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Home My WebLink AboutXR2023-0805 - PermitsO``��W�R ecn CComyuoif Development Beam'ent-Building Division Illlf llllllll HI IIIIIIIYI IIulllllllllllllllllllll lull111 COMB Permit: XR2O23-0805 y 100 Civic Center Drive, Newport Beach, CA 92660 z 0 2 3 0 B e 5 IIIII s Permit Counter Phone: (949) 718-1888 Plan Check No: PC2023-0694 a newportbeachca.gov/civic Issued Date : 06/23/2023 Cq�/.", Combination Type - SFP ELEC MECH PLUM Inspection Area : 1 Work Class - Alteration PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS- FRO ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAVAN_ D)HOLIDAYS IN ALL AREAS V �+F Ai Job Address : 116 31ST ST Legal Desc : A TR NEWPORT BEACH CITY BLK 30 LOT 14 y' Description: SFR INTERIOR REMODEL OF KITCHEN AND BATHROOMS 415 SF �14 rl� Owner: CRONE JULIE Address : 116 31 ST ST NEWPORT BEACH, CA 92663 Phone: (310)850-7126 Applicant: SHAWN MOORE Address : 324 16TH STREET #F HUNTINGTON BEACH, CA 92648 Phone: (714)330-3688 Owner/Builder: CRONE JULIE Address : 116 31 ST ST NEWPORT BEACH, CA 92663 Phone: (310)850-7126 Contractor Address : Phone: Con State Lic Lic Expire: Bus Lic: Bus Lic Expire: Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3 No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks : Front: 9, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-2 - Two -Unit R ential PROCESSED BY: SPECIAL CONDITIONS: CCR $ HAUL DEBRIS Architect Address Phone: State Lic 41/EEKEND f' r; Engineer: ROSS SCOTT WILLIAM Address : 1800 E 16TH STREET #B SANTA ANA, CA 92701 Phone: (714) 835-2800 Designer: SHAWN MOORE Address : 324 16TH STREET #F HUNTINGTON BEACH, CA 92648 Phone: (714)330-3688 Construction Valuation : $200,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 415 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I her afltrm underpve, demolish, enaity aF perjury that ! am exempt from the Contractors' Slate license Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applYrabieitem(s) pe action 7031.5, Business end Rrpfessio he opsheAis I canaed pursuant to the provisions otftLheCnsite tractors' Stated License Law (Chapter 9 (commencing with Section 00) of Dior repair any structure prior to its issuance, vision 3 of the Business f and a permit lofile a signed statement lfia nfessions or Code) or that heor she is exempt from licensure and the bests for the alleged exemp€ion. Anyviolation ofSection 7031:6 by any applicant for aperm8 subjects the applicant to a civil penalty o it more then live hundred dollars ($500), rU rtcns-oftfie work; and the structure is not intended or offered for sale (Section 7044, I I, Be owner of the properly, or my employees with wages as their Sole compensa to an Ilowner ofall ofro art who, through employees' erpersonal effort builds or improves the property, provided that the usiness and Professions Code; The Contractors' State License LaW does no apply P P Y ,Prove are ..I nfended 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 ot iproved for the purpose of sale). Contractors to Construct the project (Section as owner of the property, ,aao builds or contracting iemonhlilicensed who contracts far therojects with a licensed Contract r pursuant to the Contractors' State License Law). Stale License Law does not Pp to an owner of property Provep 1 m exempt from lieensureunder the Contractors' Stale License Law for the fallowing reason: �y m signature below have built le age towns except f o'Lt It has not been silenceconstruIn which i h I most entirety v licensed sided for on t lea rs.l understand that a copy of the appticable, aw lSection 044 of the Business snandnot lega stTuctue rofesscns Code., is available upon request wh I app'cafion'is submitted or at Ifie following Web site:httpJlwww'•laglnfo.ca.govlcelaw.html. /� n signature of Property Owner or Authorized Agent .ICENSEO CONTRACTOR'S DECLARA7 - hereby affirm under penalty of perjury that I am licensed u der provisions of Chapter 9 (commencing with Section 7000) of Division 3 of thenntractBusiness s and Profesions Code, and my licenseisin full force ind effect. License Class License No Date PORKERS' COMPENSATION DECLARATIOf'1 rARNRIG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN.EMPLOYER TO GP91RU1L PEMALTEe AND DIM PINES UP TO ONE HUNDRED THOUSAND DOLLARS (SiSe.W01, IN AOOrrION T O T :DST OF COMPENSATOR, DAMAGES AS PNoviOED FOR IN SECTmN 3706 OF THE LASGR CODE. INTEREST, AND ATTaRNE'Y'9 FEEa. hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a Certificate or consent toself-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Coda, for ierronnance of the work for which this permit Is issued. Policy No. �I have and will maintain workers' compensation irrsumnce, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compansai nsuranee carrier and policy number are; Expiration Dale F—,_- _ Policy Number 06-con N s f Agent Brit that. in the performance of the work for which this permit is Issued. 1 shall not employ any person in any manner sac as to become subject to the workers' compensation laws of California, and agre if I hould become subject to a workers' compensation provisions. of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. Dat Zt�, — Z_:s -- ire of Applicant LARATION REGARD O S RUC O LENDING AGENCY hereby affirm under penalty of perjury that there Is a construction lending agencfoLenders nder' Arddress of the work for which this permit Is issued (Section 3097, Civil ode). y enders NamORM ly my signatuertify kJ each of the follrnMrig:I am the peror authorized to act on the. property owner's behalf.Ihaveteecation andihe information Lhave providetl is correct.I agree to h all applicable. city and County ordinanaea end slate laws I authorizeatives of tMs city or county toe tar the above -identified prii naiure of Pner or Authorized A enM1Oner's or Aulhorizetl AACTIONDATf BV ARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART Sl OF TRLE 40 AND AQMD RUtE PERMri FINA1 {{{A5BESTOSNOTIRCAITION tS NOT APPLICABLE TO CERTIFICATE OF //,9%y— PR POSEDD OL ON OCCUPANCY ISSUED / v� SiGNPIUR/ll 1 P/l F''1�Q ti