HomeMy WebLinkAboutXR2023-0153 - Permits�tiW�RT
City of Newport Beach
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Permit XR2023-0153
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Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288,
Inspection Requests Phone: (949) 644-3255_
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Plan Check No: PC2023-0156
Issued Date :01/25/2023
Ins Area 1
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p ection :
newportbeachca.gov/inspections
Combination Type - ELEC MECH PLUM
Work Class - Alteration
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 : 600 36TH ST Legal Desc : P BK 333 PG 14PAR 1 UN 1 PM.333-14, PAR 1 OF PROJECT 939-84 LOCATED ON
Description: MFR REMODEL KITCHEN AND BATHROOMS 490 SF ***STOPWORK;122 1118***
Owner: CURRIE PHILLIP L TR / CURRIE FAMILY TR
- :Contractor : Frank Rosales
:. Architect : ADAY TROY
Address : 9 WINDSONG
Address : 1042 north mountain Ave suit470
Address: 437 S CATARACT AVE. STE 6 San Dimas,
SANDY, UT 84092
Upland, CA 91786
CA 91773
Phone: (818)314-3737
;< Phone: s (909)921-8806
Phone: (626)963-4014 x4
Con State Lie : 1003364
State Lie : CO23975
Lie Expire: D5/31/2D23
Applicant: Frank R Rosales
Bus Lie: BT30080083
- Engineer
Address: 1042 north mountain Ave suit 470
Bus Lie Expire : '11130/2023
;;, Address
Upland, CA 91786
Phone: (909) 921-8808
Workers' Compensation Insurance
Phone:
" Carrier.
Owner/Builder:
Policy No: .EXEMPT
Designer:
Address :
W. C. Expire:
'< Address:
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : '.NO
Construction Valuation : $200,000.00
Type of Construction : V-B
- Fire Hazard Zone NO
'.: :Added/New/TI sq. ft. Bldg : 0
Occupancy Groups: U,R-3
No of Units : .2
-" Alteration sq. ft. Bldg: 499
Bldg Height:
No ofStories: ''2
Added/New sq. ft. Garage A ° 15%
TOTAL sq. ft.: • 0•
Building Setbacks: Front: 10, Side:4, Side:4, Rear: 5
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Flood Zone: X
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Use Zone : R-2 - Two -Unit Residential
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SPECIAL CONDITIONS: HIGH DENSITY ZONE; LIQUEFACTION ZONE; STOPWORK 122-1118
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I hereby affirm 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 have placed next to the applicable ftemis)
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
is 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
Tofessions Code) or that he or she Is exempt from licen"m 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
of more than five hundred dollars a5OO).
11, as owner of the property, or my employees with wages as their sole compensation, will do U all of ar L) portions ofAhe work, and the structure is notintended or offered for sale (Section 7044,
Iusiness and Professions Code: The Contractors' State License Law does not apply to anowner of property who, throughiemployees' or personal effort, builds or improves the property, provided that the
nprovements are not intended oroffered for sale, If, however, the building or improvement is sold within one year of completion, the (Xvner-Builder will have the burden of proving that it was not built or
n roved for the purpose of sale).
1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 70441 Business and Professions Code: The Contractors' State License Law does not
ly to an owner of property who builds or improves thereon, and who 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:
y my signature below I acknowledge that, except for my personal residents in which I must have resided for at least one year prior to con
ell 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
'rofesslons Code, is available upon request when this application is submitted or at the following Web site:httpllw w.leginto.ca.govicalaw
signature of Property Owner or Authorized Agent
ICENSED CONTRACTOR'S DECLARATION'.
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 70 I of the Business and
nd effect. License Class License No Date UP-V.1 Contractor Siena
of the improvements covers s permit, I cannot
the applicable Maw, Sectio O44 D the Business and
my license is In full force
WORKERS' COMPENSATION DECLARATION / u
EARNING: 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 f5100,000M. IN ADDDRON TO THE
:DST OF COMPERSATIOM, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 self4itsure for workers' compensation, issued by the Director of Industrial. Relations as provided for by Section 3700 of the Labor Code, for th
performance of the work for which this permit is issued. Policy No.
11 have and will maintainworkers' 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' compensator
xsurance carrier and policy number are:
"ier Policy Number
1a,15? Agent
certify that,. in the perfonnanc f the rk for which this permit Is issued,. I shall not employ any person in any
if I should become subject rkers' compensation provisions of Section 3700 of the Labor Code, I shall
)reby affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for
ider's Name lenders Address
my signature below, I saintly to each of the following:
I am the property owneCiTr aut:orized to act on the pro. dy ner's behalf.
I have read jhis application ani the information I have r i ad Is correct.
I ogres to cCRlpryyvith aU appEisabls city and cauniy di noes and slats laws relating to building construction.
I authorize regresentetl, &s afthis. city or county to er tthe above -identified property for inspection purposes.
Date
a as to become subject to the workers' compensation laws of California, and agree
comply with those provisions. jj
Date�-eq� v'
this permit Is issued (Section 3097, Civil Code).
ACTION "•• • I •DATE' I BY 3 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ( FOR OFFICE USE ONLY
•••� ••••� ij REGULATIONS PART 61 OF TIDE 40AND A0MD RULE
PERMITFINAL • • • SBESTOS NGTIIF14TON IS NOT APPLICABLE TO
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