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Home My WebLink AboutXR2023-0144 - PermitsaEWPOQT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2U23-o144 C� Community Development Department- Building Division X R 2 0 2 3 0 1 4 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: ,= Permit Counter Phone: (949) 644-3288 Issued Date : 01/2412023 .s+ Inspection Requests Phone: (949) 644-3255 Inspection Area : 5 cqC/FppN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 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: 24 BAFFIN BAY Legal Base : N TR 15851 BLK LOT 20 Description: SFR PEX REPIPE Owner: VUCHINICH K MARK TR Contractor: KALKA KEVIN J HEATING & A/C Architect Address : 24 BAFFIN BAY Address : 15550 ROCKFIELD BLVD #A-100 Address NEWPORT COAST, CA 92657 IRVINE, CA 92618 Phone : Phone : (949) 458-6600 Phone Con State Lie : 677889 State Lic Lie Expire : 10/31/2024 Applicant: KALKA KEVIN J HEATING & A/C Bus Lie : BT30074347 Engineer Address : 15550 ROCKFIELD BLVD #A-100 Bus Lie Expire : 05/31/2023 Address IRVINE, CA 92618 Phone: (949) 458-6600 Workers' Compensation Insurance Phone: Carrier: NORGUARD INSURANCE COMPANY Owner/Builder: Policy No: KKWC252994 Designer: Address : W. C. Expire : 1212312023 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 Flood Zone : X Use Zone : PC -Newport Coas�\`\�� PROCESSED BY, SPECIAL CONDITIONS: =�o ono' o' a' $30,914.00 0 0 0 n [.1*.*tLl�ca�rnrrx I hereby affirm under penalty of perjury that I am exempt from the Contractors.' State License Law for the reason(s) 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, prior to Its issuance, also requires the applicant for he 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 Professions Code) or that he or she is exempt from kcensure 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 not more than five hundred dollars ($500). 71 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structures 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' 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). 0 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 Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 0 1 am exempt from Ncensure 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 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal], sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/lwww.leginto.ca.gov/calaw.fitml. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect! 00 ) of D)"vision of the Business and Prafes I s C e, n y tic n is In full force and effect. License Class License No Date ^2��2 Contractor Signature COMPENSATION DECLARATION NARNING: FAILURE TO SECVRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS)LND DOLLARS f$100,e001, IN AUCTION COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]TOs OF THE LABOR CODE. INTEREST, AND 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 Code, for ormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date lame of Agent Phone t# -1I certify that, intheXnalty ance 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 worke ' e mpensation laws of California, and agre tat, if I should becomct tot or ers' oompens Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lignalure of Applicant Date ZC/ Z? IECLARATtGN REGSTRUCTION LE G AGENCY hereby affirm under pof perjury that there is a construction lending agency for the performance of the work for when this permit is issued (Section 309 , civi Code). ender's 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 andthe 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 c It to e tithe ajaove-identified property for inspection purposes. lionatura of Pmoartv Owner cr Authorized ADen I /,i film Print Pmnerty Owner's or Aanhnriza.8 Anant's Nan to L AC71ON bATE. I 3v t/ 1 r FC_ARATe1N OF CON,PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY - lLA'IOZ PAR � Fl OF TITLE 40 AND AQNID RULE 110S PERN7T EXPIRED _ I0 1 SUBMITTED ASBFSTOS NOTIFICATION TO PERMrf CAA'CELLED ME. I :nQMU P€RMIFEXTENDED PE.RNtiT FINAL CERTIFICATE i5 t ('// _ ASdE5T5EDqNNTIFICAIISNOTAPPLICABCE TO A- V IT�OCCUPANCYi5SUED strNAF1RF,