HomeMy WebLinkAboutXR2024-5665 - Permitsr,WPoRr City of Newport Beach II III I III I� I I� I� IIII� ��II�III II II
p� r�rJyy�y�e; 6 Community Development Department- Building Division X R 2 0 2 4 5 6 6 5 COMB Permit : XR2024-5665
> ' lE y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 716-1888 Issued Date : 07/1112024
newportbeachca.gov/civic Final Date:
Combination Type - SFP PLUM Permit Status: Issued
Work Class - ADDITION/ALTERATION Inspection Area : 6
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: 3414 CATAMARAN DR
Legal Desc : N TR 6152 BLK LOT 9,�
Description: SFR REPLACE TUB IN BATHROOM *STANDARD PLAN*
C")
Owner: MARGARET SMITH
Contractor: REBORN BATH SOLUTIONS
Architect
e
Address, 34i4LA__TAMARAN!?R
Address5515E-LA-P-ALMA— AF_#250 Address--:
CORONA DEL MAR, CA 92625
ANAHEIM, CA 92807
i
Phone: (949) 836-5454
Phone : (714) 507-1694
Phone :
��
Con State Lic : 443682
State Lic
Lic Expire : 11/30/2024-.I
Applicant : BEN MEDINA
Bus Lic: BT30066303
Engineer :
I
Address : 31225 LA BAYA DR
Bus Lic Expire : 12/31/2024
Address
WESTLAKE VILLAGE, CA 91362
Phone: (818) 735-7876
Workers' Compensation Insurance
Phone:
Carrier: STARR SPECIALTY INSURANCE COMPANY
Owner/Builder :
Policy No : 1000005655
Designer
Address :
W. C. Expire: 11/1/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$5,500.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
0
Bldg Height :
No of Stories : 1
Add/New sq. ft. Garage :
0
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
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 item(s)
(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
the permit to file a signed statement that he or she is licensed pursuant to the previsions 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 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 of the property, or my 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,
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).
111, 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' Stale License Law).
'�.0 1 am exempt from licensure under the Contractors' State License Law for thefollowing 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 legall
;sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and
''.Professions Code, is available upon request when this application is submitted or at the following Web sfte:http://"V.Ieginfo.ca.gov/calaw.htmi.
(Signature of Property Owner or 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 ) of Msi n 3 o the Business and Prof Ism u1l torte
'..and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND TI D DOLLARS IS100.000). M ADDITION TO THE
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
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
ormance of the work for which this permit is issued. Policy No.
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'
Carrier and policy number are:
in of Agent _
certify that, in the
if I should becon
of Applicant
hereby affirm
Policy Number
Date
Ice of the N6rk for which this permit is issued, I sha t-eRl y any person in any manner so as to become subject to the workers' compensation laws of California, and ag
totworkers' compensation pro - ection 3700 of the Labor Code, I shall forthwith comply with those provisions.
___ Date -71 < <
:O ION LENDING AGENCY
ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ I Code).
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 owners behalf.
I have read this application and the information 1 have provided is correct.
I agree to comply with all applicable city and county ordinanc nd state laws relating to building construction. /-
I authorize representatives of this city or coun t enter a above -identified property for inspection purposes.
Signature of Property Owner or Authorzed Agent Print Property Owner's or Authorized Agent's Nam tLF V\ ate
ACTION DATE BY DEC OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
TIONS PART 61 OF TITLE 40 AND AQMD RULE -
1403
PERMIT EXPIRED
I EA.10 CANCEU.FD
PERMIT EXTENDED
.'ERA'IT FINAL I,IO�IO�Z7i DL
CERTIFISATE OF
CCWPANCYISSUED �%�
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION