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Home My WebLink AboutXR2023-2897 - PermitsE Po City of Newport Beach Community Development Department Division COMB Permit : XR2023-2897 O m Y P P 9 X R 2 0 2 3 2 8 9 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2520 Permit Counter Phone: (949) 71B-1888 "%+ z Issued Date : 10/1312023 e. newportbeachca.gov/civic Cq��Fe0.N�P Combination Type - SFP PLUM Final Date: Permit Status: Issued Work Class - 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 : 6 ALESSANDRIA Legal Desc : N TR 157D5 BLK LOT 6 Description: SFR -BATHROOM REMODEL (3) 200 SF. PER CITY STANDARD Contractor: KITCHEN ART FLOOR AND BA'1 H Architec Address : 6 ALESSANDRIA Address : 24231 AVENIDA DE LA CARLOTA, 120 Address NEWPORT COAST, CA 92657 LAGUNA HILLS, CA 92657 Phone: Phone: (714)870-1575 Phone: Con State Lie : 965892 State Lie Lie Expire : 09/30/2025 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 : 6/4/2024 Address Phone: Phone: Code Edition: 2022 Fire Sprinklers : NO Construction Valuation : $32,000.00 Type of Construction : V-B Fire Hazard Zone : YES Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks: Flood Zone : X Use Zone : PC - Newport Coast ' PROCESSED BY: hAY SPECIAL CONDITIONS: " ' 77 (' I U CA OWNER -BUILDER DECLARATION I hereby afllrn under penalty of perjury that I am exempt from the Contractors' State License Law lot the reason(s) indicated below by the chackrnark(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 he permit to flo a signod statement that he or she is licensed pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofossions Code) or that he or she is exempt from licensors 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 iot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended proffered for sale (Section 7044, 3USin P" and Professions Code: The Contractors Stato License Law does not apply to an owner of property who, through employees' or personal effort. builds or improves the property, provided that the mmovements are not Intended or offered for sale. If, however, file building or tmpl'ovement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or 'mproved 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I an, exempt from Iicensere Under the Contractors' Stale License Law for the following reason By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legaly 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 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:liw .leginfo.ca.govlcelaw,html. Signature of Property Owner or Authmized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pro no _� d y license is In full ( rce and effect. License Class License No Date l,,b -- t�_ Contractor Signature. WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I5100,000), IN ADDTIMON TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FORM SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: El I have and will maintain a certificate of consent to sellinsurefor workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Cade, for th performance of the work for which this permit is Issued. Policy No. _ have 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' ranee carrier and policy number am' na of Agent certify that, in the pi if I should become Policy Number Date of the work for whi this 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 hA`workers' comoe salion orovislon of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,.,nature of Applicant e_._-__ Data )ECLARATtON REGARDING kIC7 CY 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 (Section 3097, Civil Code). ,endP.r's Name _ Lender's Address _ 3y my signature below, I certify to each of lire following: I am the properly owner at 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 co y ordinances a d stato !a s reletiing building construction. I authorize representatives of this city or county to r the a - ' ie .properly fo inspection purposes. ii nature of Property Owner or Authorized Ayenl Print PropertyOwner's or Authorized A ent's Name ACTION DATE i BY tlFC NO till CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRrD I _ I SUBMITTED ASBESTOS NOTI FICATION TO TJI PA ._ — _. _..... PERMIT EXTEN9ED LJgQM _ PERMIT FiNA[ Qq�)Q�Zy Dj.'FOV RL , ❑ASBEED Tl FICArtON N ABLE f CERTIFICATE OF i PROPOSED DE N OCCUPANCY ISSUED I I SIGNATURE: lof 13