HomeMy WebLinkAboutXR2023-0887 - Permits (3)�agWPpRT City of Newport Beach
p d Community Development Department - Building Division
�" 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Um'� Inspection Requests Phone: (949) 644-3255
C9G�F�pN�P newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Alteration
COMB Permit : XR2023-0887
Plan Check No : PC2023-0781
Issued Date : 04/05/2023
Inspection Area : 7
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: 3121 COAST HWY W, 5B Legal Desc : N TR 919 BLK LOT L UN HOLD TR 919 LOT L ELY1/2; HOLD PARCEL FOR CONDO PROJECT
Description: MFR REMODEL KITCHEN 80 SF **NO EMP WORK**
Owner:
YERVANT CURUKCUYAN
Address :
19241 HARNETT ST
PORTER RANCH, CA 91326
Phone:
(818)601-3307
Applicant :
YERVANT CURUKCUYAN
Address :
19241 HARNETT ST
PORTER RANCH, CA 91326
Phone:
(818)601-3307
Owner/Builder : YERVANT CURUKCUYAN
Address: 19241 HARNETT ST
PORTER RANCH, CA 91326
Phone: (818)601-3307
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups : R-2
Bldg Height :
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
AE, 8 FT; X; X
MU-W1 -Mixed-Use Water
SPECIAL CONDITIONS:
3
Contractor :
Architect
Address :
Address
Phone:
Phone:
Con State Lic:
State Lic
Lic Expire
Bus Lic :
Engineer:
Bus Lic Expire :
Address
Workers' Compensation
Insurance
Phone:
Carrier :
Policy No:
Designer: DOVETAIL CABINETS INC
W. C. Expire:
Address: 809 S LAKEVIEW AVE, G
PLACENTIA, CA 92870
Phone: (714)777-3055
Valuation : 'x's
Fire Sprinklers :
NO ✓
L
Construction
Fire Hazard Zonea :
NO
Added/New/Tl sq. ft. Bldg : 0
No of Units :-"
32 t `
Alteration sq. ft. Bldg : 80
No of Stories:
8
Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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
to 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
Irofessions 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
more than five hundred dollars ($500).
I„as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
-aproved for the purpose of sale).
J 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ply to an owner of property who builds or Improves thereon, and who contracts for the projects with a. licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensors under the Contractors' Stale License Law for the following reason'
ly my signature below I'. acknowledge that, except for my personal residence in wh' h I must h. es[ded for at least one year prior to completion of the improvements covered by this permit, I cannot legalh
ell a structure that I have built as an owner -builder if R a of been t its entire licensed contractors. I understand that a copy of the applicable taw, Section 7044 of the Bu ess and
�rofassions Coda is available upon request when thi patio u`br$ ore of Ing Web site:httpalwww.leginfo.ca.gov/caiaw,html.
lignalure of Properly Owner or Authorized Agent Dal — 2
.ICENSED CONTRACTOR'S DECLARATO
hereby affirm under penalty of perjury that I am ' sed under provisions of Chapter 9 ( mmencng with Section 7000) of Division 3 of the Business and Professions Coe d license is in full force
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLA ION
EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINER UP TO ONE HUNDRED THOUSAND DOLLARS f$1e0,000i, IN ADDITION TO THE
DST 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 I have and will maintain a certificate of consent to self -insure for workers compensation, issued by the Director or Industrial Relations as provided for by Section 3700 of the Labor Code, for in
erformance of the work for which this permit is issued. Policy No.
]I have and will maintain workers' compensation insurance, as required by Section 3700 of ;he labor Code, for the performance of the work for which this permit Is Issued. My workers' compensatiol
Isurance carrier and policy number are:
Policy Number Expiration Date
Agent
I certify that, in the performance of the ' hic his permit S i ad, I shall not employ any person in any manner so as to become subject to the workers' compensati. n laws f California, and agre
t.. ifI should become sub' ct to thew er m ration provisi of Section 3700 of the Labor Code, I shall forthwith comply with those provisions,
nature of Applica - Date
CLARATION R 1 NG CONSTRUCTION LENDING AGrENI,"Y�
iireby affirm and r natty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civ' Cade)
ider'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 owner's behalf.
I have read Ibis application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and slate laws relating to building construction,
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
ACTION ( DATE ( BY E DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
1 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED.
°EFh^IT EXTENDED i MD
P!'RMITFINA! -" 7/ t ASBESTOS NOTIFICATION IS NOT
LkAOPICATEUI / fr,1 I PROPOSED DEMOUTI
XCUPANCY ISSUED L II1\ SIGNATURE! /1_ .✓/
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