HomeMy WebLinkAboutXR2023-0782 - PermitsaEWroRT
City of Newport Beach
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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newportbeachca.gov/inspections
Combination Type - SFP PLUM
Work Class - Alteration
���III111111111111111111111111111111111111111111111COMB Permit : XR2023-07s2
Plan Check No:
Issued Date : 0312412023
Inspection Area : 1
�,ti a1 ai: It
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: 4808 RIVER AVE Legal Desc : N TR 3162 BLK LOT 43
Description: SFR ALT (E) BATHTUB TO SHOWER "`CITY STANDARD PLANS"
Owner: George Applebaum
Contractor: REBORN CABINETS
Architect
Address: 4808 River Ave
Address : 5515 E LA PALMA AVE #250
Address
Newport Beach, CA 92663
ANAHEIM, CA 92807
Phone: (909)322-6882
Phone: (714)507-1694
Phone
Con State Lie : 443662
State Lie
Lie Expire : 11/30/2024
Applicant: REBORN CABINETS
Bus Lie : BT30066303
Engineer
Address : 5515 E LA PALMA AVE #250
Bus Lie Expire : 12/31/2023
Address
ANAHEIM, CA 92807
Phone: (714) 507-1694
Workers' Compensation Insurance
Phone:
Carrier: GENERAL CASUALTY COMPANY
OF
WISCONSIN
Owner/Builder:
Policy No: 152000448
Designer
Address :
W. C. Expire: 11/23/2023
Address
Phone:
-
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups : R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage
TOTAL sq. ft. :
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 10
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY: V
SPECIAL CONDITIONS: HIGH DENSITY ZONE & LIQUEFACION
$4,000.00
0
0 •'
0
NO CONSTRUCTION NG§SE
ON THE VVEE ENU,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
'action 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
ra permit to rile a signed statement that he or she is liconsed pursuant to the provisions of the Contractors` State License Law (Chapter 9 (commanding with Section 7000) of Division 3 of the Business and
rofessions 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
of more than five hundred dollars ($500).
11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portionsofthe work; and the structure is not intended or offered for sale (Section 7044,
usiness 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 bulb or
nproved for the purpose of sale).
1, 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
pply 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 I am exempt from licensors under the Contractors' State License Law for the following reason: T _
y my signature below I acknowledge that, except for my personal residence in which I must have resided for atleast one year prior tG completion of the improvements covered by this permit, I cannot legal
all a structure that I have built as an ownar-builder it it has not boon constructed in its Entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/1vaww.leginfo.ca.gov/calaw.titmi.
ignature of Property Owner or Authorized Agent _ Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Professions Code. a set If force
nd effect. License Class License. No Date i z Contractor Signature
COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE
IOST OF COMPENSATION, OAMAOES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm underpenalty 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' compensa
trance carder and policy number are:
Policy
of Agent
certify Chet, in the performance of the work for
, If I should become subject to th kers�
Date
aae . I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Date 3/ZL1IZ3
IECLARATIGN REGARDING STRUCTION LENDING AGENCY
hereby affirm under papa 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).
entices Name Lender's Address
ly 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 come
I agree to comply wren all applicable city and county ordinances an s rate' g construction.
I authorize repmsenmatives of this city or county to a operty for inspection purposes.
iiaoiturP of ProDeny Owner or Authorized Aaent I Print Property Owner's or Authorized Agent's Name VAgi r7 N - CLJA J
ACTION i DATE BY % DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I ( REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE
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