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Home My WebLink AboutXR2023-0575 - Permits��EWPORT City of Newport Beach Community Development Department- Building Division m9 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 ue� = Inspection Requests Phone: (949) 644-3255 CgG�F00.N`P newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Addition (11111111111111111111111111111111111111111111111111111�II11COMB Permit : XR2023-0575 Plan Check No : 1071-2022 Issued Date : 03/08/2023- 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: 227 LUGONIA ST Legal Desc : N TR 772 BLK 6 LOT 5 Description: SFR -ADD 100 SF NOOK ON 1ST FLOOR (REV2023-0398) Owner Address Phone FANTICOLA NATALIE PHAM TR THE N P Contractor: WEIR A CONSTRUCTION INC Architect : FANTICOLA LIVING 227 LUGONIA ST NEWPORT BEACH, CA 92663 (949)413-5800 Applicant: WEIR A CONSTRUCTION INC Address: 206A 43RD STREET NEWPORT BEACH, CA 92663 Phone : (949) 678-6021 Owner/Builder : Address : Phone Address : 206A 43RD STREET NEWPORT BEACH, CA 92663 Phone: (949)678-6021 Can State Lie : 844746 Lie Expire : 11/30/2024 Bus Lie: BT30069514 Bus Lie Expire : 10/31/2023 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: Address : Phone: State Lie Engineer : SILVA CHRISTINA Address : 24482 MUELA MISSION VIEJO, CA 92692 ' Phone: (949)795-6256 Designer : PHILLIP BUDOVEG Address : 22246 SUMMIT HILL D#i LAKE FOREST, CA 92013 " Phone: (949)283-0199 Code Edition : 2022 Fire Sprinklers : NO NO Construction Valuation : Added/New/TI sq. ft. Bldg Type of Construction : V-B Fire Hazard Zone : 1 Alteration sq. ft. Bldg : Occupancy Groups : R-3 No of Units : No of Stories : 2 Added/New sq. ft. Garage: Bldg Height: TOTAL sq. ft. : Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: LIQUEFACTION $20,000.00 100 0 100 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 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 he permit to fife a signed statement that he of 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 licensure 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 at 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 L) portions of the work; and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code. The Contractors' State License Law does not apply to an owner of property who, through employeesor 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 wiF have the burden of proving that it was not built or Tiprovod for the purpose of sale). 1 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 ippty to an owner of properly who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License Law for the following reason' ----- -- — ty mysignature below [ acknowledge that, except for my personal residence in which I must have resided for at least one year Omer to completion of the Improvements covered by this permit, I cannot legal) oil 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 copyof the applicable law, Section 7044 of the Business and 'rofessions Code., is available upon request when this application is submitted Brat (tie following'Web site;httpaiwwrv,.leginfo.ca.gov(calaw.htmh tignature of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70, O) f Di vision 3of the Business and -Professions Cd my license is In full force nd effect. License Class License No Date Contractor Signature �% Zll , WORKERS' COMPENSATION DECLARATION 10� GV 'ARNIM FAILNRE 10 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREO THOUSAND DOLLARS ($100,00Vt, iN ADDITION TO THE OS? OF nOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 070E OF THE LABOR CODE, INTEREST, AND ATTORNFY'S FEES, hereoi nifirm under penalty of perjury one of the following declarations: I : hava and wilt maintain a certificate of consent fo self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for to 91formaace of the work for which this permit is issued. Policy No. oeve 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' zn_., carrier and policy number are•. T.Ef ne of Agent Policy Number Date cemfy that, in 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 it I mould berrme' object to orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, nature of Applicant_, Date_��3 :LARATION REGAROI G CON TRUCTION LENDING AGENCY o 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 Lender's Address Illy signature below, I certify to each of the followtng: 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to an bcve-identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Acent's Name ff�� DECLARATION OF COMPLIANCE vviD4 CODE OF I DATE BY REGULAt ONS PART510 TiTLF-40ANO AQMD RULEFEDERAL FOR NOTI QM D —_- PERM7FFINAL 7 ASBE5'T0$ NOTIFICAI"ION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLJrl)N / OCCUPANCOSSUEO ornian rev. // A z IA wee