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Home My WebLink AboutXR2023-0281 - Permits�,EWPoRr City of Newport Beach D4 p�Community Development Department- Building Division too Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u S Inspection Requests Phone: (949) 644-3255 cq[rFOµN�P newportbeachca.gov/inspections Combination Type - MFP ELEC MECH PLUM Work Class - Alteration 11111111111111111111111111111111111111111111111111111111I JillCOMB Permit : XR2023-0281 Plan Check No: PC2023-0211 Issued Date : 01/31/2023 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 501 AVENIDA LADERA Legal Desc : N TR 5692 BILK LOT 20 TR 5692 (L.L.84-214027) PAR 20 I Job Address: or.r; j Description : MFR KITCHEN REMODEL 80 SF , F9" Owner: RADER MELINDA TR THE M Contractor: D & G CONSTRUCTION GROUP Architect Address : 501 AVENIDA LADERA Address : 16205 MT HARKNESS ST Address NEWPORT BEACH, CA 92660 FOUNTAIN VALLEY, CA 92708 Phone: +% Phone: Phone: (714)531-6411 Con State Lie : 984602 State Lie f Lie Expire : 06/30/2023` n Applicant: GROUP Lie: 02 Engineer: ar, Address Address 1162 5 MT HARKNESS ST Bus Lie Expire : 02/28//2023Bus FOUNTAIN VALLEY, CA 92708 Workers' Compensation Insurance Phone Phone : (714) 531-6411 Carrier : Policy NO: exempt Designer: D & G CONSTRUCTION GROUP Owner/Builder : W. C. Expire: Address : 16205 MT HARKNESS ST Address : FOUNTAIN VALLEY, CA 92708 Phone: (714) 531-6411 Phone: Fire Sprinklers : NO P Construction Valuation : $12,500.00 Code Edition 2022 : Fire Hazard Zone : NO : Added/New/TI sq. ft. Bldg 0 Type of Construction : V-B 3 Alteration sq. ft. Bldg Occupancy Groups: R-2 No of Units : 2 Added/New sq.ft.Garage: 0 Bldg Height: No of Stories : TOTAL sq. ft. 0 Building Setbacks : Flood Zone : X Use Zone : R-1 - Single -Unit Resident' PROCESSED BY: SPECIAL CONDITIONS: 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 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 fill 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ri 1, 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 improvedfor 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 not apply 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). El I am exempt from licensure 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 prior to completion of the improvements covered by this permit, l cannot[ legall, sell a structure that I have built as an owner.builder if ifhas not been constructed in its entirely by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and Professions Code„ isavailable upon request when this application is submitted or at the following Web sitethttp:/iwww.leginfo.ca.govfcalaw.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 7 0 0 'vi ' pD of the Business and Pro Io Cb , a d my li'ense is In full force and effect. License Class License No DaFa '� G•S Contractor Signature 9 NORKERS' COMPENSATION DECLARATION MARRING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEYS Pass. hereby affirm under penalty of perjury one of the following declarations: -11 have and will maintain a oertifieate 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 r941omtance 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' ranee carrier and policy number are! Policy Number of Agent Date denlry that, in the pe Form vita o work for whit permit is issued, I shall not employ any person in any manner so as to become subject to the workers' pensation laws of California, and agre if I should become j t to the or rs' comps sati provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r�F IQ /rJ nature of Applicant 4�---- DateJL l/ ✓�! /�� DLARATtDN REGARD G CD DTIDN LE AGENCY Ireby affirm under penalty of perjury that there is a co traction lending agency for the performance of the work for w.-D this permit isissued (Section 3097, Civil Code), wer's Name Lender's Address mysignature below, I Certify to each of the following: I am the property owner or authorized to act en pro owner's behalf. I have read this application and the informali n 1 eve pravi d is correct. I agree to comply with all applicable city an Go my rdinanc s a sta. flaws relating to building construction. I authorize representatives of this city or cou to a ter the. e e-ldenti d property for inspection purposes. /nv/,- �' nature of Property Owner or Authorized Aga' Print Property Owner's or Authorized ADem's Name a6 ze) n,reVIA,/T4 ACTION DATE. BY/ DE RATION OP`60MIKANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GULATIONS. PART S1 OF TITLE 40 AND ACFMD RULE 1403 PERMIT EXPIRED LJ1 suBMITTEDASRESTOS NOTIFICATION TO PERMITCA.NCULLED EPA -- PERMIT EXTENDED QMD PRrbT FINAL /��WZ3 DL �o� SBESp (IN NO PpCABLE TO CERTrFICATE OF OP OD LION OCCUPANCyI55UED ar IGNAFURE- — — —II_