HomeMy WebLinkAboutXR2023-1760 - Permits04,�-
City of Newport Beach 111111p111111111111p1111111111111111111111111111111111 JillCOMB Permit : XR2023-1760
Community Development Department - Building Division X R 2 0 2 3 1 7 6 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1556
Permit Counter Phone: (949) 718-1888 Issued Date : 06/2712023
newportbeachca.gov/civic Inspection Area : 4
ComCombination Type - MFP ELEC 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 : 3429 COLONY PLZ
Description: MFR ALT (E) SHOWER ENCLOSURE 18 SF
Owner: THE COLONY AT FI LLC
Address :
NEWPORT BEACH, CA 92658
Phone : (949) 939-4889
Applicant:
Gregg Kaiser
Address :
1461 N Daly St
Anaheim, CA 92806
Phone:
(951) 316-1849
Owner/Builder
:
Address :
Legal Desc : N TR 15178 BLK LOT 1
Contractor:
NATIONAL RENOVATION INC
Architect
Address :
PO BOX 78810
Address
CORONA, CA 92877
Phone:
(951)275-1710
Phone:
Con State Lic
: 956793
State Lic
Lic Expire :
01/31/2025
Bus Lic:
BT30062023
Engineer:
Bus Lic Expire : 01/31/2024
Address
Workers' Compensation Insurance
Phone
Carrier: INSURANCE
CO OF THE WEST
Policy No:
WVE506190300
Designer
W. C. Expire:
9/1/2023
Address
MUSSER DAVID
320 E GREENWOOD AVE LA HABRA, CA
90631
(714)241-8944
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation :
$10,000.00
Type of Construction :
V-A
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups :
U
No of Units :
18
Alteration sq. ft. Bldg :
18
Bldg Height:
No of Stories :
4
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks
Flood Zone:
X
Use Zone:
PC - North Newport Center
PROCESSED BY
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate license Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ftem(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter. improve, demolish, or repair any structure, prim to its issuance, also requires the applicant for
is 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
'rofessions Code) or that he or she is exempt from licensors and the basis. for the alleged exemption. Any violation of $action 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
I, as owner of the properly, or my employees with "gas as their sole compensation, will do (_) all of or L) portions of the work; and the structure is not Intended or offered fix sale (Section 70",
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 properly, provided that the
nprovemenls 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 exclusively contracting with licensed Contractors to Construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
T€y 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).
I am exempt from licensors under the Contractors' Slate License Law for the following reason:
y 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,
all a structure that I have built as an o Sr -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 mat the following Web site:htipa/www.leginfo.ca.gov/calaw.html.
ignature 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 7000) of Divon' '3 of the Business and Profs jpns,d�and my license is In full force
nd effect. License Class License No Date 2't 2 Contractor Signature
JORKERS' COMPENSATION DECLARATION
FARMING: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO
: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:
DOLLARS ($ 00,000), IN ADDITION TO THE
I have and will maintaina 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
rormance of the work for which this permit is issued. Policy No.
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'
carder and policy number are:
Policy Number
of Agent
Date
Certify that, in the performance 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 workers' compensation laws of California, and agre
k, if I should become subj t to?he workers' compensallon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature Of Applicant _,.,✓� Date
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby 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).
idler's Name Lenders Address
my signature brInrr, I Certify to each of the following:
t am the prope-t� c'vner or authorized to act on the property owner's behalf.
I hags read this a-irlication and the Information I.have provided is Correct,
t agree to comply wiin all applicable city and county ordinances and state laws relating to building construction.
I au,hmize representatives of this city or county tenter the aWeldentiffed property for inspection purposes.
DATE. ! 0Y DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
f I REGULATIONS PART fit. OF TITLE 40 AND AQMD RULE
PLANd,
APPLICABLE TO
CERriF[CATE OF F 7 ( , I SIGNATURE:
OCCUPANCYISSOED