The URL can be used to link to this page

Home My WebLink AboutXR2023-1759 - Permits�EWPpRT City of Newport Beach 111111p11111111111p11111p11111111111111111p1111111111 jj COMB Permit : XR2O23-1759 p11 A Community Development Department - Building Division X R 2 0 2 3 1 7 5 9 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0695-2020 Permit Counter Phone: (949) 718-1888 Issued Date : 0612712023 newponbeachca.gov/civic Inspection Area : 1 "<rFonN� Combination Type - MFP ELEC MECH PLUM 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: 910E BALBOA BLVD Legal Desc : BALBOA TR LOT 5 BILK 13 ALL -INC POR ABAN ST ADJ-(AND BALBOA BAY FIR ON T TR ALL -INC BET SAME & HIGH TIDE LINE &FOR ABAN Description: MFR *CHANGE OF CONTRACTOR* INTERIOR REMODEL OF (2) KITCHENS & (4) BATHS 663 SF Owner: MONSON KRISTEN S TR Contractor : Architect Address : 910 E BALBOA BLVD Address : Address NEWPORT BEACH, CA 92661 Phone : (949) 500-8451 Phone: Phone Con State Lie : State Lie Lie Expire Applicant : MONSON KRISTEN S TR Bus Lie: Engineer: HAKIM FADY Address : 910 E BALBOA BLVD Bus Lie Expire : Address : 410 GODDARD, 200 , NEWPORT BEACH, CA 92661 IRVINE, CA 92618 , Phone : (949) 500-8451 Workers' Compensation Insurance Phone : (310) 422-1536 Carrier : owner/Builder: MONSON KRISTEN S TR Policy No: Designer: Address: 910 E BALBOA BLVD W. C. Expire: Address NEWPORT BEACH, CA 92661 Phone: (949)500-8451 Phone: , Code Edition : 2019 Fire Sprinklers : NO Construction Valuation 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 Bldg Height: No of Stories : 2 Added/New sq, ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 1, Front: 10, Side: 3, Side: 3 Flood Zone: AE, 8 FT; X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: t� _�& SPECIAL CONDITIONS: REPLACE X2020-0963, O/B AUTH FORM AND OWNER LETTER SCANNED OWNER -BUILDER DECLARATION 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) 1 have placed next to the applicable Remits) wHion 7031.6, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior torts issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stataticense Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ifoMions Code) or that he or she is exempt from licansure 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 penaky of mate than five hundred dollars ($500). a owner of the property, or my employees with wages as their sole compensation, vAl do (_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 1044, Iiness 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 Movements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner-Sufider will have the burden of proving that It was not built or )roved 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' Stale License Law does not AV to an owner of property who builds or improves: thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors` State License Law), I am exempt from licensors under the Contractors' State License Law for the following reason: 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 legall, a structure that 1 have built as an owner-buitder if 11has not been constructed in its entirety by licensed contractors. I understand that copy of theapplicable law, Sao on 7044 of the Business and Cessions Code, Is available upon request when t atio is subraide at the following Web site:httpdAvww.leginfo.ce.govtcalaw.html. nature of Property Owner or Authorized Age fs.b�7 ate ,ENSED CONTRACTOR'S DECLARA ireby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, end my license is In full force f effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE la UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CR010NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000). IN ADDITION TO THE OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 Ih erfonnance of the cror;c ;or which this permit is Issued. Policy No, have end will maintain workers' compensation insurance, as required by $action 3700 of the Labor Code, for the performance of the work for whO this permit is issued. My workers' Fence vanterand oul,cY number are: ,Ivr Policy Number Expiration Date o'Agent f0e"rtify that, in Gia padvenance of (he work for which this permit is issued, I shall notemploy any person in any manner so as to became subject to the workers' oompensation laws of California, and agre If I s:ioukt become subject to a workers' compensation provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. nature rf Appqgl�irs t C�MATIOIV'h .G4 G CQNSTRl1CTIQN LkTNt)ING AQENCY' � :r, by nf;lrm under penalty of perjury that there is. a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). '.der s Name Lenders Address ry Firrature below, I certify to each of the fallowing: I Fri 'he property owneir or authorized to act on the property Owner's behalf. i have read this 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 coupty to antes a above-Identiff"operty for Inspection purposes. OF COMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY PART $1 OF TITLE 40 AND AQMD RUSE TO PERMIT EXFENDED 1 11 LIAQMO PERMITFINAL ")- IT-z9 ASBESTOS NOTIFICATILQN IS NOT APPLICABLE T40 CERFIEICAFE Of POSED$ o��✓ OCCUPANCY ISSUED StGNA '�