HomeMy WebLinkAboutXR2023-0670 - PermitsQ ��WPO�T City of Newport Beach II IIIII I I IIIII IIIIIIIII III II III IIIIII II
- @ Community Development Department- Building Division X R 2 0 2 3 0 6 7 0
F tj° 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-32S6
U ca.. rS Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
COMB Permit : XR2023-0670
Plan Check No: PC2023-0561
Issued Date : 03/22/2023
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 : 388 MEADOW LN
Legal Desc : N TR 1832 BILK LOT 6
Description : SFR INTERIOR REMODEL 1375 SF
Owner: JONATHAN KAYNE
Contractor: MAIN STREET CONSTRUCTION
Architect : JEFF J BENSON
Address: 159 WORKING RNCH
Address : 3031 S MAIN STREET
Address : 234 BROADWAY COSjA1v1tSA, CA 92627
IRVINE, CA 92602
SANTA ANA, CA 92707
Phone:
Phone: (714)444-3004
Phone: (949)534-2724 ,
Con State Lic : 1080262
State Lic:
Lic Expire : 08/31/2023
Applicant: MAIN STREET CONSTRUCTION
Bus Lic: BT30081048
Engineer : VOLPE ROBERT M
Address : 3031 S MAIN STREET
Bus Lic Expire : 03/31/2024
Address : 20321 LAKE FOREST DR S-I'E D-6
SANTA ANA, CA 92707
LAKE FOREST, CA 92Q30,
Phone: (714) 444-3004
Workers' Compensation Insurance
Phone: (949) 305-4700 x1
Carrier: CLEAR SPRING PROPERTY AND CASUALTY
COMPANY
Owner/Builder:
Policy No: CWC00162900
Designer: „
Address :
W. C. Expire : 9/20/2023
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $110,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : R-3
No of Units : 1
Alteration sq. ft. Bldg : 1,375
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 20
Flood Zone : X
Use Zone: R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
iT`V rve iI is i.J � � o
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that t am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(s)
3eclion 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 applicantfor
le 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
rofesaons Code) or that he or she is exempt from Ildensure 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),
3 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,
usiness 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 completion, the Owner -Builder will have the burden of proving that it was not builtor
nproved for the purpose of sale).
11, 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 property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
3 1 am exempt from licensure under the Contractors' State License Law for the fallowing reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the improvements covered by this permit, I cannot legally
all a structure that I have builtas an owner -builder 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
'rofesslons Code„ isavailable upon request when this application is submitted or at the following Web site:http:llwww.leginto.ca.gov/calow.html.
signature of Property Owner or Authorized Agent _ Date
.ICENSED CONTRACTOR'S DECLARATION ///7
hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Sectiop 7000) of Division 3 of the Business and Profess�y'G6de, and ttt, arise is in u11 force
:nd effect. License Class License No Date 2-22^27 Contractor Signature s
PORKERS' COMPENSATION DECLARATION J
rA NING: FVILURE TO S-CUPS WORXi COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG T OUSANO DOLLARS (SiD0,000), IN ADDITION TO THE
OST OF COMPERSA� ON, CAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, INTEREST, AND ATTORNEY'S FEES,
harsov a,rrm under penalty of perjury one of the Fallowing declarations:
I ' ha, e and Will re Grain 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, forth
e,formance of the work for which this permit is issued. Policy No.
=T1 ` iL and will mai-ta'n 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' compensatioi
Irr•-^rcrt carrier ano policy number are:
Te of C.gent
certify that, in the performance
; should bcco,ne s.rbject to
ialureof.Applicant _. _IZ
Policy Number
Date
for which armit 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
compe Ion pro ' .ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date'
areby affirm under penatyy of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civll Code)
)der 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 the property o ner's baha�
I have read this application and the information i have prov ed'rs come .
I agree to comply with all applicable city and county o I wand to !a) relating to building. construction.
I authorize representatives of this city or county to eJyt the a %' oparjy for inspectlon purposes
..�a,.e ..r o.....�rc n-- nk a ar,r.nwa Print Rrnnort,, l]wnwrc nr A,ehnd>nd AncnYc Names l
DATE. I 9Y DECLARArON OF COMPLIANCE W17H CODE OF REGULATIONS PART 6l OF TITLE 40 AND AQMD RULE AL I FOR OFFICE USE ONLY
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
OCCUPANCYIUSSUED r • •• _ / �{' I SIGNATURE: EMCLITI `.
3._-?2-2
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