HomeMy WebLinkAboutXR2023-1004 - PermitsaEWPpRT City of Newport Beach - ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ��
pF @ Community Development Department - Building DiVSOn X R 2 0 2 3 1 0 0 4
100 Civic Center Drive, Newport Beach, CA 92660
u >h S Permit Counter Phone: (949) 644-3288
o- Inspection Requests Phone: (949) 644-3255 R'� r
°g4aoa" �t newportbeachca.gov/inspections'
Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
COMB Permit xR2o23-� 004
Plan Check No
Issued Date : 04/1912023
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 : 2600 POINTE DEL MAR AVE
Legal Desc : N TR 12209 BLK LOT 4
Description: SFR MASTER BATHROOM REMODEL PER CITY
STANDARD PLAN 72 SF
Owner: NEFF FAMILY TRUST
Contractor: IGS CONSTRUCTION SERVICES
INC Architect
Address : 2600 POINT DEL MAR
Address : 23971 CARRILLO DR
Address:
CORONA DEL MAR, CA 92625
MISSION VIEJO, CA 92691
Phone :
Phone : (949) 616-0624
Phone:
Con State Lie : 1087602
State Lie
Lie Expire : 02/29/2024
Applicant : IGS CONSTRUCTION SERVICES INC
Bus Lie : BT30079787
Engineer
Address : 23971 CARRILLO DR
Bus Lie Expire : 09/30/2023
Address
MISSION VIEJO, CA 92691
Phone: (949) 616-0624
Workers' Compensation Insurance
Phone:
Carrier:
Owner/Builder :
Policy No : EXEMPT
Designer: IGS CONSTRUCTION SERVICES INC
Address :
W. C. Expire:
Address: 23971 CARRILLO DR
MISSION VIEJO, CA 92691
Phone:
Phone: (949) 616-0624
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $8,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : R-3
No of Units : 1
Alteration sq. ft. Bldg : 72
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage : 0
TOTAL sq. ft.: 0 .... '
Building Setbacks : Front: 5, Side: 4, Side: 4, Rear: 10
'
Flood Zone : X
'
Use Zone : PC - Point Del Mar
PROCESSED BY:
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
Section 7031.5. Business and Professions Code: Any city or county that requires a. permit to construct, alter. Improve, demolish. or repair any structure, poor to Its issuance, also requires the applicant for
re 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
rofesslons Code) or that he or she is exempt from lieensure 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
tot more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044,
fusiness and Professions Gods: 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. It. 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).
I, 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
ply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contraclors' State License Law).
I am exempt from licensors under the Contractors' Stale License Law for the following reason: .._..__._—�.� ........__._.___�._____. ____.__ ...._..._.._.._
fy my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legally
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 copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted Brat the fallowing Web site:hltpolwww.leginfo.ca..govlcalaw.html.
Signature of Property Owner or Authorized Agent Date _.
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of 0visiorlI3 of the Business and Professions ode, and my license Is 1 full force
not effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED US NO DOLLARS 100,000), IN ADDITION TO THE
:DST OF COMPENSATION, 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 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 th
erforrnance 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'
ranee carrier and policy number are:
Policy Number _ _ _ __. Expiration Date
is of Agent rnone s
certify that, 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' compensati laws f California, and agre
If I should become subject to th workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n
tatureofApoliusnt_ "\ _�w_,_, Date„,,,,- .�(l..�i__,._,_,..._...,.�.
:LARATION REGARDING RUCTION L' DING AGENi
reby affirm under penalty e ry that there is a construction lending agencyfor the performance of the work for which this permit is Issued (Section 3097, Civil Code).
derm a NaF Lenders Address
3y my signatur0.C3;OW, I certify to Been of the tonowlng:
I am the pn; rrty owner or authorized to act on the property owner's behalf.
I nave mad 'his 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 toe�lert�ove-i�en�ified roperty for inspection purposes.
3'I.r.ature of Fropcety Owner or Authorized Agent •L P _ — X+ Print Property Owner's or Authorized Ag
ALi,ON ( DATE BV OCLARATIONITFCOMPLIANCE WITH CODE Or FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART fit OF TITLE 40 AND AQMD RULE
1?€RMIT EXPIRfO Ll l SUBMITTEp ASBESTOS NOTIFICATION TO
PERM'T CANCTLLER IJEPA
PER'A'TEXTENDED I 'uQMD
PET41TFiNAL ASBELd SIDS NOTIFICATION IS NOT APPLICABLE 70
CERTIFICATE OF ora-07Q i{ PROPOSED DEMOLITl /�
OCCUPANCY ISSUED I SIGNATURE: C✓� J—
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