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Home My WebLink AboutXR2023-0370 - Permitsw�, PoRT City of Newport Beach Community Development Department- Building Division .0 ,� 100 Civic Center Drive, Newport Beach, CA 92660 U ` Permit Counter Phone: (949) 644-3288 1 J 'B OgcrcoaN�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration 111I��III��111111111111111111111111111111111111111111111 jjCOMB Permit : XR2023-0370 Plan Check No: Issued Date : D2/08/2023 Inspection Area : 3 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 : 408 HOLMWOOD DR Legal Desc : N TR 1136 BLK LOT 44 Description: SFR REMODEL (E) DETACHED GARAGE: REPLACE DOOR HEADER FILL IN (E) BREEZEWAY 66 SF ADDITION. ADD DECK & STAIRS (429 SF) '12 -3304 STOPWORK"CHG OF CONTRACTOR' Owner: CARTER ROBINSON Address : 435 REDLANDS AV NEWPORT BEACH, CA 92663 Phone : (949) 903-9153 Applicant: CARTER ROBINSON Address : 435 REDLANDS AV NEWPORT BEACH, CA 92663 Phone : (949) 903-9153 Owner/Builder : CARTER ROBINSON Address : 435 REDLANDS AV NEWPORT BEACH, CA 92663 Phone : (949) 903-9153 Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U Bldg Height: Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 0 Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Contractor : Architect ': ' fir''?- d Address : Address : 1 L—%a Phone: Phone: Con State Lic : State Lic: Lic Expire Bus Lic: Engineer : YAGHI SHUCRI I Bus Lic Expire : Address : 112 E. CHAPMAN #D ORANGE, CA 92866 Workers' Compensation Insurance Phone: (714) 997-9120 Carrier : Policy No: Designer W. C. Expire : Address Phone: Fire Sprinklers : NO Construction Valuation Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 No of Units : 1 Alteration sq. ft. Bldg : No of Stories : 1 Added/New sq. ft. Garage; 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors.' Stale 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, poor to its issuance, also requires the applicant for is 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 rofessions Code) or that he or she is exempt from Ijcensure 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 of more than five hundred dollars ($501 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 intended or offered for sale (Section 7044, usiness 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 properly, provided that the nprovements 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 theburden of proving that it was not built or nproved for the purpose of sale). 3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70,44, Business and Professions Coder The Contractors' State License Law does not pply 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 I am exempt from licensors under the Contractors' State License Law for the following reason: y p p p y .y my signature below I acknowledge that, except for my personal residence in which i must have resided for at least one year nor to completion of the Improvements covered b this permit, i cannot lagalij all a structure that I have built as an owner-buildor if it has not been constructa 'n its entirety by licensed contractors. I understand that a copy of the applicable law, Sectio 7 44 of the Business and rofessions Code, is available upon request when this aRplicati ssub_rt�ltted at a following Web site:httprlrnv.leginfo.ca,govlcalaw.html. d,// �,� iignature of Property Owner or Authorized Agent .'�(G�-g"r-- Date ,Z X _. .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3of the Business and P s ' SO e, a f icense is In full force nd effect. License Class License No Date Contractor Sign VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSANO DOLLARS 16100,00i AODRION TO THE DST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. 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 orformance of the work for which this permit is issued. Policy No. 71 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade,. for the performance of the work for which this permit is issued. My workers' compensatioi lsurance carrier and policy number are: Agent y that, in the performance of the work for hould become subject to the workers' col I of ADaleant -Y..._4._.. Policy Number Expiration Date permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre 1 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 2/2 3 AGEN� CY hereby 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). ender's Name - Lender's Address y my 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 and the inform alion I have provided is cc ct. I agree to comply with all applicable city and county ordinances an sta e I a relating to building construction. I authorize representatives of this city or coun to pritaTithe ab a 'detifa pro arty for inspection purposes. /D ignature of Property Owner or Autherzed Age Print Property Owner's or Authorized Agent's Name SCTION OATF BY V DECLARATION OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY RF,GULATIONS. PART 51 OF TITLE 40 AND AQMD RULE _ �1.4.1033 1ERMir EXPIRED I - j 1 SUBMITTED A5BE5TOS NOTIFICATION TO PERMIT EXTENDED , PERNl1T FINAL 2 7--IL1AOMP 7`7 1-,.IASBESTO , NOTIFICATION 15 NOT APPLICABLE TO CERVF[CAl E OF 1 011000SEO DEMOLITION OCCUPANCYISSUED SIGwA,URE: V J