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Home My WebLink AboutXR2023-0764 - PermitsCity of Newport Beach ��E`wPORT p @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 > S Permit Counter Phone: (949) 644-3288 a. Inspection Requests Phone: (949) 644-3255 CqC/FppN�P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII jj COMB Permit : XR2023-0764 Plan Check No : PC2023-0639 Issued Date: 0412012023 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: 21 ROCHELLE Description : SFR - INTERIOR REMODEL 191 SF Owner: BRADLEY H TR TAYLOR Address : 21 ROCHELLE NEWPORT COAST, CA 92657 Phone: (949)212-2531 Applicant: WAYNE RIZZO Address : 484 PROSPECT ST NEWPORT BEACH, CA 92663 Phone: (949)285-7447 Owner/Builder : Address : Legal Desc : N TR 15540 BILK LOT 36 Contractor: M C M Address: 2238 PORT CARLISLE PL NEWPORT BEACH, CA 92660 Phone: (714)803-9204 Con State Lic : 869498 Lie Expire : 12/31/2023 Bus Lic: BT30042113 Bus Lie Expire : 01/31/2024 Workers' Compensation Insurance Carrier: EXEMPT Policy No: EXEMPT W. C. Expire: Architect Address Phone: State Lie: Engineer: Address Phone: Designer Address WAYNE RIZZO 484 PROSPECT ST NEWPORT BEACH, ,' CA 92663 (949)285-7447 Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $45,000.00 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 : 191 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newport Ridge PROCESSED BY: SPECIAL CONDITIONS: LANDSLIDE ZONE OWNER -BUILDER DECLARATION I hereby affirm under penalty 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 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). El 1, as owner of the property, or my employees with wages as their sole compensation, will do (_j all of or (_) 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). El 1, as owner ofthe 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 licensureunder the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which 1 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 built as an ownor-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law. Section 7044 of the Business and Professions Code„ is available upon request When this application is submitted or at the following Web site:http:/Iwvm',leginfo.ca.govfcalaw.html. Signature of Property Owner or Authorized Agent _ _. Date LICENSED CONTrL1-TOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Di isio 3 of the Business and Professions de a y license -is in full force and effect License Class License. No Date o Contractor Signatur�l�Cr.•(/� WORKEF<S' COM:PFNSATION DECLARATION A'ARNP,G: FAILURE TO SSCURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Cor.T or COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby nffirm uneerpinally of perjury one of the following declarations:, ❑' 1 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 the poi `u. ca, ice of the work far which this permit is issued. Policy No. nave 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` . ance .carrier and policy number are'. Policy Number Agent _ Date I c ify that in :ha pa Formance 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 CBlifomia, and agrem , if I should become aubiect to t aw etS'`mp� cation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant _ i/d/'!7/1 q43/ Date CLARATION REGA ING CONSTRUC'FFIN LENDING AGENCY areby 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 Cade). roars 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 andthe information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building. construction. I authorize representatives of this city or count to en t ,��n.re-identified property for inspection purposes. � /r nature of Property Owner or Authorized Anent //4/IJGi Pont Property Owner's or Authorized Aaenm t's Name- /<IrPiy1%fs /t'l�i-�1� Oa /7_0 � BY PERMIT EXPIRED PER',A41T EXTENDED NWFINAL CERTIFICATE OF •'a D /�-/" OCCUPANCYYSSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE 1403 PROPOSED APPLICABLE TO