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HomeMy WebLinkAboutXR2023-1861 - PermitseP�WPORr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-1861 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 Issued Date : 07/10/2023 .y,. newportbeachca.gov/civic Final Date: cgc,FO PH'P Combination Type - Permit Status: Issued Work Class - Alteration Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FRORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUN1710 AND HOLIDAYS IN ALL AREAS .Inh AddrPss - 1800 OCEAN FRONT W Legal Desc : A TR NEWPORT BEACH SEC B BILK 18 LOT 1 Description : DUPLEX - R/R 8 WINDOWS (RETROFIT. NO CHANGE IN SIZE/HEADERS) 10� '� Owner: TEREZA KIROLOS Address : 1800 W OCEAN FRONT NEWPORT BEACH, CA 92663 Phone: (562)900-2694 Applicant: TEREZA KIROLOS Address: 1800 W OCEAN FRONT NEWPORT BEACH, CA 92663 Phone: (562)900-2694 Owner/Builder : TEREZA KIROLOS Address: 1800 W OCEAN FRONT NEWPORT BEACH, CA 92663 Phone: (562)900-2694 Contractor Address : Phone: Con State Lie Lie Expire Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U,R-3 No of Units : Bldg Height : No of Stories: Building Setbacks : Front: 7, Side: 3, Side: 3, Rear: 10 Flood Zone : X Use Zone: RM - Multiple Residential PROCESSED BY: —fiy— SPECIAL CONDITIONS: IV Architecl-, �0A Address : 7�/ o/� Phone State Lie Engineer: Address Phone: Designer: Address : Phone: NO Construction Valuation : $4,000.00 NO Added/New/Tl sq. ft. Bldg: 0 2 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 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 ftemts) (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 fife a signed statement that he or she is licensed pursuant to the provisions of the Contractors` State License Law (Chapter 0 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensors 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 penafty of not morn than five hundred dollars ($500). 11 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044, Business and Professions Corte: 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 bulb or Improved for the purpose of sate). ❑ s owner of the property, am exclusively condracting WIFfl licensed Contractors to construct the project (Section 7044, Business and Professions Code; The Contractors' State License Law does not p an owner of properkywhonuilds or Improvestherean, and Who contracts for the profecfs with a iicattsed CnnUaclor pursuant to the Contractors' State License Law), a exempt tram licensors Under QI6 Contractors' State Ltcensa 6_aW for the fatlotving reason Ei y Ignature below t acknowledge that, except For mypersanal residence in which I must have resided for at toast one year prior to £orapietion of the Improvements Covered by this permit, I cannot iegall, tl tructuro that I hour built as an owner-buitdar if it. hes not bean oonstru£fod in its�tnClratq by licartsad contractors. I understand that a copy of the applicable law, Section 7044 of t o Bu Iness and Professions Code, is avallabl0 upon request when application is submRt he following Web sita:htt :! .ca.govlcaiaw.ntml. Z Signature of Pro Dan Qwnar ar Authorized Agent D � LICENSED CONTRACTOR'S DEC LARATI ` I hereby aNGrrr under penalty of perfury that I am licensed under provision o7 Chopt0 a (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and atfact. License Class License No Date Contractor Signature NORKERS' COMLPENSATION DECLARATION NARNING: FAILURE TO SECURE WORNERS' COMPENSATION COVERAGE IS UNLAWFUL. AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE War OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 310S OF THE LASOR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: -11 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 Terronnance of the work for which this permit is issued. Policy No. ❑1 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` compensabol nsurance carrier and policy number are: Cartier Policy Number Expiration Date of Agent Phone q Dn rtify that, in. the performance of the work for which omit is Issued, 4 shall not employ any person in any manner so as to become subject to the workere' compalTsalion laws of California, and ogre \� I should become subject to the works pant nsatlon provisions of Section 3700 at the Labor Code, I shall forthwith comply with those provisions. ure of Applican _ .O 'Zvv DECLARATION Me O G CONSTRU ENDING AGENCY I hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit Is issued (Section 309All Code). Lender's Name Lender's Address By my signature below, I owner or to each of the following: i am the property Qwnar or authorized to act an the property owner's behalf. I have read this application and the information I have providedis correct I agree to comply with all applicable city and County ordinances an a6f ws relating to building construction. I authorize representatives of this city or county);o enter oye-Identified property for inspection purposes. T ACTION I DATE By v `I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMfT EXPIRED I SUE M ,T,:.D...SBES OS t:0 IF ..A ON T^ PERMfTCANCELLEO ELA -- —_ PERMIT EXTENDED QM U PERMIT FiMAL 3 L ,L SIDS N0TIF9CATiON 15 N0T t CERTIFICATE OF PROPOSER r7FMt71 RION _ OCCUPANCY ISSUED SIGNATURe