HomeMy WebLinkAboutXR2023-1690 - Permits�EWPO City of Newport Beach
o� RT Community Development Department -Building, Division COMB Permit : XR2023-1690
X R 2 0 2 3 1 6 9 6
y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 718-1888 Issued Date :
a rawportbeachca.gov/civic Inspection Area : 6
Cq�IFORN�P Combination Type - MFP ELEC MECH PLUM
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: 116 LESSAY Legal Desc : N TR 14798 BILK LOT 14 UN 88 TRACT 14798, POR LOT 14 OF PROJE CT 936-46 LOCATED
Description: DETACHED MFR MASTER BATHROOM REMODEL 300 SF *CITY STANDARD*
Owner: CHIUNG-FU HU
Contractor: BARACA REMODELING INC
Architect
Address : 116 LESSAY
Address : 23185 LA CADENA DR #104
Address
NEWPORT COAST, CA 92657
LAGUNA HILLS, CA 92653
-
Phone :
Phone: (805) 453-9550
Phone:
Con State Lic : 1072805
State Lic
Lic Expire : 01/31/2025
"
Applicant: BARACA REMODELING INC
Bus Lic: BT30078721
Engineer:
Address: 23185 LA CADENA DR #104
Bus Lic Expire : 05/31/2024
Address:
LAGUNA HILLS, CA 92653
'
Phone: (805) 453-9550
Workers' Compensation Insurance
Phone:
Carrier :
Owner/Builder:
Policy No: EXEMPT
Designer:
Address :
W. C. Expire:
Address:
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$50,000.99'
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg:
0 ;
Occupancy Groups : U,R-2
No of Units : 1
Alteration sq. ft. Bldg
0
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage:
TOTAL sq. ft.:
0
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone: X A, t
Use Zone: PC - Newport Ridge 64e
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applcant for
ne 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
rrofessions Code) or that he or she is exempt from licensure 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
of more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved for the purpose of sale).
1 I, as owner of the property, am exclusiveiy contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply 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).
1 1 am exempt from licensure under the Contractors' State License Law for the following reason: _
Iy 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, Lcannot legall
ail a structure that I have built as an owner -builder if it has not been constructed in Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:httpJiwww.ieginfo.ca.govlcalaw.html.
Ilgnature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0p) of Divi ion 3of the Business and P Slone Code, and my license is in full forge
Fit effect. License Class License No Dat CO / Q� Contractor Signatu aVyl
PORKERS' COMPENSATION DECLARATION
`ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CHNI AL PENALTIES AND CIVIL. FINES UP TO ONE
DST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS Free.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will rot iotain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as
ednrmpvre of the vc-P for which this permit Is issued. Policy No.
DOLLARS I1100,0001. IN ADDITION TO THE
provided for by Section 3700 of the Labor Code, for
have and will maimain 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'
I. nee carrier and policy number are'.
Policy Number
of Agent
Date
L P.Prnhr the I. in.'he perf mance 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 ' mpensation laws of California, and agre
t� should became u ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
.na:,;.t, of Applicant_: o v i` Dat (o 43
^.LARATION RSGA. 'N ONSTRUCTION LENDING AGENCY
�rohy pfrirm under pe Sty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, C II Cotle).
.dar's Name _ Lender's Address
my signature 71 vv I cartify 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 I he a provided is correct.
I agree to comply with all applicable city and c u,1 ordinances and state fawn relating to building construction.
I authorize representatives of this city or coon o Filer the aWve-identified property for Inspection purposes. Iij1
nature of PTODertV Owner or Authorized Adanl M CW - Print Pronadv Owncrr'c or AnlhnA74H Ananfa Namd \ r O /ao//Z
DATE I BY 'I REGULATIONS OF COMPLIANCE
O 1 LIANTITLE I TH AND DE OF EDIERAL FOR OFFICE USE ONLY
PERMIT EXPIRED I 1 LJ SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED rn
VLRNNI tINAL UASBESTOS OTIFICAt"ION IS NOT APPLICABLE TO
CERTIFICATE OF r�l'Z�is Dh"I' PROPOSEqVrVIOLITION
OCCUPANCY ISSUED stGNATu /J ON\ll