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HomeMy WebLinkAboutXR2023-2749 - Permits�EWPoR City of Newport Beach jji111111111111111111111111111111111111111111111111111111 jj COMB Permit : XR2O23-2749 D@ Community Development Department- Building Division X R 2 0 2 3 2 7 4 9 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2404 " Permit Counter Phone: (949) 718-1888 Issued Date : 12/18/2023 u newportbeachca.gov/civic Final Date: C9<�FO0.N`P Combination Type - MFP ELEC MECH PLUM Permit Status: Issued Work Class - Alteration Inspection Area : 8 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 9 1 ..._, ._...,. -.I- ,-. . Job Address : 2415 16TH ST, 1-4Legal Desc : A TR NEWPORT HEIGHTS BILK LOT 47 NEWPORT HEIGHTS LA',! y tw.. �,� "•. Description: MFR *WORK IN PROGRESS 123-2325* INTERIOR REMODEL, KITCHEN, BATHROOMS, LIGHTING FOR UNIT 14 Owner: EDMISTEN FAMILY PARTNERS LP Address : 2415 E 16TH ST NEWPORT BEACH, CA 92663 Phone : Applicant: FREDDY SOLIS Address : 1235 PARTON ST SHERMAN OAKS, CA 92707 Phone : (818) 731-4381 Owner/Builder : Address : Phone Contractor: CODE -4 CONSTRUCTION Address : 594 SWIDLER PL S ORANGE, CA 92869 Phone : (714) 878-7566 Con State Lic : 971244 Lic Expire : 03/3112024 Bus Lic: BT30082387 Bus Lic Expire : 08/31/2024 Workers' Compensation Insurance Carrier: EXEMPT Policy No : EXEMPT W. C. Expire: Architect Address Phone : State Lic Engineer Address Phone: Designer Address Phone: Code Edition : 2022 Fire Sprinklers: NO Construction Valuation : $28,01A,0U, Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 ' Occupancy Groups : U,R-3 No of Units : 3 Alteration sq. ft. Bldg : 175, Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Fro t: 20. Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R - lvv>4ipie Residential PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION 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 nexi to the applicable items) (Section 7031.5. Business and Professions Code: Any city or county 'lhat requlre's a perruit 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' Stale 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 licensors 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 L) all of or U 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 7044, Business and Professions Code: The Contractors' State License Law does not apply 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). Li I am exempt from licensure under the Contractors' Slate 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 legalll sell a structure that I have built as an ownor-builder it it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Sactim 70 4 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:htip:/r�.leginfo.ca.gov/calaw.html. nfo.ca.govlcalaw.html. Signature of Property Owner or Authorized AgentD to _ LICENSED CONTRACTOR'S DECLARATION i hereby affirm under penalty of perjury that I am licensed under provision o Chapter 9 {commencing with Seetl 7000) of ' ision 3 of the Business Profes s e, an r y Ic Buis In full force and effect. License Class License No Z \ Da Contract Igna re o WORKERS' COMPENSATION DECLARATION WARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS O LLARS I51 OAO , IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations! rl I have and vI[ rij;.itam 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 th performance of the work for which this permit is issued. Policy No. nave and wJl montain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Nly workers' compensatiol insurance carrier and policy number are: Carrier_ Policy Number Expiration Date IS or Agent _ ca.t:fy that, in If' ,houlci lalure of Appl !reby a firm under penetly of pL ,ury Chat thbre is iripf's P'ame ��� my signature bilo.v, I certify to eai'llih of the followin I ern tha property owner or authorized to act on Uy I have read this application and the information I fi I agree to comply with all applicable city and Goun I authorize representatives of this city or Bounty tc ACTION I DATE. PERMIT EXPIRED PEAMq CANCEL f.ED PERMIT EXTENDED PER'MYT FINA! CERTIFICATE OF OCCUPANCYISSUED Phone # on this permit is issued, I shall not employ any person in any manner so as to become subject to theY3Civil 'ompensaton lays of California, and agre Tmation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.r� c� / Da ID{NG AGENCY \i construction lending agency for the performance of the work for which this permit is issued (Section Code). \ Lender's Address behalf. relating to building construction. operty for inspection purposes. '�\ r--- Print Property Owner's or Authorized Agent's Name �Y &WITH CODE OF FEDERAL I FOR OFFICE USE ONLY � PART 61 OF TITN40 AND AQMD RULE DASBESTOS NOTIFICATION TO V FIC T1 IS ,NOT IC� LE TO