The URL can be used to link to this page

Home My WebLink AboutXR2022-2484 - Permits�tiWPORT City of Newport Beach II III I I I II I II I III I III I II p� A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 > T P&mit Counter Phone: (949) 644-3288 s.. Inspection Requests Phone: (949) 644-3255 °9crFoae`P'' - newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Alteration II COMB PermitXR2022-2484 Plan Check No: PC2022-2336 Issued Date : 09/16/2022 Inspection Area : 2 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 : 426 BOLERO WAY Legal Desc : N TR 4692 BLK LOT 51 TR 4692LOT 51 TOGETHER WITH AN UND 1/9 8 INT IN Description : MFR KITCHEN REMODEL 126 SF Owner: CAUGHILL ROBERT F TR Contractor : Architect Address : 426 BOLERO WAY Address : Address NEWPORT BEACH, CA 92663 Phone: (949)735-3414 Phone:; Phone: Con State Lic : State Lic Lic Expire: Applicant: BENITO CORONA Bus Lic.: Engineer: MCHANTAF KAMAL BESHARA Address : 1100 E ORANGETHORPE AVE., 2004 Bus Lic Expire : Address : 4887 LA PALMA DR, 707 ANAHEIM, CA 92801 ANAHEIM, CA 92807 Phone : (714) 371-7176 Workers' Compensation Insurance Phone : (949) 307-6346 Carriers' Owner/Builder : CAUGHILL ROBERT F TR Policy No: Designer: BENITO CORONA Address: 426 BOLERO WAY W. C.'Expire: Address : 1100 E ORANGETHORPE AVE., 2004 NEWPORT BEACH, CA 92663 ANAHEIM, CA 92801 Phone : (949) 735-3414 - Phone : (714) 371-7176 Code Edition : 2019 Fire Sprinklers,: NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : R-2 ': No of Units: 3 Alteration sq. ft. Bldg : Bldg Height: No of Stories : Added/New sq. ft. Garage: 0 Building Setbacks Wp® Flood Zone: X p p 3 Use Zone: RM- MultipleResidential O0 PROCESSED BY: _ p.... SPECIAL CONDITIONS: o ,°' °• �ocaa O ppp<. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury. that I am exemptfrom the Contractors' State License Lawlor the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item('s) :cfion 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 permit to filea 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 riessions 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 eivi tr,:enafty of 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 or offered.: for sale (Section 7044, siness and Professions Code; The Contractors' Stale License Law does not apply to. an owner of property who, through employees or personal effort, builds or improves the property, provided that the novempnis are not intended or offered for sale. It,, however, the building. or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it not built. or )roved for the: purpose of sale). 1, as owner of the p€operty,am exclusively contracting with licensed Contractors to construct the project (Section 7044,:Business and Professions Code; The Contractors' State License. Law does not loan owner of property who builds or improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law).. I am exempt from licensureunder the Contractors' State License Law for the following reason: my signature below I acknowledge that; except for m naI residence in which I moat have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal I a structure that I have built as an owner-buiider if it a an nstructed in its Irety licensed contractors. ) understand that copy of theapplicable: law, Section 70 4 of to BUsi ess and: Aessions Code, is available upon request when I sppy r a of Web site:http,tlwww.leginfo.ce.govicalaw:htmi. �6 2 Inature of PropAuthorized0wner or Authorized Agent. Da, hereby affirm under penalty of perjury that.I am licensed under nd effect. license Class: Licl VORKERS' COMPENSATION DECLARATION 9 (commencing with Section 7000) of Division 3of the Business and Professions Code, Date Contractor Signature license is ID full force SHALL. SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AMU CIVIL FINES UP3O ONE HUNDRED THOUSAND DOLLARS t5100,000), IN ADDITION TO THE X INTEREST, AND ATTORNEY'S FEES, reby 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 - 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' eompensai irance carder and polity number are. certify that, in the , if I should becpn iders Name my signature below, I certify to each I am the property owner or authorrZ I have read thsa.application and the I agree to cui ,pj):wch all appticabl€ � � eat• PtrRafi7c'XTENDEO e P�� 41I` P&AL CLWIFICAIT OP e e e e e .ee ce- o Policy Number Date this permit is -issued, I shall not employ any person in any manner so as to become subjectto the workers' compensation laws of California, and ogre pr s of Section:3700 of the Labor Cade, I -shall forthwith comply with those provisions. te NG AGENCY Da� istruction lending agency for the performance of the work for which this permit is issued (Section 3097, iu vil Code). property owner's behalf. ve p video is correct. or 'heads a It state € relating to building construction. er the ab e-identl ' d dy for inspection purposes. Print Pro p ny owners orRuthorizad A DECL TION OMPLIANCEWITk CODE OF FEDERAL. FOR OFFICE USE ONLY R£GULATlON ART bl OF TITLE40 AND AOMD RULE 1403. eV