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Home My WebLink AboutXR2023-3021 - Permits�eWPo?T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2O23-3021 Community Development Department -Building Division X R 2 0 2 3 3 0 2 1 y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No f1 Permit Counter Phone: (949) 718-1888 Issued Date : 1012512023 newportbeachca.gov/civic Final Date: Cq<rF00.H�P Combination Type - SFP PLUM Permit Status: Issued Work Class - Alteration Inspection Area : 8 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 : 1606 DOROTHY LN Legal Desc : N TR 1973 BLK LOT 32 Description: SFR ABS REPIPE (14) FIXTURES & SEWER CLEANOUT(PL), REPLACE DRYWALL AS NEEDED Owner: VINCENT OBOYLE Contractor: SERVICE CHAMPIONS HTG Architect Address : 1606 DOROTHY LN Address: 3150 E BIRCH Address NEWPORT BEACH, CA 9266D BREA, CA 92821 Phone: Phone : (714) 777-7777 Phone Con State Lie : 799170 State Lie Lie Expire : 10/31/2023 Applicant: BEN MEDINA Bus Lie: BT01080105 Engineer: Address : 31225 LA BAYA DR Bus Lie Expire : 07131/2024 Address WESTLAKE VILLAGE, CA 91362 Phone : (818) 735-7876 Workers' Compensation Insurance Phone Carrier: EVEREST PREMIER INSURANCE COMPANY Owner/Builder : Policy No: RM8WC00054231 Designer Address : W. C. Expire : 8/1/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $15,569.00 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 : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) 01-C PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury than am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to The applicable item(s) (Section 7031.5. 9usinoss 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 filo a slgm+d 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 tieensure, and the basis for the alleged exemption. Any vioiation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of Irot mory than fi,,e hundred dollars (S500). I, cs 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, LILISmP-sa 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 ar6 not'ifaended 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 Vnprovorr for the su;posa of sale). 0 I, as owner bf [he property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not rapply to in 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). 15 1 am exempt frcm licensure under the Contractors' State License Law for the following tease": Ey my signalure b31ow 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 legalll soli a str.cturo that I name built as an ownor-builder if it has not hoen constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and p-rf77v,cns Code., is available upon request when this pllcation is submitted or at the following Web sita:http:llwww.leginfo.ca.govicalaw.html. Slcmarure of Prol}er'y Ocjner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D'v*3f Business and Pete e, and my license is In full force and effect. License Class License No Datentractor Si WORKERS' COMPENSATION DECLARATION WARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL . PINES UP TO ONE HUNG O THOUSAND DOLLARS IS100,000f, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 th tiligZrimance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: of Agent Policy Number Expiration Date Phone tf JI certify that, in the performance of the work for w 'ch this pe ' 'tamed, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California. and agre rat, if I should become subject to the workers' pe a provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lgnature of Applicant �— _ _ ,_,_, �_,_ Data._._..,.../Q/Z�S/ IECLARATtGN REGARDING CON C N LENDING AGENCY hereby affirm under penalty o 'u here is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). ender's Name Lenders Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners beh• If. I have read this application and the Information I have provided is ect. I agree to comply with all applicable city and county ordinanc ad state laws relatin to building construction. I authorize representatives of this city or county to enter It above-Identifie richly for Inspection purposes. of Property Owner or Authorized Age DATE I By A03 PERMIT EXPIRED OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND Al RULE ASBESTOS NOTIFICATION TO PERMIT EA -VENDED OMD PLRM77 FINAL /j3 AS 'S 01 iEA'fIUN I'S NO " eLF TO CERTIFICATE OF i ROPpSE OEM LITION OCCUPANCYISSUED URE: FOR OFFICE USE ONLY