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Home My WebLink AboutXR2023-2539 - PermitsEW�o City of Newport Beach IIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�II��IIII�I��IIIII COMB Permit: XR2023-2539 ? e'. Community Development Department -Building Division Plan Check No : o �+� Ion Civic Center Ddve, Newport Beach, CA 92660 r a- Issued Date : 09/11/2023 i Permit Counter Phone: (949) 718-1688 newportbeachca.gov/civic Final Date: �m Permit Status: Issued 1 Combination Type - iSFPon ELEC MECH PLUM �,ry�rFo�" �P Inspection Area : 4 Work Class -Alteration 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: 21 AUGUSTA LN Legal Desc : N TR 7223 BLK LOT 22 Description: SFR -BATHROOM REMODEL APPROX 120 SF *CITY STANDARD* Owner: SARAH HUSSAIN Address : 21 AUGUSTA LN NEWPORT BEACH, CA 92660 Phone: (949)351-2023 Applicant: SPENCER SYLVESTER Address : 463 CHORUS IRVINE, CA 92618 Phone : (858) 735-4814 Owner/Builder : Address : Phone Contractor: S L S CONSTRUCTION INC Address : 463 CHORUS IRVINE, CA 92618 Phone : (858) 735-4814 Con State Lie : 1048230 Lie Expire : 12131/2024 Bus Lie: BT3007B360 Bus Lie Expire : 03/31/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9332551 W. C. Expire: 2/1/2024 Code Edition : 2022 Fire Sprinklers : NO Fire Hazard Zone : NO Type of Construction : V-B No of Units : 1 Occupancy Groups : U,R-3 No of Stories : 1 Bldg Height: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC - Big Canyon PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address : Phone Designer: SPENCER SYLVESTER Address: 463 CHORUS IRVINE, CA 92618 Phone: (858) 735-4814 Construction Valuation : $65,000.00 Added/NewlTl sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 120 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 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 cheekmark(s) I 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 P o permit s o a signed statement that he or she is cleansed pursuant basis the Piovlslons of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) u that he ll she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 703'1.5 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 U all of or C_) Portions of the work, and the structure is not intended or offered for sale (Section 70", 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 mproved for the purpose of sale). D I, as owner of the property, ant 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). 1 am exempt from llcansureunder the Contractors' State License Law for the following reason: _ —for-at _ _ 3y my signature below f, acknowledge that, except for my personal residence in which I must have resided for at least one year prior ED completion of the improvements covered 6y this permit, ! cannot legal) ;ell a structure that I hob built as an owner -builder if it has not been constructed in its entirety by licensed contractors.) understand that a copy of the applicable law. Section 7044 of tho Business and 'rofessions Code, Is availab s upon -request when this application is submitted or at the following Web site:http:IIWW W.leginfo.ea.govlcalaw.html. Signature of Property Owner or Authorized -Agent -ICENSED CONTRACTOR'S DECLARATION — �"" --- Date hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and professions Code, and my license is in full force Intl effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (Sm'D0,000), IN ADDITION TO THE OST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: ] 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 th, 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` ranee carrier and policy number are: of Agent Policy Number Date certify that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject IG the workers' compensation taws 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. iature of Applicant Date 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 ender's Name Lender's Address iy my signature below, 1 certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information 1 have provided is correct. 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. f DATE 9y 3 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I{j I REGULATIONS PART 61 of TITLE 40 AND AONID RULE 1403 EXPVRED 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL Ott/tom/2ri DL f'o� ASBESTOS NOTIFICATION' IS NOI' APPLICABLE To CERTIRCAM OF P PROPOSED DEMOLITION OCCUPANCY ISSUED C5 ( RIr.NAT9 mF. Civil Code).