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Home My WebLink AboutH2024-0003 - Permits(Ge City of Newport Beach COMB Permit H2O24 \0003 ¢��WPORr Community Development Department- Building Division H 2 0 2 4 0 0 0 3 : > t D 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: = Permit Counter Phone: (949) 718-1888 Issued Date : 01/0212024 aK cqG/Fp newportbeachca.gov/civic Final Date: 0.N�P Combination Type - Permit Status: Issued Work Class - Other Inspection Area : 2 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 : 1233 BAYSIDE DR Legal Desc : N TR 8917 BILK LOT 1 UN 101 TR 8917 LOT 1 UNIT 101 Description : MECH - R/R FURNACE IN CLOSET. Owner: MICHAEL PONDER Contractor: WE CARE Architect Address : 1233 BAYSIDE DR Address : 41085 GOLDEN GATE CIR Address NEWPORT BEACH, CA 92625 MURRIETA, CA 92562 Phone : Phone : (951) 600-0700 Phone Con State Lic : 779604 State Lic Lic Expire : 06/30/2026 Applicant: WE CARE Bus Lic : BT30038344 Engineer Address : 41085 GOLDEN GATE CIR Bus Lic Expire : 02/28/2025 Address M U RRI ETA, CA 92562 Phone: (951) 600-0700 Workers' Compensation Insurance Phone: Carrier: A I U INS CO Owner/Builder : Policy No : 034281450 Designer: Address : W. C. Expire: 7/1/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $0.00 Type of Construction : Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : No of Units : Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : Add/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone: AE, 8 FT; X Use Zone: RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER 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) 1 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 the 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 licensure 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). ❑ 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, 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 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❑ 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' Slate License Law). I,❑ 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: IBy 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 legal) 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 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:ttwww.leginfo.ca.gov/calaw.html. 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 Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date Contractor Sionature COMPENSATION DECLARATION YARNING: 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 ($10D,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T03 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 thf )erformance 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' rance carrier and policy number are: Policy Number of Agent Date certify that, in the performance 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date DECLARATION REGARDING 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). enders Name Lenders 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 Corect. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. ignature of Property Owner or Authorized Agent Print Prooertv Owner's or Authorized ADenfs Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 4U ANO AONID RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EpA L3AQMD PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED !_ Z� y l� 13 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: