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Home My WebLink AboutXR2023-2223 - Permits04", City of Newport Beach 111 IIIIIIII 11111111111111111111111111111111111111p1111 jj COMB Permit:XR2O23-2223 Community Development Department - Building Division X R 2 0 2 3 2 2 2 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1953 Permit Counter Phone: (949) 718-1888 Issued Date : 08/14/2023 newportbeachca.gov/civic Final Date: CombCombination Type - MFP ELEC MECH PLUM Permit Status: Issued Work Class - Alteration 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 : 806 AMIGOS WAY Legal Desc : N TR 5425 BLK LOT 15 Description: MFR INTERIOR ALTERATION (806 & 808) OF KITCHEN & 2 BATHS 300 SF/EA *123-2515 & 2516* Owner: PATRIOT FINANCIAL GROUP INC Address : 2501 CHAPMAN AVE E FULLERTON, CA 92831 Phone: (951)756-2909 Applicant: KITCHEN CABINETS EXPRESS INC Address : 6282 BEACH BLVD BUENA PARK, CA 90621 Phone: (714)228-0099 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2022 V-B R-3 Front: 20, Side: 4, Side: 4 RM - Multiple Residential SPECIAL CONDITIONS: Contractor: KITCHEN CABINETS EXPRESS INC Address : 6282 BEACH BLVD BUENA PARK, CA 90621 Phone : (714) 228-0099 Con State Lie : 870933 Lie Expire : 01/31/2024 Bus Lie: BT30082366 Bus Lie Expire : 08/31/2024 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INS CO Policy No : SNP1445827 W. C. Expire: 7/14/2024 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect Address Phone: C- State Lie : Engineer : CONWAY CECIL COOKE Address : 34658V LINDA ROSEA RD TEMECULA, CA 92592 is P Phone: (310)608-5408 C.� Designer Address Phone: NO Construction Valuation : $60,000.00 NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq, ft. Bldg : 600 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 AS BUILT PERMIT EXPOSE ALL STRUCTURAL, ELECTRICAL, PLUMBING, AN MECHANICAL COMPONLI". OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reascn(s) indicated below by the cheokmarkfs) I have placed next to the applicable Items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, pear to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensers and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($SOD). ❑ I, 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 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 7D44, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from licensure under the Contractors' State 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 legal 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 lho Business and Professions Code, is available upon request when this application is submitted or at the following Vv'eb site:http:!/www'.leginfo.ca,gov/calaw.html, Signature of Property Owner or Authorized Agent _._._._.._. Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury tat I am licensed under provisions of Chapter 9 (commencing with Section 7 0) f D' isio 3 04 the Business and Or f ssions Cod ensa fs In full force and effect, License Class License No Date Contractor Signaler '�z�, COMPENSATION DECLARATION ARNING 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 J$I( 00), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3906 OF THE LABOR CODE, INTEREST, AND ATTORNErS FEES. hereby affirm under penalty of perjury one of the following declarations: [lave 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 ^mince of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Phone # Date It 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' Compe salion laws of California, and agre Iat, if I should beco e ubject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ('� Ignalure of Applicant ECLARATEON hereby affirm under penalty of perjury that there Is a construction lending-5—gmilcy for the performance of the work for which this permit is issued (Section 3097, Civil Code). endar's Name Lenders Address y lily 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 and county ordinances and state laws relating to building. construction. %g�/y,/�//�I //J apt y I authorize representatives of this city or county E,'J/enter the above -Identified property for inspection purposes. 1f // L� 1��'"/` r'' \ �/ denature of ProDerty Owner or Authoni Agent X 0/ �� Print Proaertv Owner's or Authorized Aoent's Nam)m i^ PM V%U4- Date ACTION DATE BY, I I`Rk. CLARATION. OF COMPLI�ODEOIF FEDERAL RFGIJi A'] ONS PA RT 61 OF TITLEAD AND A DRULE FOR OFFICE USE ONLY PERlvi1TEXPIRED Vr IITTEDASBUT'3SNO IFICAT'Or'TO I—-.. .............._.� ..___ :..� � FFRMITCANCREEO Lj LPA } ....... .......... ... FEPoYF7T EXTENDED --.... _ .._-_ nOMG - PERMMIFFINAL SHEST SNOfIFICA(10 PPLICAaLE 70 CERTIFICATE OF l_Z P O OS,E, II N r �_ OCCUPANCYISSUED I i/ i 'AfLI; I`