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Home My WebLink AboutXR2023-0426 - PermitsatiwPoRT City of Newport Beach II IIIIIIII I IIII III I III III III IIII II p� G• Community Development Department- Building Division X R 2 0 2 3 0 4 2 6 100 Civic Center Drive, Newport Beach, CA 92660 -- S Permit Counter Phone: (949) 644-3288 nx Inspection Requests Phone: (949) 644-3255 cq<ixti RNa%' newportbeachca.gov/inspections Combination Type - MFP ELEC MECH PLUM Work Class - Alteration COMB Permit : XR2023-0426 Plan Check No : PC2023-0340 Issued Date : 03/28/2023 Inspection Area : 7 p 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: 2700 NEWPORT BLVD, 220 Legal Desc : N TR.14025BLK'LOT 1 Description: MFR REMODEL KITCHEN AND BATHROOMS 1064 SF Owner: REDMON THOMAS W TR Contractor: STEPHEN BROWN Architect: Address : 1620 SYLVANER AVE Address : 2823 Francis Lane Francis Lane Address SAINT HELENA, CA 94574 Costa Mesa,:. CA 92626 Phone : Phone : (949) 427-8550 Phone Con State Lic : 1025808 State Lic: Lic Expire : 04/30/2025 Applicant : STEPHEN BROWN Bus Lic: BT30064120 Engineer Address : 2823 Francis Lane Francis Lane Bus Lic Expire : 08/31/2023 Address : �. Costa Mesa, CA 92626 p„'e- Phone: (949) 427-8550 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No: 9314690 Designer: STEPHEN BROWN Address : W. C. Expire: 3/17/2024 Address : 2823 Francis Lane Francis Lane Costa Mesa, CA 92626 Phone: Phone: (949) 427-8550 Code Edition : 2022 Fire Sprinklers :. NO Construction Valuation : $17,313.00 Type of Construction : V-A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 1 Alteration sq. ft. Bldg : 1,064 Bldg Height : No of Stories : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : AE, 8 FT; AO 1; X Use Zone : MU-W2 - Mixed -Use Water PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION t hereby Bill under penally of perjury that t 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 fits 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.E by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500). El I, as owner of the property, or my employees with wages as their sole compensation, will do U all of 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 employees' or personal effort, builds or improves the property, provided that the Improvements are not intended or offered for sale. If, however, the (wilding 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). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors t0 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). El i am exempt from licensore under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I most have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legal], sell 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 theapplicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web siteihttp;liwww+.#eglnfo.ga.govfcalaw.htmt Signature of property Owner or Authorized Agent pate LICENSED CONTRACTOR'S DECLARATION ,,tt �/ 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 - 's' -m f the Business and Profo'sarOns -, nd my license is in full force and effect. License Class License No Daie Contractor Signatureb/`il''\C_ WORKERS' COMPENSATION DECLARATION WARNING: 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 (5100:000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3hxr OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, Irhhereby affirm under penalty of perjury one of the following declarations: u f 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 In p rman ce of the Work for which this permit is issued. Policy No. No._ I haveand 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' compensation insurance GwNer and 4411cy namber are: :artier -)n7vilf j-(JV\L't Policy Number Expiration Date d^�1ame of Agent Phone## JI certify that, in the perfor n a 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 taws of California, and agre hat, if I should become ct a i pensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iignature of Applicant Dat )ECLARATION REGA IN CO T1ON LENDING AGENCY hereby affirm under penalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, "I Code). .ender's Name Lenders Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the propertybehalf. I have read this application and the information I have or ad " rect. i agree to comply with all applicable city and county ordi Hose s e laws sterling to building construction. I authorize representatives of this city or count enter the a e- on. r perty for inspection purposes. 3i nature of PropertyOwner or Authorized A ant Fnnf Pro a Dwner's or Authorized A ent's Name �ul� I Date ACTION DATE nY . D OF COAT P VANCE WITH CODE OF FEDE RAE FOR OFFICE USE ONLY i REGULATIr4N52ART s1* TITLF 40 AND AONID RULE 1403 PERMIT EXPIRED .�I Stir l ,ITTED AA58EY-M NOTI FICATION TO P€RMtT CANCELLED 1 rg_t R /) PERM17F1NAL �2'l fG j YL �A58EST0 CAl'IpN 15 NOT RPPIICReLE TO CEPInFICATE OF V' p POSEn' Et•, ION OCCUPANCY155UE6 ifGNRT11Rk