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Home My WebLink AboutXR2023-2620 - PermitsaEwaoRr City of Newport Beach D4. Community Development Department- Building Division r r ! 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 U r newportbeachca.gov/civic c'c�FonN`P Combination Type - SFP ELEC MECH PLUM Work Class - Alteration ��111 jj COMB Permit: XR2023-2620 Plan Check No: PC2023-2286 Issued Date : 09/18/2023 Final Date: Permit Status: Issued 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 : 1420 NEWPORTER WAY Description : SFR - BATHROOM REMODEL 160 SF Owner: MOTTERN JAMES W TR Address : 1420 NEWPORTER WAY NEWPORT BEACH, CA 92660 Phone Applicant: CHRIS KING CONSTRUCTION INC Address: 29592 ANA MARIA LANE LAGUNA NIGUEL, CA 92677 Phone: (949)249-5512 Owner/Builder : Address : Phone Legal Desc : N TR 15011 BLK LOT 32 Contractor: CHRIS KING CONSTRUCTION INC Address : 29592 ANA MARIA LANE LAGUNA NIGUEL, CA 92677 Phone: (949)249-5512 Con State Lic : 800201 Lic Expire: 10/31/2025 Bus Lic : BT00022701 Bus Lic Expire : 07/31/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9056582 W. C. Expire : 7/1/2024 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 : 1 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newporter North 'M PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: Address Phone: Designer Address Phone: Construction Valuation : Added/New/Ti sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage: TOTAL sq. ft. : M $12,000.00 0 0 0 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 cheokmark(s) I have placed next to the applicable items) (Secfion 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 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 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 not more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (A 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). rl 1, 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 rra-p-ttply 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). L_t 1 am exempt from Ilcensure under the Contractors' Stale License Law for the fallowing reason: IBy 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 legall,. 'sell a structure that 1 have built as an owner-buildor 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 Professions Code., is available upon request when this application is submitted Or at the following Web site:http:lfw v.leginfo.pa.govlcalavr.html. Siqnature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professi y lice I force and effect. License Class License No DateContractorContractor Signatu 1/1� WORKERS' COMPENSATION DECLARATION ��— 'WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (61Dg060), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations Be provided for by Section 3700 of the Labor Code, for e of the Work far which this permit Is issued. Policy No, have 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' ranee carrier and policy number are: . Policy Number Date re of Agent Phone 8 certify that. inthe 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' compensation laws of California, and agrE if I should become subject to the w kars' compensation TO - f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Iature of Applicant,.y _ _. Date ` ` 76! 25 .-- nreby affirm under 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). wdor'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 and county ordinances and state laws relall to building. construction. I authorize representatives of this city or county to!tp�� I operty for inspection purposes. nature of Pr000rty Owner or Authorized Aaent /l 4?- Pnnl Property Owner's or Authorized AOent's Name Date `, ACTION DATE BY DECLARAT€ONOF COMPLIANCE IAITH CODE OF FEDERAL i REGULATIONS PART 61 OF TITLE 40 AND AQMD RUI F 1403 FOR OFFICE USE ONLY PERMIT EXPIRED hSUBMITTED ASBESTOS NOTI FICATION TO PERNATCANCEUl EJ PERMIT EXTENDEL_iD .M�LL� PERMIT FINALTIF S 3� ZOtI/ j 8E57CIS NOTIFICATION 15 N0TAPPLICABLE TO CERTIFICATE OF l j PROPOSED OEMOLRf OCCUPANCYISSUED i SIGNATURE;