The URL can be used to link to this page

Home My WebLink AboutXR2023-2181 - PermitsaEWPoRT City of Newport Beach 11�1 111111111111111111111111111111111111111111111111111 111jj COMB Permit : XR2O23-2181 p� @ Community Development Department- Building Division X R 2 e 2 3 2 1 8 1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1916 Permit Counter Phone: (949) 718-1888 Issued Date : 08/09/2023 o- newportbeachca.gov/civic Final Date: Combination Type -SFP 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: 1619 ARCH BAY DR Legal Desc : N TR 15222 BLK LOT 19 Description: SFR REMODEL KITCHEN AND REPLACE 2 WINDOWS WITH (N) FRENCH DOORS 300 SF Owner: ANDREW POLSKY Address : 1619 ARCH BAY DR NEWPORT BEACH, CA 92660 Phone: Applicant: ROSEMARY SWEENEY Address : 2763 N BUTLER ST ORANGE, CA 92865 Phone : (949) 302-4146 Owner/Builder: ROSEMARY SWEENEY Address : 2763 N BUTLER ST ORANGE, CA 92865 Phone : (949) 302-4146 Contractor Address : Phone: Con State Lic Lic Expire Bus Lic : Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : 1 Bldg Height : No of Stories : 2 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X \f Use Zone : PC - Newporter North PROCESSED BY: SPECIAL CONDITIONS: O/B AUTH 77 F d Architect Address Phone State Lic Engineer: YAGHISHUCRII Address : 112 E. CHAPMAN #D ' ORANGE, CA 92866 Phone: (714)997-9120 Designer: 3JK DESIGN Address: 1907 WOODSIDE ST ORANGE, CA 92865 Phone: (714)709-7934 Construction Valuation : $40,000.00' Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 300 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I ant exempt from the Contractors' State License Law for the reasons) indicated below by the checkrnark(s) I have placed next to the applicable items) Cline 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 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 fessions Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of more than f6ve hundred dollars (2500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, ;mess and Protessions 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 rovemanls 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 buitt or roved for the purpose of sale). I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not fly 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). r El c L for h following reesan — I am ezempa from lieensure under the Contractors' ..late License Law o the ...._. __._._ ..._.__. ..._-- By my signature below I acknowledge that, except for my personal rellii4ence In which I must have resided for at least one year prior to completion of the improvements cove d by this permit, I cannot legally sell a structure that I have built as an owna*tLictense7 t be c eEed-rrtrt••NN�s� nhrety by licensed contractors. I understand that a copy of the applicable law, ecti 70440 f Ole Buslno sand Professions Code, is available upon reques. rett4 e following Neb site.http:llwvm.leginfo.ca.govlcalaw.html, h L? � 3 Signature of Property Owner or Authorized __._ .__�,_��_.____.,._.._� ...��_�....___--..... D lJ ILICENSED CONTRACTOR'S DECLAI hereby affirm under penally of perjury thatr provisions of apter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class cense Date Contractor Signature COMPENSATION DECLARATION lARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANO DOLLARS (Si D0,000I, IN ADDITION TO THE '.DST OF COMPENSA' ICE, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LASOR CODE, INTEREST, AND ATTORNEY'S FEES_ I�cr�t� cffirm undar d �nalhy of perjury one of the following declarations: I I have and wlil manita'm a certificate of consent to sell -insure far workers' compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th .rfurma�ice of the eork for which this permit is issued. Policy No. :1' have and wi" maim^in 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' compensation ivuranne carrier and policy number are: of Agent A15 Lr, that, in the Perrone I, if I should bacon.e cubic nature of A117'ranl CU- MATI �2Ev AROIN Ireby affirm under penalty Ider's Name. my signature below, I Carl Policy Number Date ce of the F7hich this ' sued, I shall not employ any parsers in any manner so as to become subject to the workers' compensation laws f California, and 2gre nsahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ` / �t TV � /3 :ONSTRUCTI N LENDI AGENCY If perjury that there is a struction lending agency for the performance of the work for which this permit Is issued(Section 3097, Civil Cade). Lender's Address 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 ordln s and slate laws relating to building construction. I authorize representatives of this city or c unty to niter e-Identified operty for inspection purposes. ii nature of Property Owner or Authorized A '12an Print Property Owner's or Authorized A ACTION DATE s - i CLARATION. COMPLIANCE WITYI CODE OF FEDERAL FOR OFFICE USE ONLY 5 PART 51 OF l'ITLE All ANn AQM❑ RULE 1403 �o5a1�1Ar�1 CjW2�n EJ PERMIT EXPIRED L I SUBMITT€D ASBFS I OS NOTI FICATION 70 PERMIT CANCELLED j CPA PERMIT fNTENDEDTiQMD._..._ .,,... .- PEA�bNT EIfIAL _.._ .. .... ........_ _ ....._. A 5705 NU1'ItICA t1UN I5 AN E IU CERTIFICATE OF /f POSEO DEMOLITION OCCUPANCY 1 I , ' IGNATURE --