HomeMy WebLinkAboutXR2023-0073 - Permits�tiWPORT
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH
Work Class - Alteration
111���III��111111111111111111111111111111111������������� COMB Permit : XR2023-0073
Plan Check No: PC2023-0078
Issued Date : 01/31/2023
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: 37 MARISOL Legal Desc : N TR 15490 BILK LOT 13
Description: SFR ADD 240 SF 2ND FLOOR INFILL LOFT. REMOVE AND ADD WINDOWS AND DOORS. REMODEL (E) GREAT ROOM BELOW PROPOSED LOFT.
Owner:
AVI & CARLY ROY
Address :
37 MARISOL
NEWPORT BEACH, CA
Phone:
(949) 293-7531
Applicant :
Ben Loewen
Address :
8 Hammond, 102
Irvine, CA 92618
Phone :
(949) 456-1234
Owner/Builder :
Address :
Contractor: LOFTCRAFTERS INC THE
Address : 8 HAMMOND #102
IRVINE, CA92618
Phone:
(949) 456-1234
Con State Lic
: 463944
Lic Expire :
08/31/2024
Bus Lic :
BT30020595
Bus Lic Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: EMPLOYEE SERVICE GROUP
Policy No: C69981355
W. C. Expire: 11/1/2023
Architect
Address
Phone:
State Lic :
° " °
Engineer:
YAGHISHUCRII
Address :
112 E. CHAPMAN #D
ORANGE, CA 92866 "
Phone :
(714) 997-9120
Designer
Address
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers:
NO
Construction Valuation :
$83,060.00'
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 :
480
Bldg Height :
No of Stories:
2
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks :
Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone :
X
Use Zone:
P/C -- Newport Coast
PROCESSED BY:
L�—
SPECIAL CONDITIONS: IRWD ; FIRE HAZARD SEVERITY ZONE
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 checkrnark(s) I have placed next to the applicable fte n s)
3eclion 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
io 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
'rofessions 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 civil penalty of
of more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044,
Justness 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 built or
nproved for the purpose of Sale)-
3 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
poly 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 licensure under the Contractors' Stale License Law for the following reason:
,y my signalum below I acknowledge 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 Iegalll
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 acpy of the applicable law, Section 7044 of tho Business and
'rofassions Code, is available upon request when this application is submitted or at the following Web site:httpllwww.leginfo.ca.govfcalaw.html.
Ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Divis' n 3 of the Business and Prof�ess�++'qns Code1, an ml lioense is 1 full force
nd effect. License Class I� License. No Li (93C1uq Date Contractor Signatureyll�RAA r IA V
VORKERS' COMPENSATION DECLARATION
'ARNING; FAILURE TC SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE
DST OF COMPENSATIG&. LAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hEr,by of„rm unde.oena:ty of perjury one of the following declarations:
I I hav^ 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 th
arrorrnance of the work for which this permit is issued. Policy No.
&: ave and will .Tls:ntein 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' compensetiol
Is'Iran^e carrier and���nplolicy number are•. !� -7
h-'Q Policy Number l ,�1�. f 5 QQ� o� Expiration Date 1) I Ici.�7a3
'.a..M3 c`l Agent Phone S
], cedlfy ,hat, 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 ogre
Is,, if I should beuoma subject to the workers' compensation provisions of Suction 3700 of the Labor Code, I shall forthwith comply with those provisions.
Cf
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this penult Is issued (Section 3097, Civil Cade).
ider's Name _ Lender's Address
my signature below, I Codify 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 correct.
I agree to comply with all applicable City and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to,ADjar the above -Identified property for inspection purposes.
ACTION I DATE i HY
PER,IVITEXTENDED
PERMIT FINAL --- 2
CERTIFICATE OF
OCCUPANCY15SUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PANT 51 OF TITLE 40 AND AgN1D RULE
NOTIFICATION 15 NOT APPUCASLE TO