HomeMy WebLinkAboutXR2023-2342 - Permits�EWPORT City of Newport Beach III�II �IIIIII�III�IIIIIIIIIIIIIII II
Community Development Department- Building Division X R 2 0 2 3 2 3 4 2 COMB Permit:XR2O23-2342
s 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 718-1888 Issued Date : 08/23/2023
�a. r newportbeachca.gov/civic Final Date:
Cq(/Fn RN'�P Combination Type - SFP ELEC MECH PLUM Permit Status: Issued
Work Class - Alteration Inspection Area : 8
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 : 1612 CORNWALL LN Legal Desc : N TR 3607 BLK LOT 18
Description: SFR KITCHEN REMODEL 300 SF *WORK IN PROGRESS* STANDARD PLAN
Owner: JOAN WINBURN
Address : 1612 CORNWALL LN
NEWPORT BEACH, CA 92660
Phone: (714)724-5009
Applicant: MARC WINBURN
Address : 15332 YORKSHIRE LN
HUININGTON BEACH, CA 92647
Phone: (714)724-5009
Owner/Builder : JOAN WINBURN
Address : 1612 CORNWALL LN
NEWPORT BEACH, CA 92660
Phone: (714)724-5009
Contractor
Address:
Phone :
Con State Lie
Lie Expire
Bus Lie:
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone:
Designer:
Address
Phone:
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation :
$20,000.00
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 :
300
Bldg Height :
No of Stories : 1
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 10
`
Flood Zone :
X
Use Zone:
R-1 - Single -Unit Residential
PROCESSED BY, D� AS BUILT PERMIT
SPECIAL CONDITIONS: EXPOSE ALL STRUCTURAL,
ELECTRICAL, PLUMBING, At'--)
MECHANICAL COMPC3"'111E; '5
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 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
Pr frisslons Code) or that he 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
n t more than five hundred dollars ($500). 'Its(' ''
as owner of the property, or my employees with wages as their sole compensation, will do7ayl of or (_) 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 owns of p party 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
improved 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
a,P,p€y 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),
L„I I am exempt from Iicensure under the Cuntractors' 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 to completion of the improvements covered by this permit, I Cannot legall,
sell a structure that I have built as an ownor-bu idor if it has not been constructed in its onfroty by licensed contractors. I understand that a copy of the applicable law, Section044
3. of the Business and
Professions Code„ Is available upon request when th1 15ait'n i ubmtted or at the following Web site.http:(iwww.leginfo.ca,govlcalaw.html.
Signature of Property Owner or Authorized 81 „� Daly
LICENSED CONTRACTOR'S DECLARATI I�Aa\'
I hereby affirm under penalty of perjury that I am licensed und'ef OF $to s of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions CO , and my llcetise is In full force
and effect. License Class LicensaNb Date Contractor Signature,
COMPENSATION DECLARATION
iARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t61 DO,000j., IN AUDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
3 1 have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth
performance of the work for which this permit Is issued. Policy No.
have and will maintain workers' compensation insurance, a$ required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers`
rance carrier and policy number are:
Policy Number
IS of Agent _
Date
2 certify that, in the pert manse of th 'ork 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 agra
)at, If I should become bject to tha' orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -
-ignslure of Applicant -r�G `
DECLARATION REGA ING RUCTION LENDING AGENCY I,�J(�
hereby affirm under penal /of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, vil Code).
enders 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 andthe information I have provided is correct.
I agree to comply with all applicable city Softcounty ordinances and state laws relating to building conslmetion.
I authorize representatives of this city or cc ty to enter the'above-identifies properhl for inLpe�tloo purposes.
denature of Prooeriv Owner or Aulbodzad Aae I - _ Pnn! Pr„ pe. ty Owl lers or Authorized Agent's Name
ACTION DATE WI` UECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY ✓ ` y \
REGUtAI IONS PART57 OF TITLE 40 AND AgMD RULE
PERMIT EXPIRED - + [SUBMITTED ASBESTOS NOII❑CATION TO
PERMIT CANCELLED - 7,
PERMIT EXTENDED ---/j OMD
PERMIT FINAL S9ESTO5 FICANON IS NO1' APPLICABLE TO'
CERRFICATE OF 7 / ft6 SFO fl OLITION
OCCUPANCY ISSUED SIGNATURE:
.._ —