HomeMy WebLinkAboutXR2022-2239 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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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 - MFP ELEC MECH PLUM
Work Class - Alteration
II II I I I II I II I III II III I I II COMB Permit : XR2O22-2239
Issued Date C lan Check No : 2022-2086
OBI 212 22
Inspection Area : 1
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 : 310 FERNANDO ST, 301 Legal Desc :
Description: MFR REMODEL OF KITCHEN/BATHROOMS 297 SF
Owner: LEVSHIN PETER TR LEVSHIN LIVING TR Contractor
Address : 310 FERNANDO ST APT401 NEWPORT Address
BEACH, CA 92661
Phone: (714)931-4609 Phone:
Applicant: MICHELLE RUNYAN
Address: 962 N HARWOOD ST ORANGE, CA 92867
Phone: (951)520-7601
Owner/Builder : LEVSHIN PETER TR LEVSHIN LIVING TR
Address: 310 FERNANDO ST APT401 NEWPORT
BEACH, CA 92661
Phone : (714) 931-4609
N TR 6027 BILK LOT 1 UN 100 TR 6027 LOT 1 UNIT 100 OF PROJECT LOCATED ON AP
Con State Lic
Lic Expire
Bus Lic :
Bus Lic Expire
Workers' Compensation Insurance
Carrier:
Policy No:
W. C. Expire:
Architect
Address
Phone
State Lic
Engineer:
Address
Phone :
Designer: BRIAN SCOTT
Address: 962 N HARWOOD ST ORANGE, CA 92867
Phone: (562)865-7935
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation :
$23,760.00
Type of Construction :
I -A
Fire Hazard Zone :
No
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups :
A-3,S-2,R-2
No of Units :
1
Alteration sq. ft. Bldg :
297
Bldg Height:
No of Stories :
6
Added/New sq. ft. Garage:
0
Building Setbacks :
Front: 3, Front: 9, Front: 6, Side: 4
Flood Zone :
AE, 8 FT; X; AO 1
Use Zone :
RM - Multiple Residential
PROCESSED BY:
SPECIAL CONDITIONS: O/B FORM ATTACHED
°
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
;Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the pormit 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
Professions Code) or that he or she is exempt from licensureand the basis for the alleged exemption. Any violation 0 etion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
n¢t are than five hundred dollars ($500). (�
�.l, IS owner of the property, or my employees with wages as their sole compensation, will do `) all of or )/j`f puff; s of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property %Vhalhrough employees' or personal effort, builds or improves the property, provided that the
Improvements 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
Improved 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
apply 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).
El I am exempt from licensure under the Contractors' State License Law for the following reason
By my signature below I acknowledge that, except for my personal residence i In h I must have resided for at least one year prior to completion of the improvements Covered by this permit, I cannot legalh
sell a structure that I have built as an owner-bu' ar i( h o een ca stru in its entirety by licensed contractors. I understand that a copy of the applicable law. Sectio 7044 of the Business and
Professions Code, is available upon request wh t s o s sub ad or at. a full wing Web site:htfp:/twww.leginfo.ca.gowcalaw.html.
Signature of Property Owner or Authorized Ag nt Dat ZZ 2 2
LICENSED CONTRACTOR'S DECLARAtPli
I hereby affirm under penalty of perjury that I am licensed and provi ons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, nd my license is In full force
and effect. License Class L' ens o Date Contractor Signature
COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREO THOUSAND DOLLARS 1E100,0001, IN ADDITION TO T
COST OF COMPENSATION, DAMAGES AS PROV105D FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES,
hereby 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 Cade, for
performance or the work for which this perri t 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'
Fence carrier and policy number are:
Policy Number
Date
me of Agent Phone Tl
certify that,. in the performance of the Work for kftJ)'ch this t is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and age,
I. It 1 should beco s bjed ¢ensat 6n prow' ions of Section 370tl of the Labor Code. I shaft forthwith comply Wl1h those provisions.
nature of Apr nt _ _ Date 2' 2 Z
CLARRTION REG RDING CONST UCT�� LENDING AGENCY
Ireby affirm under penalty of perju the ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civi Code).
lders Name �� Lenders Address
my signature below, I certify to ea 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 he provided is corrrect.
I agree to comply with all applicable city and unt ordi C an sla re ring to building construction. 1 / ) \ P
I authorize representatives of this city or county ent ide titled erfy far Inspection purposes. V,S�N Da U 2 Z-
nature of Property Owner or Authorized Acenl ,t not Property Owner's or Authorized AyenEs Name
ACTION
DATE
i BY f DEC LAR ION COMPLIANCE WITH CODE OF FED@I
t REGUL to PARTGI OFTIT(E40ANDAOMDRULE
1403
PERMIT EXPIRED
.,1Bt6:TTED ASBESTOS NOTIFICATION TO
PERMITCANCELLEDA
_
PERMIT EMENDED
4MU
PERMITFINAL
sz%,, rLz
6
'\Q BESTO OTIFICATION IS NOT APPLICABLE TO
V-1
CERTIOCCUPANCY
.
PROPOSEDTL;ri MOLITION
OCCUPANCYISSUED
CCUPA NCYOF —^
—JJ
„Gr:ATla'
FOR OFFICE USE ONLY
All required alarms, latches gates and fences which serve as part of a pool/spa banner, shall
be In place prior to approval to fill pool/spa & shall remain In place & be maintained for the
life of the pool.
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