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Home My WebLink AboutXR2023-1887 - PermitsQ �6WPO�T City of Newport Beach jai IIIpIII 111111111111111p1111111111111p11111111111111 COMB Permit : XR2023-1 ss7 - @ Community Development Department- Building Division X R 2 0 2 3 1 8 8 7 r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date :1 tL ems. newportbeachca.gov/civic Final Date: 1 'v4i C'4</CORN` Combination Type - SFP ELEC MECH PLUM Permit Status: Applied Work Class - Alteration Inspection Area : 6 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 I .. I �'° ? P C"a" Job Address : fi19 JASMINE AVE Legal Desc : A TR CORONA DEL MAR BLK 636 LOT 19 I r "� ° iT- 1 Description : SFR REMODEL MASTER BATHROOM AND 2ND BATHROOM (190 SF) - Owner: Chuck EBNER Address : 619 JASMINE AVE CORONA DEL MAR, CA 92625 Phone: (949)310-0556 Applicant : Chuck EBNER Address : 619 JASMINE AVE CORONA DEL MAR, CA 92625 Phone : (949) 310-0556 Owner/Builder : Chuck EBNER Address: 619 JASMINE AVE CORONA DEL MAR, CA 92625 Phone : (949) 310-0556 Contractor Address : Phone: Con State Lic Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Code Edition : 2022 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 : 3 Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY SPECIAL CONDITIONS: O/B AUTH S NNED Architect Address Phone: �• ••• State Lic Engineer: NO C04§"UCTION WORK; • • " ; Phone: Designer: off cgATURDAYS Phone: > Construction Valuation : $20,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 DECLARATION 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 end Professions Code: Any city or county that requires a permit to construct, after, 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 -rofessions 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 Tot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 mprovements 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 Wor the purpose of sale). 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 ply 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 most have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legali, ;all a structure that I have built as an owner -builder if it has not een constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 70" of he Business and 'rofessions Code, is available upon request when is I is submitted or a foll Ing Web site:http,liw .leginfo.ca.gov/calaw.html. 17 Z S ZJ Signature of Property Owner or Authorized__..__._.____-___.,.._.______.,..._._..___��___e LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with S000) of Division 3of the Business and Professions Code, and'. my license is In full force and effect. Licerne 7 r ""ass License No Contractor Signature WORKERS' COM EINSATION DECLARATION dw VAIP C:-AILURE TD SLCJAE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 4100,000i. IN ADDITION TO THE CYST 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: _1 1 have and wil' maintain a Certifr..cate 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 Dencrminco of the w'nrK for which this permit is issued. Policy No. 711 have and will ,oab,6in 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' compensatiol nsurance carrier air' pol',.y number are: Policy Number Date �-ri in the penormance 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 ogre CL if I sf.ould become sub to t orkers comoensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply will those provisions. `/ ^� i nature of A nt „_ _ -, _ � {� Z-1Z 3 ECLARATIONARD G CONSTRUCTION LENDING 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). ender's Name Lender's Address y my signature below, I certify to each of ilia 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 Gay and county ordinances and state laws relating to building construction. I authorize representatives of this city or county ly er jir Iiiii eve -identified property for inspection purposes. of Propertyy Owner or Authorizedwit Print Property Owner's or Authorized A DATE ffy DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY '.. REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMI i EXPIRED 11__I i SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED ? _LTEPA PERMii FXTENDED -------------------- _ _ � QMD FERMIT FINAL CERTIFICATE OF $�,(`/z SB TUS NUI IFICAfIUN IS NUl APPLICABLE fU DENy�I}'i�� OCCUPANCYISSUED r SIGNA E: SIGN