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HomeMy WebLinkAboutXR2023-1361 - Permits�EWPoRT City of Newport Beach i II Community Development Department- Building Division COMB Permit : XR2O23-1361 10D Civic Center Drive, Newport Beach, CA 92660 m x R 2 9 2 3 1 3 6 1 Plan Check No : 2558-2021 S Permit Counter Phone: (949) 718-1888 Issued ssued Date : 05/24/2023 °gciFoa" `P Combination Type - MFP ELEC ?*. t !'�' ""' ""' �'^*,-^'- .-, Inspection Area: 4 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: 92 OCEAN VISTA Legal Desc : N TR 9676 BILK LOT 13 UN 115 TR 9676 LOT 13 UNIT 115 OF PROJE CT LOCATED ON AP Description: MFR *ADDITIONAL SCOPE* REWIRE ENTIRE HOUSE, LED LIGHTS Owner: JOEL GO Address : 256 W TULIP TREE AVE ORANGE, CA 92865 Phone Applicant: CARPE DIEM CONSTRUCTION INC Address : 366 A 15TH STREET COSTA MESA, CA 92627 Phone: (949)423-9235 Owner/Builder : Address : Contractor: CARPE DIEM CONSTRUCTION INC Address : 366 A 15TH STREET COSTA MESA, CA 92627 Phone : (949) 423-9235 Con State Lie : 1055080 Lie Expire : 06/30/2023 Bus Lie: BT30074368 Bus Lie Expire : 02/28/2024 Workers' Compensation Insurance Carrier: ACCREDITED SURETY AND CASUALTY COMPANY INC Policy No: 1ATCA160057620 W. C. Expire : 8/22/2023 Architect Address Phone: State Lie Engineer: BURKE LEO Address: 34167 PACIFIC COAST HWY #D DANA POINT, CA 92629 Phone: (949)226-7130 Designer Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $20,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units: 1 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 - Sea Island Apartments ' 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) indicated below by the checkmark(s) I have placed next to the applicable items) ;Section 7031.5. Business and Professions Code: Any city or county that requires a pemlit to construct, alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for .he 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 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 der a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500). ❑ 1, 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 employeesor 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 built or Improved for the purpose of sale). 1, 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 a ply 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 Iicensure under the Contractors' State License Law for the following reason _ --- cann_ __ __legally By my signature below I acknowledge that, except for my personal residence in which I must have resided forat least ono ar prior to complahon of the improvements covered by this permit, I ot ye sell a structure that I have built as an owner-buildor it it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the ausiness and Professions Code., is available upon request when this application is submitted or at the following Web site:http:IJwww.leginfo.ca.govlcalaw.html. Date Signature of Property Owner or Authorized Agent —`— LICENSED CONTRACTOR'S DECLARATION icense is In full farce aiI hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ToLL%, f Div'ulio 3 the Business and Pro sale and effect. License Class License No 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 HUNDREDTHOUSAND DOLLARS IE70a,e00}, 3N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STOS OF THE LABOR CODE, INTEREST, ANC ATTORNEYS 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 Industrial Relations as provided for by Section 3700 of the Labor Code, forth Onto Ines of the work for which this permit is issued. Policy No. I 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" compensatio '.. insurance and and policy number are: '', ltarrlar Policy Number Expiration Date is of Agent certify that, In the performance if I should become subject of for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. SI�Y %zDZ��" 7 Date / [ / fECLARATIOWIREGARUING UVNJ I KUUI ILIN LKINLem" n 111I 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). .ender's Name Lender'sAddress _ iy 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 I have pmvided is correct. I agree to Comply v,i'h all applicable city and county ordinance n to laws relating to building construction. I authorize repro .n'atives of this city or county to ante entitled property for inspection purposes. it ;i3''rc ^f Pro. arty Owner or Authorized A ant Print Property Owner's or Authorized A ent's Name ACTION DATE I DECLARATION OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 IRMITTPD ASRFSTOS NOTIFICATI0NTO PERIViTEa.ENOED _ 6, 6L 9!!00 __�_ _._....— PERUN7 fIMp1 'l ��)—%�Q (/ Zuu'(,*SBE5T05 NOTIFI4:A'IIODYt ��� IC LE To CE3T! ICA. E OF � ' � "/ 7 PROPOSED DEMO OCCUPANCYISSUEV SIGNATUR