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Home My WebLink AboutXR2023-1613 - Permits7�EwPo r City of Newport Beach Community Development Department - Building Division ' 100 Civic Center Drive, Newport Beach, CA 92660 t"4 Permit Counter Phone(949) 718-1888 newportbeachca.gov/civic Combination Type - MFP Work Class - Alteration 11IIIIIIIII111111111111111111111111111111III111111111111I jj COMB Permit: XR2023-1613 Plan Check No: Issued Date : 0611312023 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: 280 CAGNEY LN, 206 Legal Desc : Description: MFR R/R 2 WINDOWS AND 3 SLIDER DOORS Owner: RUDY STERNER Address : 280 CAGNEY LN, 206 NEWPORT BEACH, CA 92663 Phone : (650) 793-1626 Applicant: TRIDENT WINDOWS AND DOORS INC Address: 2583 WILLO LANE COSTA MESA, CA 92627 Phone : (949) 677-7742 Owner/Builder : Address : Phone: Contractor: TRIDENT WINDOWS AND DOORS INC Architect Address : 2583 WILLO LANE Address COSTA MESA, CA 92627 Phone: (949)677-7742 Phone: Con State Lic : 1066122 State Lic Lic Expire : 06/30/2024 Bus Lic : BT30081866 Engineer: Bus Lic Expire : 06/3012024 Address Workers' Compensation Insurance Phone: Carrier: SIRIUSPOINT AMERICA INSURANCE COMPANY Policy No: WC9877201 Designer W. C. Expire: 5/13/2024 Address Phone : Code Edition : 9910 Fire Sprinklers : NO Construction Valuation : $9,910.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories: 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone: Use Zone: PC - Versailles on the Bluff (35 PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penaity 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 applicableitem(s) Section 7031 Z, 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 rile 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 '.. �rofesstmrs Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of $action 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of iot more them five hundred dollars ($500), I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure Is not intended or offered for sale (Section 70". 3usiness 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 mprovements 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 mproved for the purpose of sale). = 1, 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I am exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature 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 legally ;ell a structure that I have built as an owner -builder if R has not been constructed in its entirety by licensed contractors. 1 understand that copy of the applicable law, Section 7044 of the Business and Professions Code,, is available upon request when this application is submitted of at the fallowing Web site:httpJAwwr.teginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000i f Divi ion 3of the Business and Prof Ions Code, ay licens ' In full force Ind effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION YARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SRALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 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 the )erformance of the work for which this permit Is issued. Policy No. Zktave 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' compensatior nsurance carrier and policy number are: Policy Number Tie of Agent Phone # Date certify that, In the performance of the work for which this permit is issued. I shall not employ any person in arty manner so as to become subject to the workers' compensation laws of California, and agrw t, If I should become subje t to the workers' comp I ation provisions f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date_ > CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby 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). ider's Name Lendefs 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 and the information 1 have providedis correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize repra.sniatives of this city or county to etKeT the above-i hIgttified pmp2rfy for inspection purposes. DATE. I BY REGULATIONS. PART 6 OF TIITLE 40 AND AOMD RULE CE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE TO O,CbPANCyIS5UE0 I II)111r I SIGNATURE: Date