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Home My WebLink AboutXR2023-1100 - Permits��EWPO�T City of Newport Beach - _ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 inspection Requests Phone: (949) 644-3255 c9</pp pN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other X R 2 0 2 3 1 1 0 0II COMB Permit : XR2023-1100 Plan Check No: PC2023-0979 Issued Date : 04/28/2023 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 Legal Desc : N TR 1014 BLK LOT 58 Description: SFR- SITE DRAINAGE @ FRONT & SIDE YARD 'REPLACE EXIST'G Owner: DEYOUNG-DEVAERE TRUST Address: 4427 W COAST HWY NEWPORT BEACH, CA 92663 Phone: (760)703-2983 Applicant : DEYOUNG-DEVAERE TRUST Address : 4427 W COAST HWY NEWPORT BEACH, CA 92663 Phone : (760) 703-2983 Owner/Builder: DEYOUNG-DEVAERE TRUST Address: 4427 W COAST HWY NEWPORT BEACH, CA 92663 Phone : (760) 703-2983 Contractor : Architect Address : Address Phone: Phone: Con State Lic : State Lic Lic Expire : Bus Lic: Engineer: •, Bus Lic Expire : Address Workers' Compensation Insurance Phone: Carrier: Policy No : Designer W. C. Expire: Address Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U No of Units : 0 Bldg Height: No of Stories : 0 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 10 Flood Zone : X; X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: ice SPECIAL CONDITIONS: LIQUEFACTION/HIGH-DENSITY ZONE 004 INcr3'IECT Phone Construction Valuation Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : I j. • " Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 NO COfVST'UCTION NOISE ON SHE WEEKEND 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 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 lieensure 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 no 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, 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 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). 11 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: By my signature below € 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 cannel legall 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 the. applicable law, $action 7044 of the Business and Professions Code„ is available upon request when this ap lication is submitted or at the following Web site;http:lfwww.Ieginfo.ca.gov/calaw.ntml. Signature of Property Owner or Authorized Agent �Date L'2-8-0-4�.7_-J. LICENSED CONTRACTOR'S DECLARATI N I hereby affirm under penalty of perjury that I am Ilcensed 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 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 ($100,000), IN ADDITION TD THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 performance of +he worl, for which this permit is issued. Policy No. Ili 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' ranee carrier and policy number are: Policy Number �f Agent Date entity that, In the prirformance of the Work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and ,f I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lignatura of Apprca.d Dale._ )ECLARATION RrGARDING CONSTRUCTION LENDINd AGENCY hereby 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 Code). ender'6 Name Lender's Address 1� r ) signature below. I ramify to each of the following: 1 3;n the prcpe.ly other or authorized to act on the property owner's behalf. I have read this application and the 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 county toe er the above -Identified for inspection purposes. p� iianaiura of Proerty Owner or Authorized Anent %%Pint Prooertv Owner's or Authorized Anent's Name ACTION I DATE I BY DECLARATION REGULATIONS PAR M LIATTEE 40 AND CODE OFAQMD RULE FEDERAL FOR OFFICE USE ONLY PERMIT CANCELLED IJ•••EPA PERNIFIT EATENDED QM D PER,bIiT FINAL CERTIFICATE OF ''jj �� BEST'OSNOTIFICAI'IONI5NOT'APPLICAHLE TO f,�yy ROPOSEOOEMO ITION OCCUPAPICY ISSUED ++I f/17� h/� SIGNATURET w� _ V 2t3