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Home My WebLink AboutXR2023-2368 - Permits",EWPo", City of Newport Beach II III I II I IIIII IIII IIIIII III III IIIII II COMB Permit : XR2023-2368 OF @ Community Development Department- Building Division x R 2 0 2 3 2 3 6 8 r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2073 Permit Counter Phone: (949) 718-1888 Issued Date : 11/2012023 U r newportbeachce.gov/civic Final Date: C9C/FO PN�P Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - 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: 9 MARBLE SANDS Legal Desc : N TR 15478 BLK LOT 4 Description: SFR -INTERIOR REMODEL 5401 SF & REPLACE ATTACHED SOLID PATIO COVER 528 SF, ALT WINDOWS Owner: HERTHEL JASON S TR Address : 9 MARBLE SANDS NEWPORT BEACH, CA 92660 Phone Applicant: RYAN OLDHAM Address : 680 LANGSDORF DR, 202E FULLERTON, CA 92831 Phone: (714)482-8296 Owner/Builder: Address : Phone Contractor: HAWKER CONSTRUCTION Address : 2024 CREST DR ENCINITAS, CA 92024 Phone: (714)743-7110 Con State Lic : 930312 Lic Expire : 01/31/2025 Bus Lic: BT30063937 Bus Lic Expire : 07/31/2024 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No: WSA505347802 W. C. Expire: 1/27/2024 Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U,R-3 No of Units : Bldg Height: No of Stories Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5 Flood Zone : X Use Zone : PC - Bonita Canyon PROCESSED BY: SPECIAL CONDITIONS: Architect: RYAN OLDHAM Address : 680 LANGSDORF DR, 202B FULLERTON, CA 92831 Phone: (714) 482-8296 State Lic : Engineer: SHAWN DUANE LOTHROP Address: 27369 VIA INDUCTRIA TEMECULA, CA 92590 Phone : Designer Address Phone: NO Construction Valuation : $400,000.00 NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 5,401 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 y OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I. am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Sedlion 7031-5. Business end 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 signed statement that ho or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of DIV ision 3 of the Business and 'rofessons Code) or that he or she is exempt from l censure and the basis for the alleged exemption. Any violation of Section 703i,5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or t_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ,usiness 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 nprovemenls 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 nproved for the purposeof sale). 7 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not poly to an Owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 1 am exempt from tcensure under the Contractors' State License Law for the following reason: ,y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year peer to completion of the improvements covered by this permit, I cannot legallt oil 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 the applicable law, Section 7044 of the B moss and 'rofessions Code, is available upon request when this application is submitted or et the following Web site:http:liw w.leginfo.ca.gor/calaw.btml. 'lgnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) o Divis" 3 of the Business and Prof ., de, y 'c ns fs In full force nd effect, License Class License No Dai J Contractor Signatu 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 OUSAND DOLLARS (6100,0001• IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706. OF Ti LABOR CODE, INTEREST, AND ATTORNEV'S FEES. rh by affirm under penalty of perjury one of the following declarations: ,,,,...li[[[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 Coda, for th 5,nae nea 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' Compensator carrier and policy number are: Policy Number Expiration Date of Agent Phone #_ I certify that, in the performance o the work for which this permit is Issued.. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre t, If I should become subject to thMe pe Fs Von ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. [nature of Applicant __��`�✓ " a )t l �� CLARATION REGAR�CONLENDING AGENCY areby 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 309�1 Cade). Tder's Name Lenders Address 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 or s and sta a tat, s plating to building. construction. I authorize representatives of this city or co��fy'to enter th -i. e fi petty for inspection purposes. \ [nature of Property Owner or Authorized Agent/\ Print Prooertv Owner's or Authorized Aaent's Name I V c�P'I{t(`J t`dAl2(�„ Data ACTION DATE BV' i DECLARATION OF COMPLIANCE WITH CODE 01 FEDERAL : FOR OFEICE USE ONLY REGULATIONS PART 6.1 OF TITLE 40 AND AQNID RULE PERMIT EXPIRED I I,U I SUBMITTED ASBESTOS NOTIFICATION TO PERMiTCANCELLED PERMIT EXTENDED PE IAIT FINAL CERTIFICATE OF OCCUPANCY ISSUED IS Not'