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Home My WebLink AboutXR2022-2637 - Permits�EWIPORT City of Newport Beach o¢ I o Community Development Department- Building Division y. 100 Civic Center Drive, Newport Beach, CA 92660 > Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cgQ,,Rlo newportbeachca.gov/inspections Combination Type - Work Class - Other COMB Permit : XR2O22-2637 Plan Check No : Gs�i_2o ZZ Issued Date : 1212012022 Inspection Area : 6 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 : 510 MARGUERITE AVE Legal Desc : P BK 303 PG 20 PAR 1 UN 1 PM 303-20, PAR 1 OF PROJECT 938-01 LOCATED ON Description: DELTA 1 REVISION & ADD'L SCOPE: ADD CONTRETE TO EXTERIOR HARDSCAPE TO CREATE A MAX 1" STEP @ (N) DOOR & DRAINAGE. Owner: AARON BOONE / BOONE KRISTIN Contractor : Architect Address: 510 MARGUERITE AVE #A Address : Address CORONA DEL MAR, CA 92625 Phone: Phone: Phone: Con State Lic : State Lic Lic Expire Applicant: AARON BOONE / BOONE KRISTIN Bus Lic : Engineer : BENJAMIN AMGAD SAMWEL Address: 510 MARGUERITE AVE #A Bus Lic Expire : Address : 24310 MOULTON PKWY #0-105 CORONA DEL MAR, CA 92625 LAGUNA WOODS, CA 92637 Phone : Workers' Compensation Insurance Phone : (949) 446-1417 Carrier : Owner/Builder: AARON BOONE / BOONE KRISTIN Policy No: Designer : P C C DESIGN INC Address : 510 MARGUERITE AVE #A W. C. Expire : Address : 10545 ELLIS AVE CORONA DEL MAR, CA 92625 FOUNTAIN VALLEY, CA 92708 Phone : Phone : (714) 962-7500 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $12,000.00 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: Bldg Height: No of Stories : 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 -- Two -Unit Residential PROCESSED BY: 0 SPECIAL CONDITIONS: REV2022-1775 HIGH DENSITY ZONE 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, after, 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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 owner of property who, through employees' or personal effort, builds or improves the property, provided that the impro ements 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 imp ved for the purpose or 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 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). ❑ 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 pers al residence in w I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll sell a structure that I have built as an owner -builder iI it has t b en cons 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 a licatio is s rattfta-tsl owing a TsiCe:http://www.leginfo.Ga.gov/calaw.htmi, t /Zd �2� Signature of Property Owner or Authorized Agent Date 1 _ LICENSED CONTRACTOR'S DECLARATI 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 COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$IDU.0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNETS 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' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ormance 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' compensa Trance carrier and policy number are: Policy Number Date ne of Agent Phone If certify that, in the performance of the work fgjr 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 ogre L if I should become sub El o the worker compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant -__ ,.. Date l2/,?0 CLARATION REG C T CTIO NDING AGENCY Ireby affirm un r alTy of er" ere is a construction lending agency for the performance of the Work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lenders Address 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 applicable city and coun dinance nd state laws relating to building construction. I authorize representatives of this city or county an er the 'deaFfied-property for inspection purposes. /l _ f11� �l _s, �, p f Zl20 nature of Prouertv Owner or Authorized A �, Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY77'�OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 61 OF TITLE 40 AND ADMIT RULE 1 1403 PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED OMD PERMITFINAL ASBESTOS NOT ICATION I5 iAPPLICABLE TO CERTIFICATE OF '-%^�2'�3 ��.J PROPOSED DE U ION OCCUPANCY ISSUED SIGNATURE- //