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Home My WebLink AboutXR2023-0980 - Permits��EWPORT City of Newport Beach Q @ Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 h Permit Counter Phone: (949) 644-3288 u r Inspection Requests Phone: (949) 644-3255 cq<�FpRN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration 111111111111111111111111111111111111111111111111111111111111COMB Permit : XR2O23-o9so Plan Check No: Issued Date : 04/17/2023 Inspection Area: 8 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: 1121 KINGS RD Legal Desc : P BK 51 PG 7 PAR 1 Description: SFR REMODEL BATHROOM 90 SF Owner: Address : 1121 KINGS RD Address : 24231 AVENIDA DE LA CARLOTA, 120 Address NEWPORT BEACH, CA 92663 LAGUNA HILLS, CA 92657 Phone : Phone : (714) 870-1575 Phone: Con State Lie : 965892 State Lie Lie Expire : 09/30/2023 Applicant : KITCHEN ART FLOOR AND BATH Bus Lie: BT30053966 Engineer Address : 24231 AVENIDA DE LA CARLOTA, 120 Bus Lie Expire : 02/28/2024 Address LAGUNA HILLS, CA 92657 Phone: (714) 870-1575 Workers' Compensation Insurance Phone: , .. Carrier: STATE FUND Owner/Builder : Policy No: 9255163 Designer Address : W. C. Expire: 6/4/2023 Address Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $15,060.000 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: 90 Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: 1IN 1NISPECTOR SPECIAL CONDITIONS I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Bemis) Section 7031.5, Business and Professions Code: Any city or county that requires e permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie 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 Cade) 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 fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do j_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, madness 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 1n roved 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 poly to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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] ell a structure that I have built as an owner -builder it it has not been constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 704M1 of o Busmoss and 'rofessions Code, is available upon requestw'hen this application is submitted or at the following Web site:http:/Iwww.leginfo.ca.gav/colaw.html, signature of Property Owner or Authorized Agent _ Dat .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of ry that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivi 1 n 3 of the Business and r fe slons C e, and my IIDen is In full farce nd effect. License Class � License No Date Contractor Sig VORKERS' COYPENSATION DECLARATION 'ARNING: FAILURE f0 RFCVRE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU LLARS (Si00A00), IN ADDITION TO THE DST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY-9 FEES, hereby P irm under penalty of perjury one of the following declarations: 3 ' hzi 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 It Wft?r Pncs of the work for which this permit is issued. Policy No. vb and will mainla'n 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` compensatioi s, env carrier and policy number are: ..a7's -- _ Policy Number Expiration Date Jana cl Agent Phone # -1 cenlfy •hat, in th-, pe,furreence o he work for which t Is permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ha:, if I should becere suSje t to thew ' compe lion provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. l Signature c; Applicant _, ( ➢aft 2 )ECLARATION REGA-IIING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section3097, Civil Code). _ender's Name Lender's Address. 3y 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 count o enter the above-Identifled property for inspection purposes. I'�' j Signature of Property Owner or Authorized A go,, Print Property Owner's or Authorizetl Agent's Nam p 1 L ACTION DATE. BY j DECLARATION OF COMPLIANCE Wirli CODE OF FEDERAL I FOR OFFICE USE ONLY l REGULATIONS PAR161 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED ' LJ 1 SUBMITTED ASBESTOS NOTIFICATION TO WRWIT P€RM1f EXTENDED 0EPA MO__ PERM1TflNAL Q(a(ZZ/Z3 DL -Poi- BE5TO5 NOTIFICATION 15 NOl APPLICABLE CtROCCUPANCY Of OCCUPANCY f5iUE0 JIM 11 'I PROPOSED OE TII / SfGNATUBE:W