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Home My WebLink AboutXR2023-1168 - Permits4EwpoRT City of Newport Beach II �� II�� III �� I�� I �I� II A Community Development COMB Permit: XR2U23-1168 p� Y P X R 2 0 2 3 1 1 6 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0785 Permit Counter Phone: (949) 718-1888 Issued Date : 05/17/2023 c .x. r newportbeachca.gov/civic Inspection Area : 1 S�/Fp0.N� Combination Type - SFP Work Class - Other 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 : 326 L ST Legal Desc : N TR 518 BLK M LOT 10 Description: DELTA 1 ADD'L SCOPE 374 SF ROOF DECK, DEMO (E) FIREPLACE REPLACE WITH (N) FIREPLACE (REV2023-0838) Owner: 218 E OCEANFRONT PARTNERS LLC Address : 250 NEWPORT CENTER DRIVE, 200 NEWPORT BEACH, CA 92660 Phone Applicant: WALZ JOHN ROBERT Address: 510 LARKSPUR AV CDM, CA 92625 Phone: (949)836-5977 Owner/Builder : Address : Phone Contractor: BUILDING WORX INC Address : 1025 SENTINEL DR, 100 LA VERNE, CA 91750 Phone: (626)385-6582 Con State Lie : 901795 Lie Expire : 08/31/2024 Bus Lie: BT30040115 Bus Lie Expire : 07/31/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9318993 W. C. Expire : 6/1/2023 Architect: WALZJOHNROBERT Address: 510 LARKSPUR AV CDM, CA 92625 Phone: (949)836-5977 State Lie : Engineer: XIAO OIANG Address: 1520 BROOKHOLLOW DR #45 SANTA ANA, CA 92705 Phone: (714)662-0510 Designer: Address 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 : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 0 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: $2,000.00 0 0 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 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 :he 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 itcensure 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 'tot more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements are not Intended or offered for sale. If, however, the building orimprovement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or mproved for the purpose of sale). 1 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), ZI I am exempt from licensure under the Contractors' Stale License Law for the following reason: Sy 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 logallt sell a structure that I have built as an owner -builder if ithas not been constructed in its entirety 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:llwww.leginfo.cs.govlcalaw.html. Signature of Property Owner or Authorized Agent _Dalai len LICENSED CONTRACTOR'S DECLARATION I Hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing witfT Section 7 0) f s" 3 of the Business and Prof o e, an a is in full f ce and effect. License Class License No Date Contractor Signaler IMORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTM AND CML FINES UP TO ONE HUNDRED i USAND DOLLARS (5100,0001, iN ADDRION TO THE COST 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 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 Morma.nce 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 of Agent Date It certify that, in the performance Tnr w t s permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of C 11 File, an tl agre ist, if] should becom u act to ewer n ton revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Applicant _ Date 2 _, E:CLARATION REG DIN ONSFRUCTION LENDING GENfbC A�� 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, ivll ode). anodes Name Lenders Address Iy 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 ordi d_st6l a% relating to building construction. f / 1 authorize representatives of this city or county to an r/,the-Above -Ida prope�y ft7r4Rspectlon purposes. 1 �� / / �(p1 /(/ 7 fianature of Property Owner or Authorized Anent I v / 'It; ter., n i Print Property Owner's or Authorized Aoent's Name ;FC , P%Y 7/�/ w, /@ate S �/ ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE ATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED _ i LJ I $UBMITi ED A.+BESTOS NO_TI FILAT,ON TO PERMfTCANCELLED PA PERMIT EXTENOFD DM D PERMIT FtNA1 [t � �ASBEST 1' P IC CERTIFICATE OF Q.�X. aP(`POSFOD O t' _ OCCUPANCY ISSUED G ,dd N SIdNA'y. 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