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HomeMy WebLinkAboutXR2024-0387 - Permits04". City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic CoCombination Type - Work Class - Alteration jjlI��III��1111111111111111111111111111111111111111111111 jjCOMB Permit : XR2O24-o3s% Plan Check No Issued Date : 02/1512024 "- Final Date: Permit Status: issued 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 : 121 OPAL AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 9 LOT 13 Description: DUPLEX R/R SIDING AT FRONT AND SIDES 500 SF Owner: PAUL & PAM SCHWEITZER Contractor: FIRST RATE REMODELING INC Architect Address : 121 OPAL AVE Address : 14754 CARFAX AVE Address: NEWPORT BEACH, CA 92662 BELLFLOWER, CA 90706 Phone: (486) 285-8072 Phone: (714) 922-0014 Phone: Con State Lic : 807421 State Lic Lic Expire : 01/31/2026 Applicant: FIRST RATE REMODELING INC Bus Lic : BT30083182 Engineer: Address : 14754 CARFAX AVE Bus Lic Expire : 12/31/2024 Address BELLFLOWER, CA 90706 Phone: (714) 922-0014 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No : 9352457 Designer Address : W. C. Expire : 1/17/2025 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $8,900.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : 500 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: � Wo CONSTRiK'xT'(�N. N1 /roe SPECIAL CONDITIONS: HIGH DENSITY; LIQUEFACTION & A01 FLOOD ZONE. ON S.A%TU DAYS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) ci 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 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 fessions Code) or that he or she is exempt from licansure 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 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, mess and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided That the �rovements are not intended or offered for sale. If, however, the building or improvement is sold withinone year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). 1, 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 Ity 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). LJ I am axempt from licensure under the Contractors" Slate 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 sell a structure that I have built as an owner -builder 'it it has not been constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 71 Professions Code, is available upon request when this application is submitted or at the following Web site:http:Uwww.legrnfo.ce.gowcalaw. htm1. Signature of Property Owner or Authorized'. Agent oat LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 of i at 3 of the Businessland Pr e it I and effect. License Class License No Date Z Contractor Signature WORKERS' COMPENSATION DECLARATION It this permit, I cannot of the Business and is In full force 1ARNINGFAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (b100.000), IN ADDITION TO The ;DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, Me ATTORNEY'$ PEE& hereby affirm under penalty of perjury one of the following declarations: -11 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 thl eyformance 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" lance carrier and policy number are: Policy Number Date lame of Agent Phone # �I certify that, in the performance of the work rwlTlch this permit Is Issued, I shall not employ any person in any manner so as to become subject to the workers` compensation law of California, and agre iaL, if I should become su to lh rs ornpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature or Applicant ______ _ .._, _„_, ,,,, IECLARATION REGARDING C STRUCTION 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 1s issued (Section 3097, Civil Code). enders Name Lender's Address ty my signature below, I certify to each of the following: I am the property owneror 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 app [oaoia city and cot] nces d slat ws relating to building construction. / authorize represdnla:i:es of this city or county to tef t . ,qb yyten d property for inspection purposes. ACTION ( DATE I BY I DELAPATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 6I. 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