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HomeMy WebLinkAboutXR2023-2632 - PermitsCity of Newport Beach C p Community Development Department - Building Division F.. 100 Civic Center Drive, Newport Beach, CA 92660 u = Permit Counter Phone: (949) 718-1888 a.. newportbeachca.gov/civic C94Fp0.N�P Combination Type - Work Class - Alteration jj��111111111111111111111111111111111111111111111111111111jj COMB Permit : XR2023-2632 Plan Check No Issued Date : D9119/2023 Final Date: Permit Status: Issued Inspection Area :1 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 : 107 29TH ST, A Legal Desc : A TR NEWPORT BEACH CITY BLK 29 LOT 32 Description : DUPLEX APPLY COATING TO (E) DECK (ICC-ESR 1757) 265 SF (STOPWORK 123-3070) Owner: ANNE NICHOLSON Contractor : Architect Address : 107 29TH ST, A Address : Address NEWPORT BEACH, CA 92663 Phone: (714)651-1544 Phone: Phone: Con State Lie : State Lie Lie Expire Applicant: ANNE NICHOLSON Bus Lie: Engineer Address : 107 29TH ST, A Bus Lie Expire : Address NEWPORT BEACH, CA 92663 Phone : (714) 651-1544 Workers' Compensation Insurance Phone Carrier : Owner/Builder : ANNE NICHOLSON Policy No : Designer Address : 107 29TH ST, A W. C. Expire: Address NEWPORT BEACH, CA 92663 Phone: (714)651-1544 Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $6,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : U No of Units : 2 Alteration sq. ft. Bldg : 265 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential ' PROCESSED BY: N� SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I'. am exempt from the Contractors' Slate 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 thathe or she is licensed pursuant to the provisions of the Contractors' Slate 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 licansure and the basis for the alleged exemption. Any violation of Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty at not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) allof or U 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 Pmployees' 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 Imp ed for the purpose of sale). Er 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). By 1a signature below I acknowledgeunder that, except Contractors' for' Slate License Law for the following reason. ❑ I am exempt from licensure under the Contractors .. ...._..—._ rtry 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 legali± self 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 appicarto Is sub t the following Web she:httpa/www.leglnfo.ca.gov/alaw:hlml. G! Signature of Property Owner or Authorized Agent ... Date / 2 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 COMPENSATION DECLARATION ING: 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 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a ceni0cate 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 workerscompensa Trance carrier and policy number are: Policy Number Date I rtily that, in the performan e 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 agre if I should become Su fact to Ithe work e ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Q �1 y �s rure of Applica_..... Date -X.3 -- CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit Is issued (Section 3097 xler s Name Lenders Address _ my signature below, I certify to each of [tie following: I am the property owner or authorized to act on the property owner's behalf. I have read thus application and the information I have provided is correct, I agree to comf c ^+'h all applicable city and county ordir k Ices and slate laws relating to building construction. I authorize repr^ n'a0ves of this city or countGenie rrtjre e-identified properly for Inspection purposes. if Proner'v Ow^ar or Authorized Aaen ./,c�- '�1 Print Property Cwner's or Authorized Agents Name A7k2e. Civil Code). r ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY '. REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ::'.. 14U3 PCNfdIT EY-IRED L1'. I $ll atvilTTFD ASR£STOS NOTIFICATION TO PEAMITCANCEI,LFL) EPA PERMIT E,.TENOEO ❑AQMD PFRMITFINAL ASBE5TOSNCTIFICAT+'p-N`IS NOT APPLICABLE TO FICA,-E OF PROPOSED D•EMOrTiON OCCUPANCY ISSUED SIG NATURF