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Home My WebLink AboutXR2023-2138 - PermitsaEW o r City of Newport Beach IIII��IIII��II��I��IIIII�I�I�I II p`< @ Community Development Department- Building Division X R 2 0 2 3 2 1 3 8 Come Permit:XR2U23-2138 F i 4. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1203-2022 U )+'�+ S Permit Counter Phone: (949) 718-1888 Issued Date : 08/03/2023 newportbeachca.gov/civic Final Date: <ivoaP�r' Combination Type - SFP Permit Status: Issued Work Class - Other 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 : 303 RUBY AVE Legal Dose : A TR BALBOA ISLAND SEC 3 BLK 12 LOT 26 Description: SFR REPLACE (E) BEAM @ BI-FOLD DOORS *RENEW EXPIRED PERMIT* Owner: SCOTT TRIOU Contractor: GMF CONSTRUCTION & DEV.INC Architect Address : 303 RUBY AVE Address : 34145 PACIFIC COAST HWY Address NEWPORT BEACH, CA 92662 DANA POINT, CA 92629 Phone : (415) 602-4602 Phone : (702) 533-4158 Phone Con State Lie : 1037945 State Lie Lie Expire : 04/30/2024 Applicant : GMF CONSTRUCTION & DEV.INC Bus Lie : BT30063045 Engineer : C 2-1 �L Cs r6S3s Address : 34145 PACIFIC COAST HWY Bus Lie Expire : 04/30/2024 Address : 25991 AVENIDA MARIPOSA DANA POINT, CA 92629 SAN JUAN CAPISTRANO, CA 92675 Phone: (702) 533-4158 Workers' Compensation Insurance Phone: (949) 310-7329 Carrier: EXEMPT -NO EMPLOYEES Owner/Builder : Policy No : EXEMPT Designer: Address : W. C. Expire : Address Phone: Phone: r Code Edition : 2019 Fire Sprinklers : NO Construction Valuation 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 : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone: X; AO 1 Use Zone : R-BI - Two -Unit ResirdeRtial, Balboa Island PROCESSED BY: SPECIAL CONDITIONS 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 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 file a signed statement that lie or she is liconsad pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and °rotessiores Code) or that he or she is exempt from iicensure 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 iot more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section70 hat the 44, Business and Professions Code: The. Contractors' State License Law does not apply to on owner of properly who, through employees' or personal effort., builds or Improves the property, provided improvements 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 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 of improves thereon, 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 reasaT 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 Iicensad contractors. I understand that a copy of the applicable law. Section 7044 of the Business and Professions Code., is available upon request when this application is submitted or at the following Web siteihitp:/I , .leginfo.ca,govlcalawfitml, Signature of Property Owner or Authorized Agent,_,_._.___.___._. Date.�___.Y___._—_�.___ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing With Sectio ) of Division 3 of the Business and Prof sons Code, an my license is ` ice and effect. License Class License No DaI Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRE THOUSAND DOLLARS (6100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. �I-h'tereby affirm under penalty of perjury one of the fallowing declarations: µ,,,,t 1 have and wit maintain a certificate of consent to self -insure for workers' Compensation, issued by the Olreclor of Industrial Relations as provided for by Section 3700 of the Labor Code., for In 'Iperformance of the work for which this permit is issued. Policy No. Ell 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' compensatio iIiinsurance carrier and policy number are: _ Policy Number Date lame of Agent I-�(�I certlfv feat, in the performance of the work Far which this permit is issuetl, shall not employ any parson in any manner so as to become subject to the workers' compensation laws of Cali am and 2gre 1at,iBFsDould becomes bj t to the :vorkars' cam ensaliun provisions of Section 3700 of the Labor Coda, shall forthwith comply mtllh those provisions. '�iynalure Of APPlicani,._Oat IEGLARAT[ON REGA. N CO�GTI N LENbING AGENCY hereby affirm under pe alty of {. ju_{ `"a:there Is a construeton lending agency for the performance of the work for which this permit is issued (Section 3097, C' it Code). ender's Name ---- ly my signature below. I certify to each of lha followh)g: 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 rdinances and slate laws relating to building construction. I authorize representatives of this city or county t nter the above-idenf ied property for inspection purposes. iIgnature of ProRerty Owner or Aumonzed Agent Print Pro art Owner's or Authorized Agent's Name :n...c, ate 9 Z ACTION DATE I BY V DE A CN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE EXPIRED '.. ❑ I SUHM17 FFD ASBESTOS NOTIFICATION TO P€RMiT EXTENDED I L AOIY ' PGRbNT FINAL j ASBE5T NU__iyyI,,PICA114N I5 NDl APPLICABLF CERTIFICATE OF P11POSFD1) MyL1TfO11 OCCUPANCY t55UE0 SIGNAIUKt: �/ '�,