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Home My WebLink AboutXR2023-1319 - PermitsCity of Newport Beach 1111 IIpIII III IIIII 11111111111111111111111111111111111111 jj COMB Permit: XR2O23-1319 Community Development Department- Building Division X R 2 9 2 3 1 3 1 9100 04'. Civic Center Drive, Newport Beach, CA 92660Plan Check No: PC2023-1184 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic �' P �`` "" ''°F" �""' "" - Issued Date : 05/19/2023 Inspection Area : 6 CoCombination Type - MFP MECH PLUM l ' �''- o �.." e �s` e' e Work Class - Alteration 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 : 10 AUVERGNE Legal Desc : N TR 14588 BLK LOT 2 UN 133 TRACT 14588, LOT 2 OF PROJECT 93 6-46 LOCATED ON Description: MFR BATHROOM REMODEL 17 SF TUB TO SHOWER. Owner: VEGESNA VIJAYKUMAR S TR Address : 10 AUVERGNE NEWPORT COAST, CA 92657 Phone: (949)375-3110 Applicant: JEANNICECARRILLO Address : 2779 EAST LIZBETH AVE ANAHEIM, CA 92806 Phone: (714)588-0029 Owner/Builder : Address : Phone Contractor: CRAFTSMEN CONSTRUCTION INC Address : 754 N ZEYN STREET ANAHEIM, CA 92805 Phone: (714)238-1205 Con State Lie: 1041090 Lie Expire : 09/30/2024 Bus Lie: (3T-300$1;33 Bus Lie Expire : 5-31-2oz4 Workers' Compensation Insurance / Carrier: Sf4+e CotMpevis-4ffki 14s- Fao Policy No: BT300815 3 W. C. Expire: 5/31/2024 Architect Address Phone: State Lie Engineer: MINA EHAB ISKANDER Address : 12940 EXCALIBUR DR CORONA, CA 92880 Phone : Designer: JEANNICE CARRILLO Address : 2779 EAST LIZBETH AVE ANAHEIM, CA 92806 Phone: (714)588-0029 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $9,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units: 6 Alteration sq. ft. Bldg : • Bldg Height: No of Stories: 2 Added/New sq. ft. Garage : 0 - • -- TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X - Use Zone : PC - Newport Ridge PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicate, (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construrucL, alter. improve, demons the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law Professions Code) or that he or she is exempt from l censure and the basis for the alleged exemption. Any violation of Section not more than five hundred dollars ($500). 11 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the Business and Professions Coda: The Contractors' State License Law does not apply to an owner of property who, through emr Improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completk 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, Bw apply to an owner of properly w1tro builds or improves thereon, and who contracts for the projects with a licensed Contractor put 0 1 am exempt from licansure 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 sell a structum that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I under Professions Code, is available upon request when this application is submitted or at the following Web site:http:(lwww.leginfo.c Signature of Property Owner or Authorized Agent _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 'of D', and effect. License Class License No Dates WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY"s FEES. I 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 Inv performance of the work for which this permit is issued. Policy No. 131 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the parlor insurance carder and policy number are: Cartier Policy Number Name of Agent certify trial, in the performance of the work for which this permit' Issued, I shall not employ any person in any manner so , if I should become subject to a workers'/c�o�'�Pensation or Isions of Section 3700 of the Labor Code, I shall forthwith c ielure of Applicant /7.. Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which Ider's Name Lender's Address my signalure, be:cA, , certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. ::ius read the c.pp:ication and the information I have provided is correct. I agree to Comply', v.:h all applicable city and county ordinances and state laws relating to building construction I nuthrrize representatives of this city or county to epter the ay+p0e-Idenlifigoroperty for inspection purposes. of Pro eP.y Owr::er or Authorized Agent Print Property Owner's or Aut DATE BY 't DECLARATION O COMPLIANCE WITH CODE OF FEDERAL FOROFFICE I REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE 1403 PER!Mrr EXPIRED ( U I SUBMITTED ASBESTOS NOTIFICATION TO PF.9N' TC `NCELLED DEPA PEWvI1T EXTENDED PEAMO-FWAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OSf1E0 �15. PROPOSED DEMOLITION ANCy SIGNATURE: below by the checkmark(s) I have placed next to the applicable Itsm(s) , or repair any structure, prior to its issuance, also requires the applicant for Chapter 9 (commencing with Section 7000) of Division 3 of the Business and )31.5 by any applicant for a permit subjects the applicant to a civil penalty of k, and the structure is not intended or offered for sale (Section 7044, ees' or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Lawdoes not to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date 13 of the Business and Professions de, an4,1fy Ircens r n full force Contractor Signature _--_> e � CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 16100,000j, IN Aa CITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date to become subject to the workers' compensation laws of California, and agra Iply with those provisions. Data Z 3 permit is issued (Section 3097, Civil Code). ONLY Name Oal4d Z