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Home My WebLink AboutXR2023-1927 - PermitsPORr City of Newport Beach o I �9 Community Development Department- Building Division j> 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - SFP ELEC MECH PLUM Work Class - Alteration a�� y OR COMB Permit : XR2O23-1927 Plan Check No : PC2023-1701 Issued Date : 07/26/2023 Fine[ Date: Permit Status: Issued 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 : 9 SINGLE TREE DR Legal Dese : N TR 15332 BILK LOT 67 Description: SFR INFILL OPEN AREA TO CREATE NEW 180 SF BEDROOM, 55 SF BATHROOM AND 31 SF CLOSET. 301 SF Owner: JASON BRIGULIO Address : 9 SINGLETREE DR NEWPORT BEACH, CA 92660 Phone: (480)861-6634 Applicant: BENLOEWEN Address : 8 HAMMOND, 102 IRVINE, CA 92618 Phone: (949)456-1234 Owner/Builder : Address : Phone: Contractor: LOFTCRAFTERS INC THE Address : 8 HAMMOND #102 IRVINE, CA 92618 Phone: (949)456-1234 Con State Lic : 463944 Lic Expire : 08/31/2024 Bus Lic : BT30020595 Bus Lic Expire : 09/30/2023 Workers' Compensation Insurance Carrier: EMPLOYEE SERVICE GROUP Policy No : C69981355 W. C. Expire:: 11/1/2023 Architect Address Phone: State Lic Engineer: YAGHI SHUCRI I Address: 112 E. CHAPMAN #D ORANGE, CA 92866 Phone: (714)997-9120 Designer: Address : Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $91,000.00 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 : 301 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone : PC - Aeronutronic Ford PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION t hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Rem(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 Its issuance, also requires the applicant for he 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 Tofessions Code) or that he or she is exempt from flcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fare permit subjects the applicant to a civil penalty of of more than five hundred dollars (5500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do C_) all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, usmess and Profassions 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 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). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code'. The Contractors' State License Law does not ply 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 am exempt from licensure under the Contractors' Slate License Law for the following reason _ _....... ............. ......... ___.._. ...._....._. iy my signalum below I acknowledge that, except for my personal residence in which I must have resided for at least one ycar prior to completion of the improvements covered by this permit, I cannot legall} all a structure that 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contraclors. I understand that a copy of the applicable law, Section 7044 of the Business and Tofessions Code, is available upon request when this application is submitted or at the following Web site;http:liwww,leginfo.ca.govicalaw.html, iignature of Property O'unsr or Authorized Agent _ Date .ICEN.SED CONTRACTOR'S DECLARATION hereby affirm under penally of pert'ury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ff Div sion 3 0f the Business and Profgqss��ho�r s Cod an¢ rpy licen e i iry. q s, full force no effect, License Class License No Date C1.CQ Contractor Signatureh%L.L�M,t/ A X VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKENT COMPENSATION COVERAGE IS UNLAWFUL. ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of panuryone of the following declarations: 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 drformanee of the work for which this permit is Issued. Policy No. ove and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit is issued. My workers' compensatior lsuranc arner an policy number are: (� (� '"� :arrier Q i 1(t'[�-.(� Policy Number 051\ 80 t)(Y C5 O\ Expiration Date iv p �oa-s lame of Agent Phone 7f JI certify that, in the performance of the work for which this permit is issued, I shad) not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre hat. if I should become subject to the workers cornp�en/satr�onn� provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. ilgnalure of Applicant!'\.Ld, .._,_,. .. _ Date_,_,.„L(LY•d.J>„_,j w�,n Ire by 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) )der'a Name Lender's Address my signature below, I certify to each of the followings 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 ayrce to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize, represenlatives of this city or count �jryn ,enter thel �7u�jve-iryent/�'fiieed,pr1perty ((Pr inspection purposes. �y ,�t 1 n p� p nail: e,.f Prnnerty Ownnr or Al lholrzed Ananl (7`A A71� &I �@L�CJ R P � 1/ Print Prooerty Owner's or Authorized Anont s Nan�,ol A J-1 11['l\�SL 41 ACTION DATE '', BY } DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART BI OF TITLE.40 AND ACEMD RULE PEAMITEXPINED ! LJISl1BMITTFDASRFiTCISNOTIFICATIONTO PERMIT (AM1'C'fl,l ED I PERMIT EXTENDED - LAOMD lE Ij�/(�/jy.3 SBLSrOS wUIIHCahION IS DO] APPLICABLE TO NFh Art CEH NFbia%E Or r PROPOSED ��11V,OIITIuOuN�yy ��,�AA p DCCJPAh,./65o E0 SIGNATURI � � r^t ilt C(kfTDSft poi(