023-1062 - PermitsCity of Newport Beach
2E`•�°okr
0
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
DI "
Permit Counter Phone: (949) 644-3288
e�
Inspection Requests Phone: (949) 644-3255
C7��F0 RN`P
newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Alteration
1111111111111111111 �������������������11111111111111111111COMB Permit : XR2023-1062
Plan Check No : PC2023-0950
Issued Date : 04/25/2023
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 : 1243 BAYSIDE DR Legal Desc : N TR: 89.17 BILK LOT.1 UN 101 TR 8917 LOT 1 UNIT 101 FP, RP, CP 1, CP2 OF
Description: MFR R/R STUCCO AT PATIO OVERHANG.
Owner:
KATHLEEN HOFF
Contractor: RECONSTRUCTION EXPERTS INC.
Architect
Address :
1243 BAYSIDE DR
Address : 5310 VIVIAN STREET
Address
CORONA DEL MAR, CA 92625
ARVADA, CO 80002, CA
Phone:
(562)477-7955
Phone: (310)648-8653
Phone:
Con State Lie : 750511
State Lie:
- Lie Expire : 1013112023
Applicant:
Brant Keiser
Bus Lie : BT30062567
Engineer
Address :
1120 Princeton Drive 6, 6
Bus Lie Expire : 03/3112023
Address
Marina del Rey, CA 90292
Phone:
(760) 573-9116
Workers' Compensation Insurance
Phone:
Carrier: SENTINEL INSURANCE COMPANY LTD
Owner/Builder.
Policy No : 34WEAAU7WDJ
Designer
Address :
- W. C. Expire-:- 11/1/2023
Address
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers-: ,.;
NO
Type of Construction :
V-B
Fire Hazard Zone:
NO
Occupancy Groups :
U
No of Units :
1
Bldg Height:
No of Stories ;-
2
Building Setbacks
Flood Zone :
AE, 8 FT; X
Use Zone :
RM - Multiple Residential
PROCESSED BY: n S
SPECIAL CONDITIONS: AE8 FLOODZONE
STUART AHN
3823 EL MORENO ST
LA CRESENTA, CA 91214
(213)820-0008
Construction Valuation :
Added/New/TI sq. ft. Bldg:
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
$9,700.00
0
I
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1. am exampilrom the Contractors' State. License Law:for the -reasons) indicated belovi by :the checkmark(s) I b:ve placed next to the appllceble items)
Section 7031-6, Business and Professions Coda; Any city or county (net requires a permit to construct, alter, improve, demolish, Or repair any structure, prior toils issuance, also requires the applicant for
is permit to file a signed statement that lie or she is licensed pursuant to the provisions of the -Contractors" Stale License. Low (Chapter 9 (commencing with Section 7000) cf Division 3 of the Business and
Irofessions .Code) or that he or she is exemptfrom lleensure 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
of more than five hundred dollars ($560),
3 I, 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 oroffered for sale (Section 7044,
justness 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
nprovemanls 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 provingthat it was not built or
nprovod for the purpose of sale), -
I, as owner of the property, ant exclusivelycontracting with licensed Contractors to Construct the project (Section 7044, Business and Professions Code:. The Contractors' State License Law does not
ply to an owner of propedywho 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 li®ensure under the Contractors' State License Law for the following reason
ty my signature below i achnowletlga that; except ,for my personal residence In which I must have rosfdodfcrai least one year prior to completion ofthe improvements covered by this permit, I cannot legal],
all a'structura that I have built as an owr or -builder fit has not boon constructed in its entirety by licensed Contractors, I understand that a copy of the applicable law, Section 7044 of the Business and
'rofesslons Code„ Isavailable ap6n request when this application is, submitted prat the following'yleb site hdp:/iwww.Ieg1nb,ca.gov/ca law. hml .
:Ignature of Property Owner or Authorized Agent. ._. Oate._
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that.I am licensed under provisions of Chapter 9 (Commencing with Section 700 ).of vision 3 of the Business and. Professions C e, and. my license is In full force.
nd effect. License Class License No Date ti ZS 20 Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER 70 CRIMINAL PENALTIES AND CIVILFINES-UP' 70 ONE BUNDRVO THOUSAND' DOLLARS (6t00,0001, IN ADDrrION TOTHE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY s FEE$
hereby affirm under penalty of perjury one of the following declarations;
7 I have and will maintain a certificate of consent to self -Insure for workers' compansau0n, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
orformance of the work for which this permit is issued. Policy No.
R have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the parform'ance of the work for which. this permit is Issued. My workers` compensatiol
Isurance Carrier and policy number are:
to of Agent
certify that, in the performance of the.
If I should become subiect to the wd
of Applicant
Pplicy Number.
Date
for which this permit Is iSSued, I shall not employ zany pereon'in any Mannarsoas to become' subjectto the 'workera' compensation laws of California, and ogre
compensation provisions of Section 3700 of theLaborCode, I shall forthwith comply with those- provisions.
Cate�Ll 2S 7—
IM 1. ImillonJf] M(SCArI`V".
!reby affirm under penalty of perjury that there Is a construction lending agency forthe performance of the work for which this permit is issued (Seclfon 3097
Idsr s Name Lender's Address.
my signature below, I certify to each of the following:
I am the property owner or authorized to act on theproperlyowner s behalf,
I have read this application and the information I.have provided Is correct.
1 agree to comply with all applicable city and countyordinances and slate laws relating to building. construction,
I authorize representatives of this city or county to entermArmove-identlfled properly for inspection purposes,
ACTION
PERNFITEXiENOED
P@R ITFIPlAL
CERAFICATE OF
OCCUPANCY I5SUED
or Authorized Age
DATE I By
14W
51GNATURE:
)N4PLIANCE W ITH CODE OF
61: OFTITLEAC AND AOMD
NOTAPPLICABLE TO
FOR OFFICE. USE: ONLY
Civil Cc a),
tiS117