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Home My WebLink AboutXR2022-2626 - PermitsgWIPoR, City of Newport Beach 11� Community Development Department —Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 eta. Inspection Requests Phone: (949) 644-3255 CqC/F00.N`P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Addition/Alteration jji11111111111111111111111111111111111111111111111111111jjCOMB Permit : XR2022-2626 Plan Check No : PC2022-2455 Issued Date: 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 : 2871 BAY SHORE DR/Wf al Desc : N TR 1014 BILK LOT 58 Description: SFR ADD 87 SF ENCLOSE (E) 2ND FLOOR B REMODEL 187 SF @ KITCHEN. CONSTRUCT (N) ENTRY ROOF. Owner: DEYOUNG-DEVAERE TRUST Contractor . Architect Address : 4427 W COAST HWY Address : VC Address : , ; ,, ,v--. .�^�^^�!^ rn NEWPORT BEACH, CA 92663 �/, , Phone : (760) 703-2983 TQr y /I , Phone Applicant: Phil Edmondson Address : 305 Orange Ave., suite B Orange Ave. Huntington Beach, CA 92648 Phone : (949) 675-9468 Owner/Builder : DEYOUNG-DEVAERE TRUST Address: 4427 W COAST HWY NEWPORT BEACH, CA 92663 Phone : (760) 703-2983 Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height : Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 10 Flood Zone : X; X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Con S®&, t c : � Lic Expir� Bus Lic: /,� Bus Lic Expire : 1 A �� Workers' Compensation Insurance Carrier : Policy No: W. C. Expire State Lic : Engineer : NAGARAJAN SIVARAM Address: 167 MATISSE CIRCLE ALISO VIEJO, CA 92656 Phone : (714) 444-2422 Designer: Phil Edmondson Address : 305 Orange Ave., suite B Orange Ave. Huntington Beach, CA 92648 Phone : (949) 675-9468 Fire Sprinklers: NO Construction Valuation : $30,620.00 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 87 No of Units : 1 Alteration sq. ft. Bldg : 187 No of Stories : 2 Added/New, sq. ft. Garage: 0 TOTAL sq. ft. : 87 OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(s) indicated below by thecheckmark(s) I have placed next to the applicable item(s) (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 ho 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 ficensure 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). 71 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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). ❑ 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 a 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), I exempt from llcensure under the Contractors' Stale License Law for the following reason: By my ignalure 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 tructum 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 few, Section 7044 of the Business and Professions Code„ is available upon request when !h pplicalio is subrri ed or attoy. Web site:http:/iwww.leginfo.ca.govlcalaw.htmi. Signature of Property Owner or Authorized Agent ._. LICENSED CONTRACTOR'S DECLARATIO 0 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section and effect. License Class License. No Date COMPENSATION DECLARATION 7000) of Division 3 of the Business and Professions Code, and my license is In full force Contractor Signature IARNING: 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 15100.000j, IN ADDITION TO THE :DST 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 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 performance 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 workers' ratios carrier and policy number are'. Policy Number of Agent Date �rtify that, m 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 agre Jrot, I I should become subject to Vthrate�thers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i n ire of Applicant /D��j�') IECLARATION REGA�G 0ON LENE01 G AG CY "\ hereby affirm under penalty of peis a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). ender's Name Lenders Address ly my signature below, I Carl 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 1 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 muntg to enteythe a ve-id9atiked property for inspection purposes. ACTION DATE. BY DECLI REGULNTIONS PART TiON OF M LI Net 40 ANWITH D A4OE OF REUDLE AL I FOR OFFICE USE ONLY PERMITEXPIRED IL,J SUBMITTEIt A59EESTOS NCTIF'CATION TO PERMITCAACELCED I EPA PEFiN7T EXTENDED ❑ADM D PERMIT FINAL ASBESTOSNOT1FICAIION IS NOTAPPLICABLE TO CERTIFICATE OF �) PROPOSED OEMOI LTfnN OCCUPANCY ISSUED 'f �'1 SICNATURE-w 41'.)>JAZ _. '71Al.4!Jis