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HomeMy WebLinkAboutXR2023-3243 - Permits�EWPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-3243 Community Development Department- Building Division X R 2 0 2 3 3 2 4 3 > a. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2778 Permit Counter Phone: (949) 718-1888 Issued Date : 11/1512023 .s. newportbeachca.gov/civic Final Date: C4G/FO�H`P Combination Type - SFP ELEC PLUM Permit Status: Issued Work Class - Other Inspection Area : 6 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: 1 PORTICA Legal Desc : N TR 15487 BILK LOT 13 Description: SFR REMODEL EXTERIOR KITCHEN 200 SF INCLUDING PLUMBING AND ELECTRICAL d im 4..�9 0 '�.f- i t•. Owner: JOSEPH LASKOWSKI Contractor: SEA POINTE CONSTRUCTION Architect Address : 1 PORTICA Address : 576 WALD STREET Address NEWPORT COAST, CA 92657 IRVINE, CA 92618 , .. Phone : Phone : (949) 279-0421 Phone Con State Lic : 665114 State Lic Lic Expire : 02/28/2025 Applicant: SEA POINTE CONSTRUCTION Bus Lic : BT30016203 Engineer Address : 576 WALD STREET Bus Lic Expire : 07/31/2024 Address IRVINE, CA 92618 Phone: (949) 279-0421 Workers' Compensation Insurance Phone: Carrier: EVEREST PREMIER INSURANCE CO Owner/Builder : Policy No : 7600001365231 Designer: SEA POINTE CONSTRUCT]CN Address : W. C. Expire : 3/1/2024 Address: 576 WALD STREET IRVINE, CA 92618 Phone: Phone : (949) 279-0421 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $20,000.00 Type of Construction : V-B Fire Hazard Zone : YES Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newport Ridge PROCESSED BY: SPECIAL CONDITIONS: FUEL MOD, SP IAL FIRE PROTECTION AREA OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reeson(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 permit to construct, alter, 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 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 ($50D). 0 1, as owner of the property, or my employees withwages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professicns 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. Ir, 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 sate). © 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 propertywho builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under life Contractors' Stale License Law far the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owmar-buildor if it has not been constructed in Its antiroty by licensed contractors. 1 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 oral the following'Neb site:http:flwww.leginfo.ca.govfcalaw.html. Signature of Property Owner or Authorized Agent ___..._ Date ?M5 LICENSED CONTRACTOR'S DECLARATION I hereby affirm orr�izr fanalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S tion 7 00,),es Qivi ib 3 of the Bus'tnes Profess' s Codeis n lull force and effect. License Uass License No j Contractor S nature W0SKERS' S•DMPh:NSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tSi D0.000). IN ADDITION TO THE OJST uF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR Cope, INTEREST, AND ATTORNEY'S FEES ;heovy affirm urder penally of perjury one of the following declarations: 0 1 trio and will maintain a certificate of consent la self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th rformance of a c work for which this permit is Issued. Policy No. v and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pe it is issued. My workers' compensaiior iiisNance carrier al A PCP�Lr Ire,)��L�� / "lA� _ /J J ! O C'arr!er �y Policy Plumber / '� Expiration Date Name of Agent I Phone # 111 D' rPrtiiy that, in the pe,iormanae of the work for w ich his permit is Issued, shall not employ any person in any manner so as to become subject to the workers' companSatJon la s of California, and agree that, if I should becom tact to the wD�jteryco e - align provisions of Section 3700 of the Labor Code, shall forthwith comply with Those provisions. (/f�// Signature of lice _ D' a� DECI-RIiA. N G ING CON5TRUCTI NDINCa AGENCY ITareby a irm under penalty of perjury that theca is a construction lending agency for the performance of the work for which this permit is issued (Section 30vi1 Code). LenNa ders Lender's Address By my signature below, I certify to each of the following: I am the properly owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is come 1 agree to comply with all applicalbtPty and c'ounty,ordlnan and la laws relating to building construction. ` I authorize representatives of this t or county C nter the - -e rifled property for inspection purposes. //�-� �. / r+ Signature of Pro. erty Owner or Auth izad g Print Property Owner's or Authorized A ants ins ) � -Ct- a ACTION DATE DECLARATION OFCOMPLIANCE V. ITif CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART fit OFTITLE 00 AND AONID RULE 1403 PERMITEXPIRED i LJ I SUBMITTED ASBESTOS NOTIFICATION TO P€RANT EXTENDED LJAt1MD PERMNTFINAL E OS NOl IFILAItON IS NOT APPEICABLE TO CERTIFICATE OF Q P EDIT//'n-LI�TE OCCUPANCYiSSUEP l 1iw SIG TURE,?75