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Home My WebLink AboutXR2022-3000 - PermitsFa�WPoRr City of Newport Beach Community Development Department - Building Division F �'y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °9«coaN�P newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Alteration X R111111111111��111111111111111COMB Permit: XR2022-3000 Plan Check No : PC2022-2863 Issued Date : 04/27/2023 Inspection Area : 6 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 : 8 MONTEREY CIR Legal Desc : N TR 7511 BLK LOT 4 Description: SFR - REMODEL EXIST'G ENTRYWAY 350 SF, REPLACE EAVES AND SKYLIGHTS Owner: MOINI JASMINE TR J MOINI 2009 TR Address: 8 MONTEREY CIR CORONA DEL MAR, CA 92625 Phone : (661) 747-1355 Applicant: Timothy J Francis Address : 15761 HUMMINGBIRD LANE HUNTINGTON BEACH, CA 92649 Phone: (714)230-6416 owner/Builder: MOINI JASMINE TR J MOINI 2009 TR Address: 8 MONTEREY CIR CORONA DEL MAR, CA 92625 Phone : (661) 747-1355 Contractor Address : Phone : Con State Lic Lic Expire Bus Lic : Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Code Edition : 2019 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U,R-3 No of Units : Bldg Height: No of Stories Building Setbacks : Front: 6, Front: 10, Side: 5, Side: 5 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS Architect Address Phone State Lic Engineer: FORBES DALE L Address : 1800 E 16TH ST #B SANTA ANA, CA 92701 Phone: (714)835-2800 Designer: Timothy J Francis Address : 15761 HUMMINGBIRD LANE HUNTINGTON BEACH, CA 92649 Phone: (714)230-6416 NO Construction Valuation : $28,000.00 NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 350 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 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 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 to 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 'rofessions Code) or that he or she is exempt from leensure and the basis for the alleged exemption. Any violation of Section 7031Z by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do L), all of of t_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, rusiness 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 nprovements 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 rat built or nproved for the purpose of sale). 3 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 '- p iply 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 I am exempt from lidensure Under the Contracters' Slate License Law for the following reason: ,y my signature below I acknowledge that, except for my personal residence in which I must have resided for at lleast one year prior to completion of the improvements covered by this permit, I cannot legall ell a structure that I have built as an owner -bull -r' it has ' San constructed intirety by licensed contractors. I understand that a copy of the applicable law, Suction 7 4 of th Busin ss and 'rofesslons Code., is available upon request whe is applifearipin is submitted or the to ng Web site;htip:llwww.leginfo.ca.govfcolaw.html. 7 signature of Property Owner Sr Authorized Age t _— Oate .ICENSED CONTRACTOR'S DECLARA N hereby affirm under penalty of perjury that I a licensed u der provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Ca e, and my license is In full force not effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: 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 f$100,000), IN ADDmION TO THE -Dar 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 declara.Lions: -11 have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the DireGar of Industrial Relations as provided for by Section 3700 of the Labor Code, for th lerformance, of the work for which this permit is issued. Policy No. :1I 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' compensatioi nsurance carrier and policy number are: :artier Policy Number Expiration Date Name of Agent Phone # -1I certify that, in the perform ce of the Work for which this permit is issued, I shall not employ any parson in any manner so as to become subject to the workers' compensation laws of California, and afire at, if I should bee sub ct o the workers' compensation rovrsions_of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of AppYca't /�/1 Cate TECLARATtGN REG R ONSTRUCTIO. LEN ING ENCY r hereby affirm under Beef f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ill Code). _ender's Name Lenders Address Sy 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 I have provided is correct. I agree to comply with all applicable city and county finances and state laws relating to building. construction. I authorize representatives of this city or county t the above-i enedproperty for iaspectlon purposes. Print Property Owner's r's or Authorized Agent's NameSi nature of Property Owner or Authorized Y4'ra' eta a 7 ACTION DATE By CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE ONSPART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED L1 ISUBMIT, FDA5B�5705 NOTIFILATION TO PERMIT CANCELLED ®EPA PERMIT EY/ENDED_ __ _ CL10.M0 PERMIT EINAL V A5BE5TVNOT 15NOY APPLICABLE TO CERTfFICATE OE O`14'� A,�a" .;SIGNATUR —� OCCJPANCYL55UED