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Home My WebLink AboutXR2023-0842 - Permits04'. City of Newport Beach 11111111111111111111111111p11111111111p1p1111111111111jjCOMB Permit:XR2O23-o842 Community Development Department- Building Division X R 2 0 2 3 0 8 4 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2364-2021 Permit Counter Phone: (949) 644-3288 Issued Date : 0313012023 Inspection Requests Phone: (949) 644-3255 Inspection Area : 5 newnewportbeachca.gov/inspections 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 : 4512 WAYNE RD Legal Desc : N TR 3519 BILK LOT 97 Description: SFR - INTERIOR ALT OF KIT/FAM RM. ADD OFFICE & 4TH BATH. 1347 SF REMODEL. RE -ROOF & NEW SKYLIGHTS *CHANGE OF CONTRACTOR* Owner: TIMOTHY EPP Address : 4512 WAYNE RD CORONA DEL MAR, CA 92625 Phone Applicant: BASSETT BUILDING INC Address: 389 NORTH FAWNWOOD LANE ORANGE, CA 92869 Phone: (949)933-9785 Owner/Builder : Address : Phone Contractor: BASSETT BUILDING INC Address : 389 NORTH FAWNWOOD LANE ORANGE, CA 92869 Phone : (949) 933-9785 Con State Lie : 987808 Lie Expire : 10/31/2023 Bus Lie: BT30077593 Bus Lie Expire : 01/31/2024 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No : EXEMPT W. C. Expire: Code Edition : 2019 Fire Sprinklers ; NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U.R-3 No of Units : 1 Bldg Height: No of Stories : 1 Building Setbacks : Front: 15, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY, U SPECIAL CONDITIONS: F$EF'L1 ES EXPIRED PERMIT X2021-2720 Architect : KNITTER MICHAEL L Address : 17752 MITCHELL NORTH #C IRVINE, CA 92614 Phone : (949) 752-1177 State Lie Engineer: MORRIS KYLE Address : 1401 DOVE ST #520 NEWPORT BEACH, CA 92660 Phone : (949) 502-5323 Designer: Address Phone: Construction Valuation : Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg: 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 reasons) indicated below by the checkrnark(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 lie 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 licensors 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). ❑ 1, as owner of the property, or my employees with wages 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, provideA 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 Improvedfor the. purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors tD 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 legally 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 theapplicable law, Section 7044 of tho Business and Professions Code, is available upon request when this application is submitted orat the following Web site;http:liw %v.ieginfo.ca.gov/calaw.html. Signature of Property Owneror Authorized Agent _ ,T Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7 00 of Nisi n 3 of the Business and Pr f sions Code, a c.nseisln t7M rce and effect. License Class License No Dat Contractor Signatu 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 HUNOR DOLLARS [11TIF5,11111. IN AOOrrION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 have and will maintain a certificate of consent to Self•irlsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Cade, for th performance 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: Policy Number of Agent rtify that, in the performance of the work for which this permit is I should become subject SO IJW workers of Applicant Date any person in any manner so as to become subject to the workers' compensation I s of C iforma., and agre Labor Code, I shall forthwith comply wtlh those provisions. /) \ Date l�( '3 hereby affirm under penalty rjury that there is a construction ency for the performance of the work for which this permit 1s issued (Section 3097, Civil Code) enders Name Lenders Address ly my signature below, I oerlify 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 and st relating to building construction. I authorize representatives of this city or coo my to r the xwdeMifi for inspection purposes. �� / lidnature of Properly Owner or Authorized Adettt, rmt Property Owner's or Authorized Agent's Name, OF COMPLIANC OF FEDERAL I FOR OFFICE USE ONLY PAR TITLE 40 TAND RULE 1403 El I SUBMITTED ASBEST05 NOTIFICATION PERT(FICANA1 ,.1,LNf J%{ PROPOSED DEXLI`TONIUN IS NOT CEROCCUPANCYi5£ Y OCCUPANCYVSSU£) 15#GNATURE: l V N C E E 0 u a a a LO rn GE� x z c x W z F U o W U M Co c m 00 [--� Az om OOT m— H O � "-o L. a agcom oZx C— Wr� a aw Co p' 9W.a.Oo 0LL A�a3 �I VW E"� c m 0 LLJ U o o U � g o O N N i p O -C cu E E y p yL 0) aNEz c � o p E f6 a) = O O ca E o y U N C-O -C O N (�`6Y� _\ U� O N L) >+ N d O ?, lw N 01 o m a) � 3 y a m� aoi� (� r m� oLas C- °cc�c Ex 3a C a) N E a) a) m m O° t C j o-0 -O N df `Um Vo y-0- fl O N Qr I6 a) > UO E o0 a' )LxxO r C oca:a)cO mo ao«0«v Co Y h�� E 0o0e U N 01 omN £m0 O J 0 o -o .o a°Enm° y `m ) o° ojQo oCym c C V O "O a) ) ' O (D N E j "' y a) 0) N Cl) a) O 0 ate.., E CE Ew •_.• C C co o C(Da) Lam° ° mmyE yO o N > a) N 'O a) .. — api chi _ c-)Ea� O.0�o c oo`m° tYM �� 0 o c a Y U) E moc cci Eck p. `m wa a> � m a) Cc �3�� _Em °o N CO N' m Q) 1 N +. 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