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Home My WebLink AboutX2021-2553 - Permits (3)��EWPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : X2O21 -2553 A Community Development Department- Building Division X 2 0 2 1 - 2 5 5 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2214-2021 u r Permit Counter Phone: (949) 718-1888 Issued Date : 0912712021 b.. newportbeachca.gov/civic Final Date: cqG/FORN\P Combination Type - MFP Permit Status: Reissued 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 : 200 PARIS LN, 102 Legal Desc : TRACT 8336, LOT 11 OF PROJECT 930-77 LOCATED ON AP 423-011-2 2TOGETHER WITH AN �ND 1/54 TH INTEREST IN LOT 11 Description: MFR - INTERIOR ALTERATION OF KITCHEN & BATHROOM 200 SF Owner: LARKIN SANDRA C TR Address : 4 RUE GRAND VALLEE NEWPORT BEACH, CA 92660 Phone Applicant : JMG Architects Address : PO BOX 9942 NEWPORT BEACH, CA 92658 Phone: (949)873-8879 Owner/Builder : Address : Phone Contractor: KITCHEN ART FLOOR AND BATH Address : 24231 AVENIDA DE LA CARLOTA, LAGUNA HILLS, CA 92657 Phone: (714)870-1575 Can State Lie : 965892 Lie Expire : 09/30/2025 Bus Lie: BT30053966 Bus Lie Expire : 02/28/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9255163 W. C. Expire : 6/4/2024 Code Edition : 2019 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : R-2 No of Units : Bldg Height : No of Stories Building Setbacks Flood Zone : X / Use Zone : /PG Versailles on the Bluff PROCESSED BY SPECIAL CONDITIONS: Architect : JMG Architects 120 Address : PO BOX 9942 NEWPORT BEACH, CA 92658 ------ Phone: (949)873-8879 ' State Lie Engineer: Address Phone: Designer Address Phone: YES Construction Valuation : NO Added/New/TI sq. ft. Bldg 54 Alteration sq. ft. Bldg : 3 Added/New sq. ft. Garage: TOTAL sq, ft. : $29B.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penally, of perjury that I. am exempt from the Contractors' Slate License Law for the reasons) 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 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 licensed pursuant to the provisions of the Contractors' State License Law (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 Section 7031.5 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 of L) portions of the work, and the structure Is not Intended or offered for sale (Section 7044, aUsiness 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 nprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completions. the (Dwner-Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 1 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 oil a structure that I have built as an owner -builder if it has not been constructed in its entiroty by licensed contractors. I understand that a copy of the. applicable law, Section 7044 of the Business and Irofessions Code,, is available upon request when this application is submitted orat the following Web site,http:iiwww.leginfo.ca.gov/calaw,html, signature of Property Owner or Authorized Agent Z Date _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under pera4y, of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 0£ the Isness and Professions Code, and mX liven is In full force no effect L'Iceusc Ulas License No Cc tractor Signature iZ OORKERS' COMPENSATION DECLARATION NRNING: FAILURE 10 yeCUaE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI S TO ONE HUNDRED THOUSAND DOLLARS t5100,000j, IN ADDITION TO THE 0"OF^OMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'a FEES. hereby affirm under penally of perjury one of the following declarations: i have and .v;1l main,aln 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 fironce of the work for which this permit is issued. Policy No. ve and will ma+n+air 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' ,Le carrier and policy number are: ion ne of rmgent certif} that, IT, the pit If I shouid\ecom/u�s let ure of Appltc Policy Number Expiration Date Phone # 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 war ers' compensation laws of California, and agree he workers' Compensation prow si s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dat ) f Z-1 2 .ICTDIIr T1 r1Al 1 AIfS1Alr .1r PAlry rreby affirm undi 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).. Ider s Name Lenders Address 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 Auolceunty ordinances and slate laws relating to building. construction. I authorize representatives of this cif% er my to enter e obove-identifiedd rrQp f mspectlon purposes. nature of Prone nv Owner or AuthonZtr ADan ��! A ?:_---Prnt ProoertV Owner's or Authorized., oent's me ACTION PERMIT EXPIRED PERMIT CANCEt(ED DATE I BY PERMIT FINAL k'^ CERTIFICATE OF 21/.1S ll OCCUPANCYISSUEO el Fd DECLARATION Of COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART BI OF TITLE 40 AND AQIwID ftULF. I SUBMITTED ASBESTOS NOTIFICAI[ON 15 NOT APPLICABLE TO Z