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Home My WebLink AboutXR2023-2083 - Permits�E Poi, City of Newport Beach 11�1 IIIIIIII 1111111111111111111111111111111111111111111 111� 111 COMB Permit: XR2023-2083 1�1 Community Development Department- Building Division X R 2 0 2 3 2 0 8 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1821 Permit Counter Phone: (949) 71 B-1888 Issued Date : 0712812023 newportbeachca.gov/civic Final Date: Cq</F00.N�P 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 : 11 TURNBERRY DR Description: SFR MASTER BATHROOM REMODEL 275 SF Owner: CHASES JEANNETTE M TR Address : 11 TURNBERRY DR NEWPORT BEACH, CA 92660 Phone: (714)515-2094 Applicant: JEFFREY CORKREY Address : 1701 E EDINGER AVE STE Bt SANTA ANA, CA 92705 Phone: (714)558-1094 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : 2022 V-B U,R-3 Front: 10, Side: 5, Side: 5, Rear: 10 X PC - Aeronutronic Ford PROCESSED BY: SPECIAL CONDITIONS: Legal Desc : N TR 15387 BLK LOT 17 Contractor: BURGIN CONSTRUCTION INC Address : 1701 E EDINGER AVE STE B1 SANTA ANA, CA 92705 Phone: (714)558-1094 Con State Lie : 716244 Lie Expire : 05/31/2025 Bus Lie: BT30081406 Bus Lie Expire : 04/30/2024 Workers' Compensation Insurance Carrier: PALOMAR SPECIALTY INSURANCE COMPANY Policy No : PSIC0701228801 W. C. Expire: 10/28/2023 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories : 2 7^� Architect Address Phone : ��r--� State Lie: 4-lI_ Engineer: Address: Phone : Designer: JEFFREY CORKREY Address : 1701 E EDINGER AVE STE B1 SANTA ANA, CA 92705. Phone: (714)558-1094 Construction Valuation : $25,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I thereby affirm under penalty of perjury that I are exempt trom the Contractors' State License Law for the reason(s) indicated below by the eheckmark(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, dernolish, or repair any structure, prior to its issuance, also requires the applicant for IG 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 Ile or she is exempt from licensors 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 L) all of or U portions of the work, and the structure is not intended oroffered for sale (Section 7044, usiness and Professions Code. The Commmors' 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, 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 poly 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 I am exempt from licensure 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 legallt oil a structure that I have built as an owner -builder if it has not boon constructed in its entirely 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:http:(iwwsv.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 0) o DIVI 'on 3 of the Business and Or i de, and my icaasa is In full farce no effect License Class License No Date Contractor Signalor VORKERS' COMPENSATION DECLARATION 'ARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL H ,000t, N AODRION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES - hereby affirm under penalty of perjury one of the following declarations: J I have and will maintain a certificate of consent to self -insure for workers' compensation, 155ued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for lh erformance 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' carrier and policy number are: Policy Number of Agent Date 11 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 ial, If I should becom s bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -ipnalure of Applicant _ ._________.___._._.___ ._._.�___._.. Data ,ECLARATION REGAL I 'bf, IN .._,.. Cn LEN ING AG CY hereby affirm under pe fly Of perjury that there is a co on lendin agency for the performance of the work for which this permit is issued (Section 3097, full Code). ender's Name Lenders Address y 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 comply with all applicable city and count ordinances and state laws relating to building construction, I authorize representatives of this city Dr county/entgrihe-above-Identlfieroperty for inspection purposes. Or Authorized Aoent's Name ACTION DATE BY °1, DECbARAT10R OF MP CEYA+r7t1 CODE Or FEDERAL FOR OFFICE USE ONLY ✓ 1 \ y1 R GJLATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIPED I SUBMITTED ASBESTOS NOTIFICATION TO P€RlMIT EXTEND QM p 11 PERNN7FINA! j ' 3ES T OSN TIHCAt1ONISN07- CERTIFICATE OF i I i41 1 L PROPOSFD + 10LITI OCCUPANCY ISSUED I 1 SIGNATURE: