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Home My WebLink AboutXR2023-0479 - PermitsCity of Newport Beach - o`' F Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration COMB Permit : XR2023-0479 Plan Check No : Issued Date : 02/22/2023 Inspection Area : 2 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: 321 DIAMOND AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 13 LOT 20 Description: SFR ALT REMODEL (E) KITCHEN AND BATHROOMS 400 SF "CITY STANDARD PLANS" R/R WINDOWS Owner: JOHN BLACK Address : 321 DIAMOND AVE NEWPORT BEACH, CA Phone: (704)895-8755 Applicant: MLCD INC Address : 1510 S FIFTH AVE ARCADIA, CA 91006 Phone: (562)857-9023 Owner/Builder Address : Phone Contractor : MLCD INC Address : 1510 S FIFTH AVE -ARCADIA, CA 91006 Phone: (562)857-9023 Con State Lie : 983290 Lie Expire : 04/30/2023 Bus Lie: BT30080782 Bus Lie Expire : 02/29/2024 Workers' Compensation Insurance Carrier: EXEMPT -NO EMPLOYEES Policy No : EXEMPT W. C. Expire: Architect Address Phone: State Lie Engineer: Address Phone Designer: MLCD INC Address: 1510 S FIFTH AVE ARCADIA, CA 91006 Phone: (562)857-9023 _ Code Edition : 2022 Fire Sprinklers : NO Construction Valuation: $100,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : 400 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks: Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone: X; AO Use Zone : R-BI - Two -Unit Residential, Balboa Island �r p --ryry (7N9NDD �! NO' ° `7i, `�' PROCESSED BY: ... SPECIAL CONDITIONS: HIGH DENSITY ZONE 3SION NU113f181.SN®O ON °. OWNER -BUILDER DECLARATION I 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) (Seclion 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' Stato 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). 711, 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 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). 0 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' Stale License Law). 13 1 am exempt from licensees 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 legally sell a structure that I have builtas an owner -builder if it has riot been constructed In its enTrety 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 Brat the following Web site:hlip:Rwww.leginfo.ca.govlealaw.html. Signature of Property Owner or Authorized Agent�—...._.__..- _..T __.._..� Date ____....... LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f DIw ion 3 of the Business and Professi ode, and t icense is in full force and effect. License Class License No Date .i Contractor Signature �i WORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,0001, iN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE I.AaOR COGS. INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a cerlidcale of consent to self -Insure for workerscompensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for lh performance of the work for which this permit is issued. Policy No. 711 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' compensatiol insurance carrier and policy number are: Policy Number _.. _ ..Expiration Date of artify 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 afire let, if I should become subje a workers' con cation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �2 ignature of Applicant _. _--�...__ _---. Dale Y� /f—��__""_""`"".".'. ECLARATION REGARD 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 Lender's Address y my signature below, I certify to each or 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 county ordinances and state laws relating to building conslruction. I authoriz.: rup,esentalives of this city or county to enter Iher kb1;?1s-identHOd9E1 erly for inspection purposes. DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACBMD RULE 1 1403 PERMIT FINAL i IWrS IrS70S NOTIFICATION 15 NOT APPLICABLE 10 OCCI PICATEOF PROPOSSIGNATURE: DEMOUT _ OCCC:ANCY 65UEU 6{ �� # SIGNATURE: