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Home My WebLink AboutXR2022-3082 - Permits0R, City of Newport Beach D @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ' n Permit Counter Phone: (949) 644-3288 ��.. x Inspection Requests Phone: (949) 644-3255 cq(rpoµN�P newportbeachca.gov/inspections Combination Type - Si PLUM Work Class - Demolition 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO L/ NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSIOAREAS ,, S Job Address: 20 BAY ISLAND Legal Desc : S TWP 6 RGE 10..S.EC 34 �1.i Description SFR DEMO SFR 3560 SF. 4 BEDROOMS. SEWER CAP INCLUDED _r Owner: JOHN ODOM Address : 11400 SE 8TH ST #300 BELLEVUE, WA98004 Phone: Applicant: LEGACY CUSTOM HOMES INC Address : 1000 QUAIL ST, 220 NEWPORT BEACH, CA 92660 Phone: (949)BB7-4750 Owner/Builder : Address : COMB Permit : XR2022-3082 Plan Check No : PC2022-2951 Issued Date : Inspection Area : 1 THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Contractor: LEGACY CUS:MM HOMES INC Architect Address : 1000 QUAIL ST; 220 Address NEWPORT BEACH, CA 92660 Phone : (949) 887-4750 Phone Con State Lie : 986194 State Lie Lie Expire : 08/31/2023 Bus Lie: BT30045036 Engineer: Bus Lie Expire : 10/31/2023 Address Workers' Compensation Insurance Phone: Carrier: OAK RIVER INSURANCE COMPANY Policy No: 219928 Designer W. C. Expire : 12/2/2022 Address CHRISTOPHER BRANDON ARCHITECTS 151 KALMUS DR #G-1 COSTA MESA, CA 92626 (714)754-4040 Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $35,000.00 Added/New/TI sq. ft. Bldg : 0 Type of Construction : V-B Fire Hazard Zone : NO 1 Alteration sq. ft, Bldg : Occupancy Groups : R-3 No of Units : 2 Added/New sq. ft. Garage: 0 Bldg Height: No of Stories : TOTAL sq. ft.: 0 Building Setbacks : Flood Zone : AE, 8 FT Use Zone: R�Mp- Multiple Residential, RM - Multiple Residential, RM - Multiple Residential, RM - Multiple Residential, OS - Open Space, OS - Open Space, RM - Multiple I PROCESSED BY: /I i SPECIAL CONDITIONS: I'D .D—µD 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 Cade: 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 'rofesslorts 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 iot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044, 3usinsss 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 mprovements 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). 7 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). 1 am exempt from licensure under the Contractors' State License Law for the fallowing reason: 3y 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! :ell 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 'rofessions Code., is available Upon request when this application is submitted orat the following Web site:http://www.leginfo.ca.goN�/calaw.htmi, 3ignature of Property Owner or Authorized Agent -�, Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section TOO ) of tuts! n 3 of the Business and ProfessiorK d6 e, and has a6rce Ind effect. License Class License No Dit 2Z Contractor Signatu€ NORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. MO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS 41`00.0001, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AR PROVIDED FOR IN SECTION sTOS OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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, ormanc¢ of the work for which this permit is issued. Policy No. n 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' compensatior law nice carrier and policy number are: Policy Number Expiration Date of Agent __. Dk-__ JI certify that, in the performance of the ,r."Or which this permit is issu „ I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre let, if I should become subject to th r ed�rs' com _ Ton prav'rsi fSaction 3700 of the Labor Code, I shall forthwith comply with those provisions. Ignalure of) t aZ� Xz ,ECLARATION REG O .RUCTION LENOI AGENCY m hereby affirm under pan erjury that there is a onstruction lending agency far 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 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. agree to comply with all applicable city and comity ordfnsrras and slat ys retail wilding. construction. I authorize representatives of this city or county eng>yt a above ed or Inspection purposes. / gnature of Property Owner or Authorized Age Print Property Owner's or Authorized ADent's Names /f PERMIT EXPIRED PERMir CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED DATE BY PART OF T€TLE 40CE TAN0 AQMD RULEH CODE OF RAL FOR OFFICE USE ONLY REGULATIONS TO IS NOT APPUCABLE TO