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HomeMy WebLinkAboutXR2022-2592 - Permitsp��EWPpRT City of Newport Beach R Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ,•F. Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cql./pr)µN�P newportbeachca.gov/inspections Combination Type - MFP ELEC MECH PLUM Work Class - Alteration COMB Permit : XR2022-2592 Plan Check No : PC2022-2424 Issued Date : 09/2812022 Inspection Area : 4 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 : 2646 VISTA DEL ORO Legal ,Desc : N TR,6996 BILK,LOT 30 Description: MFR REMODEL (2) BATHROOMS, KITCHEN, REPIPE HOUSE & CREATE NEW LAUNDRY RM 257 SF Owner: TW REVOC TR Address : 2646 VISTA DEL ORO NEWPORT BEACH, CA 92660 Phone: Applicant: IGNACIO GARCIA MARTINEZ Address : 23971 CARRILLO MISSION VIEJO, CA 92691 Phone : (949) 616-0624 Owner/Builder : Address : Phone: Code Edition : 2019 Type of Construction : V-B Occupancy Groups: R-2 Bldg Height : Building Setbacks: Flood Zone : X Use Zone: R-1 - Single -Unit Residential Address : 23971 CARRILLO DR MISSION VIEJO, CA 926911 Phone: (949) 616-0624 Con State Lie : r 1087602 Lie Expire : 02/2912024 Bus Lie: 'BT30079787; Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier:: Policy No : EXEMPT W. C. Expire: - Fire Sprinklers : NO Fire Hazard Zone NO N f U it 4 /ICESINC Architect: sAddin Phone: State Lie Engineer: Address Phone: Designer: IGNACIO GA Address : 23971 CARRI MISSION VIE Phone: (949) 616-06 Construction Valuation : Added/New/Ti sq. ft. Bldg i Alt t ft Bid o o ns . era on sq. . g . No of Stories : 2 Added/New sq. ft. Garage PROCESSED BY: -- SPECIAL CONDITIONS: coo mmm a eeo om m m m o m o m o c o m e c o © o m m m m o r o o m m° m m m m moc ° . m ooe C< C RCIA MARTINEZ LLO JO, CA 92691 24 $45,000.00 0 I hereby afit0n under penalty of perjury. that I am exempt from the Contractors' State License Law for the reason(s) Indicated below by the checkmark(s) I haveplaced next to the applicable -Items) Idion 7031.5, Business and Professions Code: Any city or county that requiresa. permit to construct,. alter, improve, demolish, or repair any structure, prior to its issuance;:, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3.of the Business And fessions Code) or that he or she is exempt from lleans ire 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 perialty of more than five hundred dollars ($500p, 1., as owner of the property, or my employees with wages as their sole compensation, will do-(_,) all of or C_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, iness and. Professions Coda: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves theproperty, provided that tha rovements are not intended or offered for sale. If, however, the building or Improvement issoldwithin one-year of completion, the Owner-Suliderwill have the burden of proving that it was not built or roved for the purposeof sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the prefect ($action 7044, Business and Professions Code; The Contractors' State License Law does not ly to so owner of property who builds or improves thereon,andwho 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: ry sionalum below I acknowledoe 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 Professions Code, is available upon request when this. application is submitted or at the following Web site;http:/twww.l'eginfo.ca.gov/calipw.html, , Signature of Property Owner or Authorized Agent _ Date. LICENSED CONTRACTOR'S DECLARATION QQ I hereby affirm under penalty of pery'ury that am licensed under provisions of Chapter 9 (commencing with 5acto 7 7) f Divis on3of the Business and P e Ionn��ode, ar�,d my license is in full force and effect. License Class License No Da 7 Z z- ContractorSignatur- WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORHeRB' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR Coos, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the fallowing declarations: rl Ihave 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 the performance of the work for which this permit is Issued, Policy No. DI 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' compansatior nsurance carrier and policy number are; Cardar Policy Number Expiration Date EMe aNe a of Agent. Phone # Edify that, in the performance of the work for which 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 Agra, f I should becor�f��afysubjec ae the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply wilh those provisions. [y Signalure of Applies t l� (e%(/L ; Data , ZZ2 r Z �'-- DECLARATION RECt RO CONSTRUCTION LENDING AGENCY i hereby affirm under enaity of perjury that there Is A construction lending agency for the performance of the work for which this permit is issued (Section 3097,. Cm Cade), Lender's Name - Lenders Address By my signature below, I certify to each of the following: I aril the property owner or authorized to act on the property owner's behalf. Ihave readthis application and the Information I.have provided is correct. I agree to. comply with all applicable city and countyjerdmances and state laws relating to building construction. I authorize representatives of this city or count hit the above -identified property for inspection purposes. !� /' Bi nature of Pro e Owner or Authorized A ent Print Property Owner's or Authorized Agent's No � e I A / 440S a v DetZZ— ACTION DATE BY DFCLATTWRONOFCOMPLIANCEWITHCODEOFFEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE P£RNfiTFiNA1 BESTO N TIFiCATIONfS NOT APPLICABLE TO. CER1'1BICAYEOF OCCUPANCY ISSUED b19NATURE: ¢. ry•