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Home My WebLink AboutXR2022-2333 - Permits�EWPoRr City of Newport Beach Community Development Department - Building Division 1OD Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 °gcicoa�'P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration COMB Permit : XR2022-2333 Plan Check No : 0121-2021 Issued Date : 08/29/2022 Inspection Area : 1 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 : 3706 PARK LN Legal Desc : P BK 51 PG 3 PAR 1 Description: DELTA 3 TO ADD SCOPE EXTERIOR PLYWOOD Owner: NEIL WOODALL Contractor: CUSTOM CUT BUILDERS INC Architect Address: 3706 PARK LN NEWPORT BEACH, CA 92663 Address : P 0 BOX 8252 NEWPORT BEACH, CA Address 92658 Phone : Phone : (949) 644-4010 Phone Con State Lic : 839415 State Lic: Applicant: CUSTOM CUT BUILDERS INC Lic Expire : 12/31/2022 Address : P 0 BOX 8252 NEWPORT BEACH, CA 92658 Bus Lic: BT30054691 Engineer Phone: (949) 644-4010 Bus Lic Expire : 01/31/2023 Address Owner/Builder : Address Phone: Workers' Compensation Insurance Phone Carrier: STATE+COMPENSATION+INSURANCE+FUN D Policy No : 9001307 W. C. Expire: 12/1/2022 Designer Address Phone: GHAZLANIANDY• 4202 ATLANTIC AVE #204,L,ONG B.EPACH,= CA 90807 (562)253-2385 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : No Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : Added/New sq. ft. Garage Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit sidential PROCESSED BY: SPECIAL CONDITIONS: $3,500.00 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ftam(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 he or she is licensed pursuant to the provisions of the Contractors' Slate 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of Or L) portions of the work, and the structure Is not intendedor offered for sale (Section 7G44, 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 mat the improvements arenot 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 Graving that It was not builtor 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). ❑ I am exempt from licensors 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 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally 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. Section 7044 of the Business and Professions Carle, is available upon request when this application Is Submitted or at the following Web site,htlp:flwwwJeginfo.ca.govicalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business and P&�,a Sense is in full force and effect, Lic,isu Class License No Da� ��`ontraclor Signatu WORKERS' CGIOPENSATION DECLARATION FA[LURL TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUadECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOOLLARS 13100,0001LIN ADDITION TO THE N COST OF COMPENSATIDN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. III herebv aff'rr under penalty of perjury one of the following declarations: IIVlhav"Srid vill ti,iintain a certificate of consent to self -insure for workers' compensation, issued by the e or hn`we-k for which this permit 'is issued. Policy No;d 'A II maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, 11insurarl ce carrier .u.G policy number are: (Icarrier Policy Number Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for for the performance of the work for which this permit is issued. My workers' Date J&rne f Agent _ rnona Ir "!l "r'ify that,in the FRi30. a 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 Tat If , should Le 1y so jectLto workers' compensationprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �7 % 31gnature ofApplfc _ m Delay IECLARATION R ING CTION LENDING AGENCY f hereby affirm u der penalty of per' that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code), .tinder's Name Lenders Address _ 3y my signature ify to each Or 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 ooun ances and state laws relating to building construction. I authorize representatives of this city or cou o enter t e above -identified property for inspection purposes. ii nature of Property Owner of Authorized Ag Print PropertyOwner's or Authorized Agent's Nam ACTION DATE 3 V ! D LARATlON OF COM PLIANCL WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART Bl OF TITLE 40 AND AQMD RULE 1403 P€RA,vr EXPIRE Ll SUBMITTED ASBESTOS NOTIFICATION TO PERMI7 CANCELLED OEPA All required alarms., latches gates and fences which serve as part of a pool/spa barrier, shall PeRr.ItrexrEtvDEobe In place prior to approval to fill pool/spa & shall remain in place & be maintained for the PERMFINALSFES ` S NOT AP ICABLE TO life of the pool, IT CERTIFICATE OF PROPO. DDEMOLITION OCCUPANCY l55UE0 i i 5IGNAT _ ...