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HomeMy WebLinkAboutXR2023-0771 - Permitso��EWIPORT. City of Newport Beach y Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cg4FoaN`P newportbeachca.gov/inspections Combination Type -SFP ELEC MECH PLUM Work Class - Alteration COMB Permit : XR2023-0771 Plan Check No : PC2023-0649 Issued Date : 03/23/2023 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: 23 VENEZIA Legal Desc : N TR 15467 BLK LOT 54 Description: SFR ALT REMODEL (E) KITCHEN, MSTR BATH, AND (N) LAUNDRY ROOM. ALT WINDOWS/DOORS 687 SF Owner: MUKUNDAN DEVARAJAN Address : 23 VENEZIA NEWPORT COAST, CA 92657 Phone : (949) 246-7622 Applicant: BRYCE HOVE Address : 576 WALD IRVINE, CA 92618 Phone : (949) 861-3419 Owner/Builder Address : Phone Contractor: SEA POINTE CONSTRUCTION Address : 576 WALD STREET IRVINE, CA 92618 Phone : (949) 279-0421 Con State Lie : 665114 Lie Expire : 02/28/2025 Bus Lie : BT30016203 Bus Lie Expire : 07/31/2023 Workers' Compensation Insurance Carrier: EVEREST PREMIER INSURANCE COMPANY Policy No : 7600001365231 W. C. Expire: 3/1/2024 Architect Address Phone: State Lie Engineer: Address Phone : Designer: SEA POINTE CONSTRUCTION Address: 576 WALD STREET IRVINE, CA 92618 Phone: (949) 279-0421 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $254,000.00 Type of Construction : V-B Fire Hazard Zone : YES Added/New/Tl sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 687 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 Coast .. . PROCESSED BY: SPECIAL CONDITIONS: IRWD; FIRE HAZ SEVERITY ZONE; LANDSLIDE HAULER: Ro6ef+f" ; U%aef2 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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, Biter. improve, demolish. or repair any structure, poor to its issuance, also requires the applicant for the permit to file a signed statement that he or site 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 Iicensure andthe basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is 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 er 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). ❑ 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 apply 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). ❑ 1 am exempt from Iicensure under the Contractors' Stale 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 asan owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted oral the following Wab she:htip:llw .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of peory that I am licensed under provisions of Ater 9 (commencing with Section 7000) Div: to 3 of the Business and Professio Code, a se is in full force and effect. License Class /S License No ,p�l� y Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND COLLARS IEtDQ,RQOI, IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, I hereby affirm under penalty of perjury one of the following declarations: 1711 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 the performance of the work for which this permit Is issued. Policy No. io 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/per it is issued. My workers' compensatio insurance carrier and policy number are: f / / / _ Camar �.Iri1Z f1LL— Policy Number 7 C�!/f/0 �13(�' S 2J Expiration Date Name of Agent Phone M _ ❑I certify that, in the performance of the workfor w 'D his permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compen to la s of California, and agre that, if i should. becomes F ID thew PLNDING on. provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature or Applicant Data 3 DECLARATION RE 10 Nf �G CCQ6NNS R� O AGENCY 10 ..� 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 3097, Civil Code). Lender's Name Lenders Addrass By 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 and the information f have provided is correct. I agree to comply with all applicable city and county ordinances a d s ate laws relating to building construction. I authorize representatives of this city or county to. r the v -1 niified property for inspection purposes. Signature of Property Owner or Authorized PrmlPropertyOwner's or Authorized Agents Name /�yl—� (/l.� Date` - ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY €; REGULATIONS PART El OFTITLE40AND AOMD RULE 1403 PERMIT EXPiR#'C _LA I SUBMITTED ASBESTOS NOTIFICATION TD FERMI-CANCELLE) PA PERMIT EXTEND--O AQMD ffRM.7 FINA! ,SBEST05 NOTIFICATION 15 NOTAP (CABLE TO CERTIFICATE O' I�Z'�'r1 DA_J_ R POSEDD ION OCCrIPANCYISVILD i.. SIGNATURE: