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HomeMy WebLinkAboutXR2023-1512 - PermitsagWeO"T City of Newport Beach ��������� 1111111111111111111111111111111111111111111 111� 11COMB Permit : XR2O23-1512 04 x� _ 1 Community Development Department- Building Division X R 2 0 2 3 1 5 1 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1361 u r S Permit Counter Phone: (949) 718-1888 Issued Date : 10/19/2023 .e.newportbeachca.gov/civic Final Date: Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - Alteration 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 : 22 RUE CANNES Legal Desc : N TR 7519 BLK LOT 16 Description: ATT SFR KITCHEN/BATHROOM REMODEL 388 SF+I23 -tw41r Owner: RAAFATI SALEY Address : 22 RUE CANNES NEWPORT BEACH, CA 92660 Phone: (714)260-2630 Applicant: JENINE - CONSTRUCTION Address : 9930 13TH ST GARDEN GROVE, CA 92844 Phone: (714)716-7596 Owner/Builder : Address : Phone Contractor: JENINE-CONSTRUCTION Address: 9930 13TH ST GARDEN GROVE, CA 92844 Phone : (714) 716-7596 Con State Lie : 780542 Lie Expire : 06/30/2024 Bus Lie: BT30082843 Bus Lie Expire : 10/31/2024 Workers' Compensation Insurance Carrier : Policy No : EXEMPT W. C. Expire : Architect Address Phone: State Lie Engineer Address Phone Designer: JENINE - CONSTRUCTION Address : 9930 13TH ST GARDEN GROVE, CA 92844 Phone: (714)716-7596 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $94,400.00 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 : 240 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 10, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC - Big Canyon 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 item(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, prior to Ifs 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 tie or she is exempt from licensure and the 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 1$500). © 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, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employee-.s' ar 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 riot built or improved for the purpose of sale). F1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsSlate License Law does not apply to an owner of property who builds or improves thereon, and who contracts fur the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason By my signaturo 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 Iegalll sell a structure that I have built as an owner -builder if it has not been constructed in its antircly 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 or at the following Web site:httpiliwww.leginfo.ca.govfcalaw.html. Signature of Property Owner or authorized Agent ._._ ......... _❑ate—,__u_! LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7000) of Drvi ion 2&of the Business and Professions Code a is in full force and effect. License Class License No Date } Contractor Signature �� WORKERS' COMPENSATION DECLARATION _ WARNING: FAILURE TO SECURE WORIKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS P000A00), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS psovtoED FOR IN SECTION 3706 OF THE "SOP CODE, INTEREST, AND ATTORNEY'S FEES. Ihereby affirm under penalty of perjury one of the following declarations: !D 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, for th 'performance 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` ranee carrier and policy number are: Policy Number of Agent Date 11 certify trial. 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 rat, If I should become subject to the workers compensationprop 3700 of the Labor Cade, I shall forthwith comply with those provisions. ignature of Applicant ... ... _......_—___ �.�_ ... ... Date__ /d ECLARATION REGARDING C4N57RUCT14N LENDING AGENCY 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). Finder's Name Lenders Address y nay signature below, certify to each of the fallowing: I am the property owner or authorized to act on the property owner's behalf. I have read thls application and the information I have provided Is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -ben He pro a inspection purposes. fr r ianature of Property Owner or Authorized Aaett Print Procertv Owner's or Authorized Aeent's Name Z�ry ' �� o uL_I Date ACTION DATE. BY DECLARATIONS. OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND ACLMO RULE 1403 FOR OFFICE USE ONLY I PERMIT EXPIRED 5 IHMITTEP ASBESTOS NOTIFICATION TO PER W T CANCELLE O [i P PERMIT EXTENDED_ .__.... ._... ............... .. _ ..... ........: IIM1ZD_.. .. ---------- PERYIFT FINAL ION 15 N01" APPLICABLE TO CERTI°!LATE OF p�kOPOSEO DEMOLITION OCCUPANCY ISSUED oIGNArllRE•