HomeMy WebLinkAboutXR2023-2365 - PermitsD a�WIPoRT City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
n Permit Counter Phone: (949) 718-1888
u newportbeachca.gov/civic
°9c, r•oar"P Combination Type - SFP ELEC MECH PLUM
Work Class - Other
jji11111111111111111111111111111111111111111111111111111111COMB Permit : XR2023-2365
Plan Check No : PC2022-2425
Issued Date : 08/25/2023
Final Date:
Permit Status: Issued
Inspection Area : 3
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: 78 PELICAN CT Legal Desc : N TR 12212 BLK LOT 48
Description: SFR ADD 27 SF AND REMODEL125 SF TO KITCHEN. RENEW EXPIRED PERMIT
Owner: JENIFERLINSKY
Address : 78 PELICAN CT
NEWPORT BEACH, CA 92660
Phone
Applicant
Address :
Phone
ANDRESSANTANA
7177 BROCKTON AVE, 228
RIVERSIDE, CA_925.0_6
(951)880-5009
Contractor
Address :
Phone:
Con State Lic
Lic Expire
Bus Lic :
Bus Lic Expire
Architect
Address
Phone:
State Lic
Engineer:
Address:
Phone
MUTKA JASON RICHARD
PO BOX 77144
A, CA 92877
(951) 5,12-276
Carrier :
Owner/Builder: JENIFERLINS tL'�: 2-21'2Ll Policy No If applicable: Designer: HR&
Address : 78 PELICAN qT W. C. Expire: Address : 717
NEWPORT B ACH 0 ❑ 80% or ❑ 100% refuact
Phone: - Phone: (951)
l k ASi
Code Edition : 2Q22 CObv<r� id1Spi kl% >3 .'' to WIIOrYI:
Type of Construction . V-'P# Fire Hazard Zone : NO Added/New/Tl sq.
Occupancy Groups U F'-3 �Urs Alteration sq. ft. B
Bldg Height:
P` TrV 4 t i {7�7, F�� `F TOTAL sq. ft.q: ft.
Building Setbacks Frnt Ide r> "tt;
Flood Zone : X pis
Use Zone : PC - Bayview
PROCESSED BY: D�Geq
s rya 6ELI s .0.Ar "" plan -
SPECIAL CONDITIONS: IRWD (work started) (no work started)
i1 N.
Insp. iniflals:-
IATES DRAFTING SERVICES
FON AVE, 228
;A 92506
27
128
0
27
'
'
OWNER -BUILDER DECLARA
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) 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
Ic 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
'rofessidns Code) or that he or she is exempt from ficensure 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 penally of
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usinass 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
aprovements are not Intended or offered for sale,. if, however, the building or Improvement is sold within one year of completion., the CwnerrvBuildar will have the burden of proving that it was not built or
nproved for the purpose of sale).
I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
Tally 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).
I I am exempt from ficensure under the Contractors' Stale License Law for the following reason: ___
ry 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,
all a structure that I have built as an ownor bmldol If it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this a plic tion' ubmitted or at the following Web site:http:llwww.leginfo.ca.gov(calaw.btml.
signal of Property Owner or Authorized Agent - ,, $�-�' _ ,__ Date __ 8 2� 23
.ICEN..SED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 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 Date Contractor Signature
COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO
CST OF COMPENSATION, DAMAGES AS PROVIDED FOR iN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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' 'TeUirector of Industrial Relations as provided for by Seciil 3700 of the Labor Code, for
ormance of the Work for which this per [o•
{{�� ����}}nl(l-bl
have and will maintain workers' compensation insurance, as required b cllo� 7@(� of the Labor Cow for the pLrtSr+ftidnce of the work for which this Perm i. issued. My workers' compensa
vance carrier and policy number are: �,- __!Z--�— vL�oio rci U�iU
rler fate: c-P6tfy Fuummber 80%EQxirQcn Date
ne of Agent VeR__. -q t- Phone 4
certify that, in the performance of the work tdr w this mil Issued I .h mnt any, a In an a nannor tVt�s war ers' comps ration laws of California, and al
If I should become subject to the workers' comp alto rov'rsjens 3(SeUlcn 3700 t �� I > agIlil Ch comply With those provisions.
of
Ireby affirm under penalty of perjury that there Is a I
rder's Name -^
my signature below, I certify to each of tha folio Ind
I am the property owner or authorized to act o the
1 have read this application and the Into if n 1 h
I agree to compiv with all applicable city and ounl
1 author ize representallves of Ihls city of coonfy to
o, Pi ari Owner or AI
ACTION DATE - tsy
PERMiTEXPREG , Z-T _ZW_G
PERMIT EXTENDED
P@.R,Vfli fYNAL
CERTIFICATE OR
OCCUPANCY ISSUED
gier p,�:'Igif. _l L,
ordinances and state laws relating to building construction.
filer ,-idenfiqo property for Inspection purpoo"
1403
PROPOSED
AND AQMD RULE
NOTIFICAHONISN01'APPLICABLE TO
Date —
this permit is issued (Section 3097, Civil Code).
W ri
OFFICE USE ON,�
l WOU!'C
Insp. initials:
Date