HomeMy WebLinkAboutXR2023-0032 - Permits�gWpo City of Newport Beach III IIIIIIII III IIIII IIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
o`< A Community Development Department- Building Division X R 2 0 2 3 0 0 3 2
y 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
u >+5 S Inspection Requests Phone: (949) 644-3255 �
newportbeachco.gov/inspections
Combination Type - ELEC MECH PLUM
Work Class - Alteration
COMB Permit: XR2023-0032
Plan Check No : PC2023-003B
Issued Date : 01105/2023
Inspection Area : 2
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 : 322 CORAL AVE
Legal Desc : A TR. BALBOA.ISLAND SEC 3 BLK 16 LOT 12
Description: MFR ALT: KITCHEN AND BATHROOM REMODEL
200 SF
Owner: HAVIKEN MICHAEL R TR M R
Contractor :
Architect
Address : 35 RISA ST
Address :
Address
RANCHO MISSION VIEJO, CA 92694
Phone:
Phone:
Phone: ,
Con State Lie :
State Lie
Lie Expire :
...
Applicant: JAMES CARO
Bus Lie:
Engineer
Address : 14 GUMWOOD
Bus Lie Expire :
Address
IRVINE, CA 92612
Phone: (949) 500-2208
Workers' Compensation Insurance
Phone
Carrier :
Owner/Builder : HAVIKEN MICHAEL R TR M R
Policy No:
Designer: JAMES CARO
Address : 35 RISA ST
W. C. Expire :
Address : 14 GUMWOOD
RANCHO MISSION VIEJO, CA 92694
IRVINE, CA 92612
Phone:
Phone : (949) 500-2208
Code Edition : 2022
Fire Sprinklers : NO -
Construction Valuation: $43,200.00
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 : 200
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5
Flood Zone : X; AO 1
Use Zone: R-BI- Two -Unit Residential, Balboa Island
NO CONSTRUCTION NOISE
PROCESSED BY:
SPECIAL CONDITIONS: HIGH DENSITY ZONE; A01 FLOODZONE ; LIQUEFACTION ZONE ON THE WEEKEND
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' State. License Law for the reasan(s) 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, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to rile a signed statement that lie or she is licensed pursuant to theprovisions of the Contractors' State License Low (Chapter 9 (commen0lhg with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she Is exempt from Ilocneure and the basis for the alleged exemption. Any violation of Section 7031.5by any applicant fore permit subjects the applicant to a OW penalty of
not more than five hundred dollars ($500).
E9 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of of L) portions 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 who, through employees' ar personal effort, builds or improves the property, provided that the
Improvements are not lnteaded 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).
El I, as owner of the property, am exclusively contracting with licensed Contractors lD construct the project (Section 7044, Business and Professions Code; The Contractors' State License Law does not
apply to an owner of properly who builds or improves tremor), and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from Ilcensure-under the Contractors' State License Law for the following reason: —By my signature below I acknowledge that, except for my personal residence In which I most have resided for at least one year prior to completion of the improvements covered by this permit, I cannot lagalh
sell a structure that I have built as an owner -builder if It has not been c"s��tructad in is an' sty by licensed contractors. I understand that a -copy of the. applicable law. Section 7044 of tho Busi oss and
Professions Code, Is avallable Upon requestwhan this 0 th Mowing Web sitethttpllwww.loginfo ca.govicalaw.html,
Signature of Property Owner or Authorized Agent _�� Date .f
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g (commencing with Section TODD) of Division 3 of the Business and Professions Code, and my licenseisIn full force
and effect License glass License No Date Contractor Signature
iN•)RKERS' (30"PENSATION DECLARATION
MARRING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL. AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TOONE HUNDRED THOUSAND DOLLARS (5100.000), IN ADDITION TO THE
WIT IF CCMPaN8ATIGf:,. DAMAGES AS PROVIDED FOR IN SECTION 370$ OF THE LABOR CODE. INTEREST, AND ATTORN rS FEES.
hereby affirm and€rp3ualty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to se[Nnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the. Labor Code, forth
)erformance of the .York for which this permit Is Issued. Policy No.
hwe 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'
rance carder and policy number are:
Policy Number
of Agent
Date
Le,,;f; that, in :he 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 agm
If I should become subject to the or rs' no a all visions of Section 3700 of the Labor Code, I -shall forthwith comply with those provisions.
iature of Applicant J'''%/ �G`!%!L; p Y P Date_
'LARATION REGARDING CONSTRUCTION LENDING AGENCY '
amby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this pennit Is issued (Suction 3097, Civil Code).
Wer's Name Lender's Address
my signature below, I certify to each of the following:
I am e e ad this application
pP cat or authorized to act on the have
provided
owner's correct,
I have read this a lication and me Information I have rovitletl Is correct K jy v
1 agree to comply with all applicablecity and county ordinanDas on late laws retail to building construction.
I authorize representatives of this city of county to entl�.tfyYalfpj tfor Inspection purposes. _ -.9so" /57'/1/
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATION5. PART 51 OF TITLE 40 AND AQM D RULE
FICATION TO
PFRMITEXIENDED LIAQMD-
PERiYRT FINAL ASBE5105 NOTIFICATION 15 NOT
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED � ,� % SIGNATURE:
FOR OFFICE USE ONLY
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