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Home My WebLink AboutXR2023-2178 - PermitsaEwPoRr City of Newport Beach III III IIIIII IIII III IIIIIIIII IIIIIIIIII II COMB Permit : XR2O23-2178 Community Development Department- Building Division X R 2 e 2 3 2 1 7 a 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2948-2021 z Permit Counter Phone: (949) 718-1888 Issued Dale : 11/20/2023 .a. newportbeachca.gov/civic Final Date: c'9��roaN�" Combination Type - SFP Permit Status: Issued Work Class - Alteration 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 : 217 VIA KORON Legal Desc : N TR 907 BLK LOT 675 TR 907 LOT 675(AND SWLY1/2 LO Description: PROVIDE DESIGN AND DETAILS FOR ANCHORAGE OF FIREPLACE TO GUARDS AT 2ND FLOOR DECK. (REV2023-1535) Owner: GERARD & HEATHER HART Address : 217 VIA KORON NEWPORT BEACH, CA 92663 Phone: (502)403-7666 Applicant: GERARD & HEATHER HART Address : 217 VIA KORON NEWPORT BEACH, CA 92663 Phone: (502)403-7666 Owner/Builder : GERARD & HEATHER HART Address: 217 VIA KORON NEWPORT BEACH, CA 92663 Phone: (502)403-7666 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 : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : 1 Bldg Height : No of Stories : 2 Building Setbacks : Front: 4, Front: 0, Side: 4, Side: 4 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: HIGH DENSITY ZONE / REV2023-1535 v° a: Architect Address Phone: State Lic Engineer: Address Phone : Designer: Address Phone: Construction Valuation : $5,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of pejury that I am exempt from the Contractors' StateLicenseLaw for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ftem(s) ;Section 7031.5. Business and Professions Code: Any city or county that requires a perfrlit 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 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 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 not more than five hundred dollars (S500). 1, as owner of the property, Cr my employees with wages as their sale compensation, will do U all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, 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 that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that It was not bultl or 'mproved for the purpose of sale). 71 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, 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). El I am exempt from licensure 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 legalry sell a structure that I have built as an owner -builder if ithas not been constructed in its entirety by licensed contractors. I undorstand that a copy of the. applicable law, Section 7044 of tho Business and Professions Code, is available upon request when this pIicati - ftted drat the following Web site: hitp:/lwww.leginfo.ca.gov/ca law.html, Signature. of Property Owner or Authorized Agent _ ./`7 _ Date LICENSED CONTRACTOR'S DECLARATION I herehy affirm under penalty of perjury that. I am fucensed nder provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, andmy license is In full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNiL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.,000I,. tN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations asprovided for by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy No. 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' ranee carrier and policy number are: Policy Number Date is of Agent vane a cortify that, in the performance of the work for which this permit is Issued'.; I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. nature of ApplicantDater^ Ct.ARATION REGARDING CONSTRUCTION LENDING AGENCY ?reby 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 Cade). ider's Name Lenders Address. _ nay 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 andthe information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relaying to building construction. I authorize representatives of this city or county ty enterthe above -identified property for inspection purposes. ,,,�h,.o If ern fro -7V�(I Ate— Print Prooarty Owner's or Authorized Aoents Name ACTION CANCELLE0 PERMIT FINAL CEFTIFICATE OF OCCUPANCY ISSUED DATE BY DECLARATION'S. OF COMPLIANCE W17H CODE OF FEDERAL REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE SUBMITTED ASBESTOS NOTIFICATION TO U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: FOR OFFICE USE ONLY