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Home My WebLink AboutXR2024-0426 - Permits�gWnO�T City of Newport Beach II III I IIII IIII I IuIllllllll llllllllll II COMB Permit : XR2024-0426 C'� J Community Development Department -Building Division X R 2 0 2 4 0 4 2 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 Issued Date : 0212112024 newportbeachca.gov/civic Final Date: CgGIFp R��P Combination Type - MFP Permit Status: Issued Work Class - Other Inspection Area : 4 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: 109 BAY HILL DR Legal Desc : N TR 12105 BILK LOT 1 UN HOLD Description: MFR - R/R WINDOWS (3) Owner: MARIA JOSEPHINA JIMENEZ-PARAINO Contractor; CALRQ RESIDENTIAL REMODELING INC Architect Address : 109 BAY HILL DR Address : 247 ELLINGBROOK DR Address NEWPORT BEACH, CA 92660 MONTEBELLO, CA 90640 Phone : (626) 343-4460 Phone: (626) 456-4120 Phone: Con State Lie : 1096893 State Lie Lie Expire : 09/30/2024 Applicant : CALRQ RESIDENTIAL REMODELING INC Bus Lie: BT30083626 Engineer Address : 247 ELLINGBROOK DR Bus Lie Expire : 02/28/2025 Address MONTEBELLO, CA 90640 Phone: (626) 456-4120 Workers' Compensation Insurance Phone: Carrier: HARTFORD CASUALTY INS Owner/Builder : Policy No: 72WECBD3Y1 B Designer Address : W. C. Expire : 1/30/2025 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $2,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-2 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 Flood Zone : X - Use Zone : PC -Big Canyon PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION € 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 the permit to file a signed statement that he or she is liconscd 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 Ifcensure 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 ($500). 0 1, as owner of the property, or my employees with %Vegas as their sole compensation, will do (_) 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. Ir, 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). El 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 or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). El I am exempt from iicensure underthe 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 lagally soil a structure that I have built as an owner-buildor if It has not boon constructed in its entirely by licensed contractors. I understand that a copy of the. applicable law. Section 7044 ofthe Business and Professions Code., is available upon request when this application is submitted orat the following Web site:http:tfwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seipp ) Div! ' rl 3 of the Business and Proles 'o . ❑ my l ,nSo is In full force .and effect. License Class License No �e$e-, ":. ai W4W Contractor Signature (WORKERS' COMPENSATION DECLARATION �WARNINGo FAILURE TO SECURE WORH.ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE '..COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORIrI FEES. II hereby affirm under penalty of perjury one of the following daciaralions: C3 I have and will maintain a certificate of consent to self -Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thI orf4rmanee of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number Expiration Date of Agent I certify that, in the performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become subjepensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant _._._..,_..,_ .__.w....,.._...,_......_ Data, z ( o? DECLARATION REGARDING CON$T TI ENDING AGENCY I hereby affirm under penalty of perjury that ther Is a construction fending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lenders Address By 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 correct. I agree to comply with all applicable city and county ordinances aws relating to building construction. I authorize representatives w tms city or COL-Ity to ^n ola-ide red property for inspection purposes. 2 �� Signature of Property • Owner or Aulhonzad Anent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLAROF MPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ATIO I REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE 1 1403 PERMFF EXPIRED L-J I SULM:TTZD A59FSTOS NOTI FICATtON TO PERMIT CANCELLED P UcPA PERMIT fXrENDED _ L JAQMD PERMIT FINAL ASBESTOS NOTIFICATION 15 NUT APPLICABLE TO CERTIFICATE OF �/ OPOSEO DEMOLITION OCCUPANCY ISSUED ` SIGNATURE: