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Home My WebLink AboutXR2023-0364 - Permits�gWPO,gr City of Newport Beach? - IIIIIIIIIIIIIIIIIIIIIIIII III II COMB Permit XR2U23-0364 @ Community Development Department - Building Division X R 2 0 2 3 0 3 s 4 ty" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0290 Permit Counter Phone: (949) 718-1888 Issued Date : 12/12/2023 S newportbeachca.gov/civic Final Date: °"«FonN P Combination Type - MFP ELEC PLUM GRAD Permit Status: Issued Work Class - Addition/Alteration Inspection Area : 4 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: 401 VISTA GRANDE Legal Desc : N TR 6230 BLK LOT 81 TR 6230 (L.L.84-214033) PAR 81 Description : MFR - ADDITION @ BASEMENT LEVEL 544 SF Owner: HUMBERTO TAVARES Contractor: AHA DEVELOPMENT GROUP INC Architect : RICK GUINA Address : 401 VISTA GRANDE Address : 20331 IRVINE AVE #E2 Address : 17985 SKY PARK CIR, G IRVINE, CA NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92660 92614 Phone: Phone: (949)612-9170 Phone: (714)486-3318 Con State Lie : 931225 State Lie Lie Expire : 04/30/2025 Applicant: RICK GUINA Bus Lie: BT30083170 Engineer: Address : 17985 SKY PARK CIR, G Bus Lie Expire : 12/31/2024 Address IRVINE, CA 92614 Phone: (714) 486-3318 Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder : Policy No : 9058784 Designer Address : W. C. Expire: 6/1/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers: NO Construction Valuation : $100,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 544 Occupancy Groups : U,R-2 No of Units : 4 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 544 Building Setbacks Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER I hereby affirm under penally of perjury that I ant exempt from the Contractors' State License Law for the reasons) indicated below'by the eheckmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county Oral requires a permit to construct, killer, 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' Stale 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 basal for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penoJty of not more than five hundred dollars ($500). El I, 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' Skate License Law does not apply to an owner of property 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 noL 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). ❑ I 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 legallt sell a structure that I have built as an owner -builder if kt has not been constructed in its entirety by licensed conlractors. 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:Jlwww.leginfo.ca.gov/calaw.btmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that. I am licensed under provisions of Chaptot 9 (con encing with Section 7000) f Divisio 3 of the Business and Professions and effect. License Class License No / ].'�—, Date Contractor Signaturelp � I 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 THOUSAND DOLLARS t511i IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE. INTEREST', AND ATTORNEY"S FEES. hereby affirm under' penalty of perjury one of the following declarations: I 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 the eekrimance 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 Expiration Date lame of Agent Phone # 31 certify that, inthe performance of the work for which this a ord I 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 eat, if I should become subject to th w k aLr6 f tion 3700 of the Labor Code, I shall forthwith comply with those provisions. ignalure of Applicant ECLARATION RI NfNG�__ CONS RUC' ION LENDING AGENCY hereby affirm under penalty of perjury that there is a ccnsIruoften 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 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 an f laays rel ing to building construction. I authorize representatives of this city or county to ante 1 '' a for inspection purposes. rL denature of Prooertv Owner or Authorized AuenAll Print Prooerty Owner's or Authorized Aoent's Name � /- ACTION DATE. j BY A DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j RF13MATIONS PART SI OF TITLE 40 AND A0,MD RULE PERM)T EXPIRED L I ° JBMITTED ASBESTOS NOTIFICATION TO PERMf7 U.NCELlED__CPA — ...... ._._ PER,WITEXTENDED _ _. ....... -7—, .....__ - PERMITFINAL _ �r Z�Z7 T�fCAOMD ❑ASBESTOSN011FICAIIO CERTIFICATE OF pROPOSEDD OUT OCCUPANCY ISSUED _ I_ Date