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Home My WebLink AboutXR2023-1077 - Permits�Pq"r City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIII II COMB Permit: XR2023-1 O77 D4 e Community Development Department- Building Division X R 2 0 2 3 1 0 7 7 F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0960 V > Z Permit Counter Phone: (949) 718-1888 Issued Date : 04/26/2023 newportbeachca.gov/civic Inspection Area : 6 C9G/F00.0.�P Combination Type - SFP ELEC Work Class - Alteration 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 : 619 JASMINE AVE Legal Desc : A TR CORONA DEL MAR BILK 636 LOT 19 Description: SFR REPLACE DAMAGED DRYWALL/INSULATION; REROOF T/O COMP REPLACE WITH METAL ROOF 3.8 SQ (ESR 2385); T/O ROLLED ASPHALT ON FLAT ROOF REPLACE WITH ROLLED ASPHALT 7 SQ Owner: Chuck EBNER Contractor : Architect: Address : 619 JASMINE AVE Address : Address CORONA DEL MAR, CA 92625 Phone : (949) 310-0556 Phone : M1 Phone: Con State Lic : State Lie Lic Expire Applicant: Chuck EBNER Bus Lic: Engineer Address : 619 JASMINE AVE Bus Lic Expire : Address CORONA DEL MAR, CA 92625 Phone : (949) 310-0556 Workers' Compensation Insurance Phone Carrier : Owner/Builder : Chuck EBNER Policy No: Designer Address: 619 JASMINE AVE W. C. Expire: Address CORONA DEL MAR, CA 92625 Phone : (949) 310-0556 Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY SPECIAL CONDITIONS: ADDED APPROX 26 CANNED LIGHTS $24,700.00 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 13 t, 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, Business end 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 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 bullt or Improved for the purpose of sale), 0 1, 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 property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 0 I am exempt from licensure-under the Contractors' Slate 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 owner -builder 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 Professions Code„ is available upon request when this application is submitted or at the following Web site:hltp:llwww.leginfo.ca.gavlealaw,html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I 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 and effect. License Class License No Date Contractor Signature NORICERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRpMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 370e OF THE LABOR COPE. INTEREST. AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: I have end will maintain a certificate of consent to self -insure for workers' compensajion,'issaued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for th >erformance of the work for which this permit is issued. Policy No, have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Pence carder and policy number are: Policy Number Expiration Date of Agent certify that, in the performance of the work 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 if I should become subject to the workers' compensation provisions Of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 9gnature of Applicant Date._ IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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). 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 and the information I. have provided Is correct I agree to comply with all applicablecity and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. ldnature of Prooartv Owner or Authorized Agent Print Prooerty Owner's or Authorized Aaerl Name BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RU1E PERMIT CINCE1LEO OEPA PERMIT E::tE.dO:D LJAqmo PERMIT FINAL �" ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFiCATEOF ��T/Z PROPOSED DEMOLITION OCCUPANCY rS`L'E9 SIGNATURE: