The URL can be used to link to this page

Home My WebLink AboutXR2024-1248 - PermitsrF>wvo�T City of Newport Beach II IIIII I IIII IIII I IIIIIII III IIIIIIIIII II COMB Narn't :XR2G24-1248 Community Development Department - Building Division X R 2 0 2 4 1 2 4 8; a 100 Civic Center Drive, Newport Beach, CA 92660 Plar. '"heck No, Permit Counter Phone: (949) 718-1888 Issued Date : 05/03/2024 " - newportbeachca.gov/civic Final Date: op Combination Type - SFP ELEC MECH PLUM Permi, status: Issued Work Class - Alteration nsiectmn Area :3 , 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: 1618 SANTIAGO DR Legal Desc : N TR 3764 BILK LOT 45 Description: SFR KITCHEN AND BATHROOM REMODEL 428 SF **CITY STANDARD PLAN** Owner: KLOSOWSKI ALLEN TR Address : 1618 SANTIAGO DR NEWPORT BEACH, CA 92660 Phone Applicant: 5 STAR GC INC Address : 13871 RED HILL AVE TUSTIN, CA 92780 Phone: (714)794-9404 Owner/Builder : Address : Phone: Contractor: 5 STAR GC INC Address: 13871 RED HILL AVE TUSTIN, CA 92780 Phone: (714)794-9404 Con State Lic : 1042892 Lic Expire : 08/31/2024 Bus Lic: BT30084256 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: SIRIUSPOINT AMERICA INSURANCE COMPANY Policy No: WC9971301 W. C. Expire : 6/1/2024 Architect Address Phone: State Lic Engineer: Address : Phone: Designer: 5 STAR GC INC Address: 13871 RED HILL AVE TUSTIN, CA 92780 Phone: (714)794-9404 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $42,800.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg: 0 428 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: TOTAL sq. ft. : 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION € hereby affirm under penalty of per, ur, the:: am e•tempt frc-n the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and PofesFiors Cod_,: ,-Iny city or eornty'ha: 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 703L5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500). ❑ 1, as owner of the property, or my emplc-lets with tvages as tkeir sde i on,pensation, will do (_} all of or L) portions of the work, and the structure is notintended or offered for sale (Section 7044, Business and Professions Code: The Contrartors' St,Ae Lcense Law dyes nc: apply to an owner of property who, through employees' or personal effort, builds or improves the properly, provided that the improvements are not Intended oroffered for �Fle. If, I:nwev,r, the bunding 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). ❑ I am exempt from licensure 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 for at least one year prior to completion of the improvements covered by this permit, I cannot legal) sell a structure that I have built as an ownor-builder 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:liwww.leginfo.ca,govicalaw.html. Signature of Property Owner at 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 70 0) of Division 3 of the Business and Professions Code, and'. my license is in full force and effect. License Class License No I (f V� Z D Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th a erfforalpnoe of the work for which this permit is issued. Policy No. hav and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio insWatfice carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance of the work for which this permit is issued. I shall notemploy any person 1n any manner sD a$ to become subject to the workers' compensation laws of California, and agre that, if I should become subject to the workers' tom tion ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. E� Signature of Applica"E,,.,.. Date 7 3 Zy DECLARATION REGAR 0 CO STRUCTION LENDING AGENCY � I hereby affirm under per ty 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). Lenders Name Lender's Address By 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 relating to building construction. I authorize representatives of this city or county o enter th a ve-identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE. By DECLARAT€ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PARTel OFTITLE 40 AND AONIO RULE 1403 PERMIT EXPIRED LJ i SUBMITTED ASBESTOS NOTIFICATION TO ........._.._...,_.._._.___._...._____..... PFRMIFCANCEdCED ! EPA PERMITEXTENDED_ GMD PERMIT FINAL ___ n ply tpr ESTOS NOTIFICAl ION IS NOT APPLICABLE TO W CERTIFICATE OF ,Qr1/13/zLi M P POSEOOEM LITtON JI I OCCUPANCY ISSUED SIGNATURE• pa