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HomeMy WebLinkAboutXR2024-5774 - Permitse� POR' City of Newport Beach IIu�XI�� 2�I0 2IN�����������������������11 COMB Permit : XR2O24-5774 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0345 Permit Counter Phone: (949) 718-1888 Issued Date : 07123/2024 u _ newportbeachca.gov/civic Final Date: Combination Type - SFP PLUM Permit Status: Issued Work Class - ADDITION/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 : 509 AVENIDA LADERA Legal Desc : N TR 5692 BLK LOT 16 TR 5692 (L.L,84-214027) PAR 1 T I r'^ �•" '�.• ,,." rn Description : ATT SFR - PEX REPIPE AND R/R MAIN SEWER LINE a Lr w,., �' j i yit Owner: BRADBURNE RICHARD H TR Address: 509 AVENIDA LADERA NEWPORT BEACH, CA 92660 Phone: Applicant: HOMEKEEP BUILDERS Address: 5206 SAN JOAQLJIN PLZ NEWPORT BEACH, CA 92660 Phone: (949)945-4621 Owner/Builder: Address: Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height: Building Setbacks : Contractor: HOMEKEEP BUILDERS Architect : Address : 5206 SAN JOAQUIN PLZ Address NEWPORT BEACH, CA 92660 ..•• Phone: (949)945-4621 Phone: .... , Con State Lie : 1053406 State Lie : .. • ° • •' • ; Lie Expire: 05/31/2025 Bus Lie : BT30072162 Engineer: •„• ; Bus Lie Expire : 06/30/2025 Address Workers' Compensation Insurance Phone: •„ Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9312388 Designer: ..... W. C. Expire : 2/3/2025 Address : .. Phone: .... Fire Sprinklers : NO Construction Valuation : $6,500.00 Fire Hazard Zone : NO Added/NewITI sq. ft. Bldg : 0 No of Units: 1 Alteration sq. ft. Bldg : 0 No of Stories; 2 Add/New sq. ft. Garage : 0 TOTAL sq. ft.: 0 Flood Zone; X Use Zone: R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: **PORTION OF REPIPE INCLUDED Wt XR2024-0412** I hereby affirm under penally 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) (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 Iicensure 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). 111, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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, 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' Stale License Law). f I am exempt from Iicensure under the Contractors' State 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 by this permit, I cannot legalh sell a structure that 1 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://www.leginfo.ca.gov/calaw-htmi. Signature of Property Owner or Authorized Agent _ Data LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secfi 7 of 0 3 of a Bu nos and Professions Codee is in full force and effect. License Class License No Dal Contracto ignature WORKERS' COMIDENSATION DECLARATION PANNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TG ONE NOVURED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE neT OF eOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES. J hereby affirm under penalty of perjury one of the following declarations: 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 ce of the work for which this permit is issued. Policy No. and Oil 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' compense carrier and policy number are: Policy Number Tie of Agent _ Phone # Dale certify that.:n the performance of the work for which this permi»�ssuad: 11fiall not employ any person in any manner so as to become subject to the I, if I shoufd�J^carre su I to the workers' cam provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prow ' s. aature of Applir �__ -- CLARATION Z� RDiNG, O-C NS7R1CT[ON LENDING AGENCY - Ireby alfi nder nasty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec n Iders 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all appkcab aly a ounty ordinances and state laws relating to building construction. I authorize representatives of this cif county to enter the above -identified property for inspection purposes. 3ignature of Property Owner or AL ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITFINAL r �. } i 570ENOTIUN 15 CABLE TO CERTlflCATE OF PR `n'`Sl'y �jJ1�% i SPROPO DDEMOUX ION �! OCCUPANCYISSUED mars or Authorized FOR OFFICE USEV compensation laws of California, and agn Civil Code). —'Cr, o