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Home My WebLink AboutXR2023-2452 - Permits�gWPO,q� City of Newport Beach 111 IIIpIII 1111111111111111111111111111111111111111111 1111111COMB Permit : XR2O23-2452 e Community Development Department- Building Division X R 2 0 2 3 2 4 5 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2150 i Permit Counter Phone: (949) 718-1888 Issued Date : 09/01/2023 e,. newportbeachca.gov/civic Final Date: C9��F00.N\P Combination Type - SFP ELEC MECH PLUM 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: 2671 BAY SHORE DR Description: SFR - BATHROOM REMODEL 163 SF Owner: SHANNONTARNUTZER Address : 2671 BAY SHORE DR NEWPORT BEACH, CA 92663 Phone: (949)861-1844 Applicant: PHIL NIELSEN Address : 6131 ANACAPA DRIVE HUNTINGTON BEACH, CA 92647 Phone : (714) 717-1418 Owner/Builder : Address : Phone Legal Desc : N TR 1102 BLK LOT 4 Contractor: REUTER HOMES Address : 422 RIVERSIDE AVE NEWPORT BEACH, CA 92663 Phone : (949) 645-5824 Con State Lic : 760411 Lic Expire : 03/31/2025 Bus Lic : BT30043520 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: STATE COMP Policy No : 9305837 W. C. Expire: 9/22/2023 Architect Address Phone: State Lic Engineer Address Phone Designer: PHILNIELSEN Address: 6131 ANACAPA DRIVE HUNTINGTON BEACH, CA 92647 Phone: (714)717-1418 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $25,000.00 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: 163 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 - ; ; - ; . • • • - ; Flood Zone : X - • - Use Zone : R-1 - Single -Unit Residential BY: �if`�♦ PROCESSED SPECIAL CONDITIONS: 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, prior to its issuance, also requires the applicant for Ic perrna 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 'rofessluns 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 (S500). 1 1, 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 property, 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 the burden 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 7044, Business and Professions Code: 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 art exempt from IlaerTSUra under the Contractors' State License Law for 01e following reason: ........ _... _--- . iy 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 legafh ell 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 copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following +Nab site:http:livnvw.legmfo.ca,gov/calaw.btml. signature of Property Owner or Authorized Agent _,... Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) f vi on of the Business and Prot C aPenn e 4 in full roe ad effect. License Class License No Date Contractor Signatur VORKERS' COMPENSATION DECLARATION 'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED T OUSA D DOLLARS 1$100, 001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I I IT 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, forth erf9irlmai the work for which this permit is issued. Policy Flc. hand 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' compensatiol ranee carrier and policy number are: :arrfer Policy Number Expiration Date dame of Agent Phone # :]I certify that, in the performan of the for which t ermit isvad. 1 II not employ any parson in any manner so as to become subject to the workers' Compensation ' t ws of California, and agre hat, if I should become subi the rs' compen ' n pro r ' S o e Labor Code, I shall forthwith comply wdlh those provisions. Signature of Applicant Date__ _ )ECLARATION RBG IN CONST U TION LENOINp A N Y hereby affirm under penalty of perju that there is a constru ii tending agency for the performance of the work for which this permit is issued(Section 3097, Civil Cede). .ender's Name Lender's Address _ 3y 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 information I have provided is DOrrec I agree to comply with all applicable city and county ordin d sl e a Blati to building construction. I authorize represenlnlives of this ci'y o- boon+y to b ve-Id b rep or inspection purposes. / ~ /� Z� si nature of Property Omier rr Aulhnnzed Age+it _ Print Property Owner's or Authorized Agent's Name L.� Date r ACTION DATE BY : DECLAI TION OF CON LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGULA FIONS PART 61 OF TITLE 40 AND ACtMD RULE p i,wa PERMTEXPIRED 1 SUBMITrFO ASBESTOS NOTIFICATION TO PEAMIT CANCELLED CPA PERMtT FA7ENDED � r ragMD PERNUTFINAL / CERTIFICATE OF /y/�y ASBESTOS NOT IFILAI ION I5 NOl APPLICABLE TO -(?i/�.` FD DEMOLITION OCCUPANCYISSUED SI NATURE.