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HomeMy WebLinkAboutXR2023-0845 - Permits¢��WP0RT City of Newport Beach d Community Development Department- Building Divisior �Aq 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 k Inspection Requests Phone: (949) 644-3255 'cq�rFoa�'�P newportbeachca.govlinspections Combination Type - SFP Work Class - Other 111111111111111111111111111111111111111111111111111111111jj COMB Permit : XR2023-0845 Plan Check No : 1106-2022 Issued Date : 03/30/2023 Inspection Area : 4 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 : 2715 VISTA UMBROSA Legal Desc : N TR 6905 BILK LOT 49 Description: MFR - R/R TRELLIS, REMODEL EXIST'G FIREPLACE, RELOCATE WATER HEATER, REROOF, REPAIR ROOF EAVE AT ENTRANCE, REFRAME PORTION OF EXIST'G RAFTERS & DTLS & EXTEND EXT'G TRELLIS (REV2023-0297) *CHANGE OF CONTRACTOR* Owner: BEVERLY CORCORAN Address : 2715 VISTA UMBROSA NEWPORT BEACH, CA 92660 Phone : (949) 310-375B Applicant: BEVERLY CORCORAN Address: 2715 VISTA UMBROSA NEWPORT BEACH, CA 92660 Phone : (949) 310-3758 Owner/Builder : Address : Contractor: ELITE CABINETS INC Address: 5402 OCEANUS DR HUNTINGTON BEACH, CA 92649 Phone: (949) 331-5441 Con State Lie : 1078435 Lie Expire : 07/31/2023 Bus Lie : BT30081135 Bus Lie Expire : 07/31/2023 Workers' Compensation Insurance Carrier: BENCHMARK INSURANCE COMPANY Policy No: CST5023914 W. C. Expire: 7/14/2023 Architect: LA ROCHE DENIS A Address : PO BOX 3708 TUSTIN, CA 92781 Phone : (949) 939-3047 State Lie : Engineer: HOAD AUREA Address : PO BOX 1692 SUNSET BEACH CA 92742, CA 92742 Phone : Designer Address Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-S 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 : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 ... > Building Setbacks Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: `CHANGE OF CONTRACTOR" -170 PEMIT XgZ23. 01'31 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 Item(s) (Section 7031.5, Business and Professions Code: Arty city or county that requires a permit to construct, altar, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the 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 Hoonsuro 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 not more than five hundred. dollars ($500).. El I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 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 mproved 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 Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). El I am exempt from licensureunder the Contractors' State 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 ID completion of the improvements covered by this permit, I cannot logalb sell a structure that I have built as an owner-buildar if it has notbeen constructed in its entirety by licensed contractors. I understand that a copy of the. applicable law. Section 7044 of tho Business and professions Code„ is available upon request when this application is submitted or at the following Web site:http:llwww.teginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION — hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Divi. "on 3 of the Business and Profes7ns Code rid wy Iicense.is In full force: and effect. License Class License No Data �! Contractor Signature NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WOR%Efts' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,e006 IN ADDITION TO THE ?O rn OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TDS OF THE LABOR CODE; INTEREST, AND ATTORNEY'S F£ES. hereby affirm underpenalty of perjury one of the following declarations: 1 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 IN >erfor ante of the work for which this permit is issued. Policy No. 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' compensatior Dsurance carrier and policy number are: ` Policy Number Expiration Date of Agent - _ c�-- N I 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 Calitomla, and ogre malureshould of Applbecome ica /sub set to thework 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With (hose Rcovisions. Data CLARATION REGA RING CON /I//GT/t' CN LENt31NG AGENCY "�7"" � 3reby affirm under penalty of perju that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ides s Name Lenders Address 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 provided is correct. I agree to con,ply witf, all applicable city and county ordinances and state laws relating to building construction. I authUrize representatives of this city or county to nter the DOC a -id fled property for inspection purposes. / /J nature of PropuR Owuar or Authorized Agent / tt�eiL�j ( jn12 O/��., Print Property Owner's or Authorized Acent's Name DATE RY DECLARAT16NoF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS. PART 51 OF TITLE AO AND AQMD RULE PER,v6 LATENDED C]AQMD PERN" FINAL /'D 2D1 P9,ASKSIOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICA,EOF I PROPOSED DE I7pON /J OCCJ?,1i iCYi55UED StGNA7OREe •l. �iilV il/g