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Home My WebLink AboutXR2022-2789 - PermitsPORT City of Newport Beach ��EW Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 * Permit Counter Phone: (949) 644-3288 a �C'ZI, Inspection Requests Phone: (949) 644-3255 P 1�1 newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - New iiiiiiiiiiii II COMB Permit : XR2022-2789 Plan Check No: PC2022-2649 Issued Date : 11/17/2022 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 : 410 TUSTIN AVE Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BILK 26 LOT 3 Description: SFR INTERIOR ALTERATION 1200 SF, DECREASE BY 95 SF. Owner: GARY MASON Address: 410 MONARCH BAY DR DANA POINT, CA Phone: (949)295-4569 Applicant: GARY MASON Address : 410 MONARCH BAY DR DANA POINT, CA Phone: (949) 295-4569 Owner/Builder : GARY MASON Address: 410 MONARCH BAY DR DANA POINT, CA Phone: (949)295-4569 Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone: 2019 V-B U,R-3 Front: 20, Side: 4, Side: 4, Rear: 5 X R-1 - Single -Unit Residential PROCESSED BY: $3 SPECIAL CONDITIONS: Contractor Address : Phone: Con State Lic Lic Expire Bus Lic : Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect Address Phone: State Lic Engineer: HAIGHTCHRISTOPHER Address: 1401 DOVE ST#240 NEWPORT BEACH, CA 92663 Phone: (949)623-9957 Designer: CCIDC Address : Phone: (714)200-6789 NO Construction Valuation : $100,000.00 NO Added/New/Ti sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 1,i00 2 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' State 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' 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 t0 a civil penalty of W. na� ore than five hundred dollars ($500). / as owner of the property, or my employees with wages as their sole compensation, will do (_) all of oportions of the work, and the structure is not intended or offered for sale (Section 7044, ress and Professions Code: The Contractors' State License Law does not apply to an owner of grope 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). ❑ 1 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 legall, sell 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 usiness and Professions Code, is available upon request when this a QijIs s at the lowing Web site:http:llwww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATIO I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my 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 CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST 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: ❑ 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+ Performance of the work for which this permit is issued. Policy No. 131 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' compensatior nsurance carter and policy number are: Cartier Policy Number Expiration Data Name of Agent Phone # Wee rtify that, in the performance of the work 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 agree fist, if I should become subjecl.Lo the workerscom salion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dale ZZ DECLARATION REGA4=fr0_N_TMING AGENCY 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 belo�i, I c,,,. tify to each of the following: f am the property owner or authorized to act on the property owner's behalf. i have read this, ap;)Fcs,ion and the information I have provided is correct. I LgrOC to comply with all applicable city and county ordinances and slate laws eating to building construction, : authcrize representatives of this city or county to ant arty for ins action purposes. Si gna_ure of Properly n,vnrr or Authorized Agent Print Pro ertOwners or Authorized Agents Name _ Y N/'w/✓Y V Datelakz ACTION DATE BY DECLARATION OF COMPLIANN WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE P£FA'I' S'P+RED LJ I SUBMITTED ASBESTOS .PERMIT CA, CELLED FPA PERMI PANAL �',f'//►!J .�A5BE5TOS CERTIFICATE OF ` Y PROPOSED of OCCUPANCY ISSUED �i'N SIGNATURE: TO