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