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Home My WebLink AboutXR2023-2854 - PermitsCity of Newport Beach rFwPO, ` e Community Development Department - Building Division Civic Center Drive, Newport Beach, CA 92660 -�' Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic �9(/FO RN P ` Combination Type - Work Class - Other COMB Permit : XR2023-2854 Plan Check No : PC2022-2229 Issued Date: 10/11/2023 Final Date: Permit Status: Issued 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 : 223 CORAL AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BILK B LOT 26 Description: MFR YARD DRAINAGE *CTY STD* (REV2023-2008) Owner: SHAWN WALTERS Address: 716 WILKES ST ALEXANDRIA, VA 22314 Phone Applicant: PATAUSTIN Address : 2732 E COAST HWY, Suite B CDM, CA 92625 Phone : (949) 718-3528 Owner/Builder Address : Contractor: RECENDEZ CONSTRUCTION Address : 14626 Behrens Ave Norwalk, CA 90650 Phone : (562) 377-2226 Con State Lie : 1056558 Lie Expire; 07/31/2024 Bus Lie : BT30082779 Bus Lie Expire : 10/3112024 Workers' Compensation Insurance Carrier: EXEMPT Policy No: EXEMPT W. C. Expire : Architect: CHILDSCYNTHIA ARCHITECT Address : 2732 E COAST HWY #B CORONA DEL MAR, CA 92625 Phone : (949) 718-3528 State Lie Engineer: ASKARIAN KYLE Address: 17595 HARVARD AVE #C-734 IRVINE, CA 92614 Phone : (310) 404-1834 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 No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 0 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: X5 SPECIAL CONDITIONS: REV2023-2008 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) End Ica led below by the checkmark(s) I haveplaced 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 is permit to file a signedstatement 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 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 ponalty of of more than five hundred dollars ($500). i, as owner of the property, of my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044. lus€ness 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 »proved for the purpose of sale). J 1, 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 poly 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). J I am exempt from llcensure under the Contractors' Slate License Law for the following reason lmy signature below I acknowledge that. except for my personal residence In which I must have roslded for at least one year prior to completion of the Improvements covered by this permit„ I cannot legallt all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understandthat 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 Web site:htip:l/�,leginfo.ca.govlcalawfi€mi.. fignature of Property Owner or Authorized Agent _ _ . Date .10ENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury, that I am licensed under provisions of Chapter 9 (commencing with Section 70 of Divi§-ion 3 of the Business and Professio Cod , and my tic se is In NMI force nd effect. License Class License No Data 0, 111R10Z Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA96 DOLLARS (5100,000), "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: 7 I have and will maintain a certificate of consent to self -insure for 'workers' compensation, issued by the Director of Industrlal Relations as provided for by Section 3700 of the Labor Code, for the erformanee of the work for which this pormlt is issued_ Polley 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: Policy Number Date certify that, in the performance of the wark 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 . if I should become subjectt fy the_gkers` compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. ture of Date /D // "ZOZ`s 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). enders Name Lender's Address y my signature below. I certify to each of the following: I am the property •+caner or authorized to act on the property owner's behalf. I have read tills application and the information I have provided is correct. I agree to canluly Nith all applicable city and county ordinances and stale laws rebating to building construction, authorize representatives of this city orcounty to ter abc e-Identified property for inspection purposes. 1�' ic.ijture of Prooerty Owner or Authonzed Aaenl Print Procerty Ovrner's or Aldhori>ad Aneol s Noma / C �'/'L' / nC CP,iWeZ Date /c/, —// � PCTiON _ DATE 6Y I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL RFGULATIONS PART Sl OF TITtf 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY "f4M17 EXP1FED I SUBMITTEDASBESTOS NOTIFICATION TO i- 7'NET CANCELLED ' PERtVT EXTEPOED ------.III---lltEE��pA r_ DEMO "Lrl (FINAL ASBES r05 NO r I fICATION 15 NOT APPLICABLE TO ` '"PPTIFICAFE Pfn� OCCOPANCYIb5✓Ell PROPOSED DEMQUN� i SIGNATURE•