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HomeMy WebLinkAboutXR2023-2539 - Permits (3)�EwaoRr City of Newport Beach D4 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 " z Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic C4(�FppN�P Combination Type - SFP ELEC MECH PLUM Work Class - Alteration COMB Permit : XR2023-2539 X R 2 0 2 3 2 5 3 9 Plan Check No: issued Date Final Date: Permit Status: Applied Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE AY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS NO CONSTRUCTION RELATED NOISE ON SATURD Job Address Description : 21 AUGUSTA LN Legal Desc : N TR 7223 BLK LOT 22 SFR - BATHROOM REMODEL APPROX 120 SF *CITY STANDARD*. R/R KITCHEN COUNTERTOPS Owner: SARAH HUSSAIN Address : 21 AUGUSTA LN NEWPORT BEACH, CA 92660 Phone: (949)351-2023 Applicant: SPENCER SYLVESTER Address : 463 CHORUS IRVINE, CA 92618 Phone : (858) 735-4814 Owner/Builder : Address : Contractor: S L S CONSTRUCTION INC Address : 463 CHORUS IRVINE, CA 92618 Phone : (858) 735-4814 Con State Lic : 1048230 Lic Expire : 12/31/2024 Bus Lic: BT30078360 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9332551 W. C. Expire: 2/1/2024 Phone Fire Sprinklers : NO Code Edition : 2022 Fire Hazard Zone : NO Type of Construction : V-B No of Units : 1 Occupancy Groups : U,R-3 No of Stories : 1 Bldg Height: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC - Big Canyon PROCESSED BY: <17 --- SPECIAL CONDITIONS. Architect Address Phone: State Lic Engineer: Address : Phone : Designer: SPENCER SYLVESTER Address : 463 CHORUS IRVINE, CA 92618 Phone : (858) 735-4814 Construction Valuation : $65,000.00 Added/New/TI sq. ft. Bldg : 0120 Alteration sq. ft. Bldg Added/New sq. ft. Garage : 0 TOTAL sq. ft. I hereby affrm under penalty of perjury that am exempt from the Contractors' Slate License Law for the reasons) indicated below by the eheckmark(s) I have Placed next to the applicable tern(s) ($eclwn 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. or the permits ilia a signed statement that ho or she is licensed pursuant to the provisions of the Contractors, State License Law {Chapter 9 (commencing with Section 7000)af 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). i as owner ro the property, or he employees with wages as their sole compensation, will do �) all of or U portions of the work, and the structure is not intended or offered for sale {Section 7044, improve and Professions Code: The Contmctors' State license Law does not apply to an owner of property who, through employees' or personal aftert, 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). 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 .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). El I am exempt from loensure under the Contractors' State License Law for the following reason: _ By my signature below I acknowledge that, except for my personal residence in which I must have resided -forat feast one year prior to completion of the Improvements covered Pr a structure that I have built as an quest when t if it has not tones constructor in its entirety g eb sad contractors. I understand that a copy of the applicable law, Section 7044 tof the Business andiegall; Signature O Cade is available upon request when this application is submitted or at the follcwing'Jheb site;hltpalwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _. �—__ __ LICENSED CONTRACTOR'S DECLARATION _.__.. Dot _ I hereby affirm under penalty Of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section Two) f Division 3 of the Business and Prates is and effect. License Class License. No license is In full force NORKERS' COMPENSATION DECLARATION Dace ril-11 Contractor Signatur NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 7HOUSAN DOLLARS IS100,000I, IN ACCFHION TO THE ]OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THa LABOR CODE, INTEREST, AAo ATTORNEy'S FEES. hereby affirm under penalty of perjury one of the following declarations: J I have and will maintain a tit thisate of consent issued. . folic nsufe for workers' Compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of he Labor Code, for lh r�manca of thB work (or which this permit is issued. Policy No. yZ.1r1r veand 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' compensatio ce carrier and policy number are: Policy Number lame of Agent Expiration Date ]I Certify that, fn the performance of the rk f r which this pe mil is issued, I shall not employan Phone N as to become su tat, if I should become subject to the we ers' compensation provisions of Section 3700 of he Labor Code,II shall forthwith er SO omply with hose provisions workers' Compensation laws of California, and Agra ignalure of Applicant_ CLARATION REGARD( 0JiiSTR TIGN LENDING AGENCY =reby affirm under penalty of perjuryat there sder's Name is a construction lending agency for the performance of the work for which this permit Is issued (Section 309'7,`Civil Code). my signature below, I cegify to each of the following: Lender's Address I am the property owner or authorized to act or, the property owner's behalf, 1 have read this application and the information I have provided I 0 recL I agree to comply with all applicable city and county ordinance an, solo taws relating o building Construction, I authorize representatives of this city or county to enter t v identified property for inspection purposes. nature of Property Owner or Authri,—A o...,.., L / Y1,HMtT EXPIRED PEAMi7 CANCELLED PEPoYIIT FXTENDED PER,LII7 FINAL CERTIFICATE OF OCCUPANCyfSSUED t X TOV OF COMPLIANCE WITH CODE OF FEDFI PART 51 OF TITLE 40 AND ACINIO RULE NOTI NOTAPPLICABLE TO Or FOR OFFICE USE ONLY