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Home My WebLink AboutXR2023-2365 - PermitsD a�WIPoRT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 718-1888 u newportbeachca.gov/civic °9c, r•oar"P Combination Type - SFP ELEC MECH PLUM Work Class - Other jji11111111111111111111111111111111111111111111111111111111COMB Permit : XR2023-2365 Plan Check No : PC2022-2425 Issued Date : 08/25/2023 Final Date: Permit Status: Issued Inspection Area : 3 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: 78 PELICAN CT Legal Desc : N TR 12212 BLK LOT 48 Description: SFR ADD 27 SF AND REMODEL125 SF TO KITCHEN. RENEW EXPIRED PERMIT Owner: JENIFERLINSKY Address : 78 PELICAN CT NEWPORT BEACH, CA 92660 Phone Applicant Address : Phone ANDRESSANTANA 7177 BROCKTON AVE, 228 RIVERSIDE, CA_925.0_6 (951)880-5009 Contractor Address : Phone: Con State Lic Lic Expire Bus Lic : Bus Lic Expire Architect Address Phone: State Lic Engineer: Address: Phone MUTKA JASON RICHARD PO BOX 77144 A, CA 92877 (951) 5,12-276 Carrier : Owner/Builder: JENIFERLINS tL'�: 2-21'2Ll Policy No If applicable: Designer: HR& Address : 78 PELICAN qT W. C. Expire: Address : 717 NEWPORT B ACH 0 ❑ 80% or ❑ 100% refuact Phone: - Phone: (951) l k ASi Code Edition : 2Q22 CObv<r� id1Spi kl% >3 .'' to WIIOrYI: Type of Construction . V-'P# Fire Hazard Zone : NO Added/New/Tl sq. Occupancy Groups U F'-3 �Urs Alteration sq. ft. B Bldg Height: P` TrV 4 t i {7�7, F�� `F TOTAL sq. ft.q: ft. Building Setbacks Frnt Ide r> "tt; Flood Zone : X pis Use Zone : PC - Bayview PROCESSED BY: D�Geq s rya 6ELI s .0.Ar "" plan - SPECIAL CONDITIONS: IRWD (work started) (no work started) i1 N. Insp. iniflals:- IATES DRAFTING SERVICES FON AVE, 228 ;A 92506 27 128 0 27 ' ' OWNER -BUILDER DECLARA 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 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 Ic 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 'rofessidns Code) or that he or she is exempt from ficensure 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 penally of of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, usinass 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 aprovements are not Intended or offered for sale,. if, however, the building or Improvement is sold within one year of completion., the CwnerrvBuildar will have the burden of proving that it was not built or nproved for the purpose of sale). I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not Tally 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 ficensure under the Contractors' Stale License Law for the following reason: ___ ry 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 legal, all a structure that I have built as an ownor bmldol 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 a plic tion' ubmitted or at the following Web site:http:llwww.leginfo.ca.gov(calaw.btml. signal of Property Owner or Authorized Agent - ,, $�-�' _ ,__ Date __ 8 2� 23 .ICEN..SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO CST 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: I have and will maintain a certificate of consent to self -insure for workers' 'TeUirector of Industrial Relations as provided for by Seciil 3700 of the Labor Code, for ormance of the Work for which this per [o• {{�� }}nl(l-bl have and will maintain workers' compensation insurance, as required b cllo� 7@(� of the Labor Cow for the pLrtSr+ftidnce of the work for which this Perm i. issued. My workers' compensa vance carrier and policy number are: �,- __!Z--�— vL�oio rci U�iU rler fate: c-P6tfy Fuummber 80%EQxirQcn Date ne of Agent VeR__. -q t- Phone 4 certify that, in the performance of the work tdr w this mil Issued I .h mnt any, a In an a nannor tVt�s war ers' comps ration laws of California, and al If I should become subject to the workers' comp alto rov'rsjens 3(SeUlcn 3700 t �� I > agIlil Ch comply With those provisions. of Ireby affirm under penalty of perjury that there Is a I rder's Name -^ my signature below, I certify to each of tha folio Ind I am the property owner or authorized to act o the 1 have read this application and the Into if n 1 h I agree to compiv with all applicable city and ounl 1 author ize representallves of Ihls city of coonfy to o, Pi ari Owner or AI ACTION DATE - tsy PERMiTEXPREG , Z-T _ZW_G PERMIT EXTENDED P@.R,Vfli fYNAL CERTIFICATE OR OCCUPANCY ISSUED gier p,�:'Igif. _l L, ordinances and state laws relating to building construction. filer ,-idenfiqo property for Inspection purpoo" 1403 PROPOSED AND AQMD RULE NOTIFICAHONISN01'APPLICABLE TO Date — this permit is issued (Section 3097, Civil Code). W ri OFFICE USE ON,� l WOU!'C Insp. initials: Date