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Home My WebLink AboutXR2023-2130 - PermitsaIPoRT City of Newport Beach IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIII��I II COMB Permit : XR2023-2130 CFs )@ Community Development Department - Building Division X R 2 0 2 3 2 1 3 0 _ y 10o Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1086 Permit Counter Phone- (949) 718-1888 Issued Date : 08/02/2023 newportbeachca.gov/civic t 9 ,r. ram., .� N"^ 'M"- Final Date: Combination Type - t`-_` aM.i' r� t Permit Status: Issued s� 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 : 330 AMETHYST AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BILK 18 LOT 15 Description: "CHANGE OF CONTRACTOR TO GC FOR PERMIT XR2023-1228— DUPLEX REMODEL FRONT UNIT ONLY, KITCHEN AND ENLARGE MASTER SUITE 1174 SF Owner: BRIAN BRADESON Address : 330 AMETHYST AVE NEWPORT BEACH, CA 92662 Phone: (714)392-6608 Applicant: MICHAEL PARR Address : 11175 CONDOR FOUNTAIN VALLEY, CA 92708 Phone: (714)478-1889 Owner/Builder Address : Contractor: HARDEY CONSTRUCTION INC Address : 9551 WESTBOURNE CT CYPRESS, CA 90630 Phone: (562)787-9930 Con State Lic : 845845 Lic Expire : 09/30/2024 Bus Lic: BT30068347 Bus Lic Expire : 08131/2022 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No: CWC00303400 W. C. Expire: 11/8/2023 Architect Address Phone: State Lic Engineer: BRANDON WAVERING Address : 5307 W BALLAST AVE SANTA ANA, CA 92708 Phone: (909)908-6767 Designer Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Added/New sq. ft. Garage Bldg Height : No of Stories : 2 TOTAL sq. ft. Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: 0 SPECIAL CONDITIONS: CHANGE OF CONTRACTOR TO PERMIT XR2023-1228 OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (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 licensed pursuant to the provisions of the Contractors' Stale 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 ($501)). 111. as owner of the property, or my employees with wages as their sole compensation, Will de L) all of or U 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 -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 or 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' Slate 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 Iegall, sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed 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 site:http:/Avww.leglnfo.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 Section 700 ,}pf Divi ion 3 of the Business and Professions a Ilcense is in full force and effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000). IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 :e 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: ne of Agent _ certify that, in the pi , if I should become of Policy Number Date for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre )0bmpensatign provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. Dale Lr DECLARATION REGARDING-CONSTRMTION LENDING AGENCY I 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). Lenders Name Lenders Address By my signature below, (certify to each of the following: I am Iha property owner or authorized to act on the property owner's behalf. 1 have -ead thin application and the Information I have provided is correct. I. agree to comply witn all applicable city and county or ' nce and state laws relating to building construction. I authorize representatives of this city or county to er ve-identified property for inspection purposes. Si nrture of PropQrty Owner or Authorized A ent')< Print Pro a Owners or Authorized Agents Name Date AC'ION I DATE BY DECLARATIM OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PER04fT EVPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO Pf" N8T CANCELLEQ DEPA PE f f'T SY'ENDED QM D PERM T FfNAL cJ ASBESTOS NOTIFICA 15N APPLICABLE TO CERTIFICATE OF I7_/�.7 WWII PROPOSED DEMOLITI OCCUPANCY ISSUED SIGNATURE: v