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Home My WebLink AboutXR2023-0116 - Permits (2)D��gWpo', City of Newport Beach Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 G n Permit Counter Phone: (949) 644-3288 r Inspection Requests Phone: (949) 644-3255 C,G/pppP�P n ewportbeachca.gov/inspections Combination Type - SFP Work Class - Other JJ�I111111111111111111111111111111111111111111111111111 COMB Permit : XR202s-1116 Plan Check No Issued Date : 0510112023 Inspection Area : 5 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 : 309 LARKSPUR AVE Legal Desc : A TR CORONA DEL MAR ELK 237 LOT 9 CORONA DEL MAR LOT 9 BLK 2 37 NELY 15 FT(AND SWLY Description: SFR -T/O AND REROOF WITH GAF ASPHALT SHINGLES ([CC ESR 1475 $ 3267) 20 SQUARES Owner: BERTY ZOLTAN T TR Contractor: ALL SEASONS HOME Architect Address : 309 LARKSPUR AVE Address : 14535 VALLEY VIEW AVE STE J Address CORONA DEL MAR, CA 92625 SANTA FE SPRINGS, CA 90670 Phone : Phone : (562) 407-5350 Phone Con State Lie : 830895 State Lie Lie Expire : 01/31/2024 Applicant: ALL SEASONS HOME Bus Lie : BT30051973 Engineer: Address: 14535 VALLEY VIEW AVE STE J Bus Lie Expire : 08/3112023 Address SANTA FE SPRINGS, CA 90670 Phone: (562) 407-5350 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder: Policy No : 9087512 Designer Address : W. C. Expire : 1/30/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 s Flood Zone : X Use Zone: R-2-Two-Unit Residential Nisi- T , CT�ON N 1 �� 7 �1 1� DV O CONS PROCESSED BY: k SPECIAL CONDITIONS: HIGH -DENSITY ZONE ' i It B✓I°i�E C� ioffl p e %.�, $18,000.G0 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penally 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 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 fiic a signed statement that he or she is licensed pursuant to ilia 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 licensors 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). 0 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). El 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 ply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' Stale License Law for the fallowing 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I undorsland 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:hitp:/Aw .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) f D'visian 3 of the Business and Professions Is In full force and effect. License Class License No Date Z Contractor Signature C ,/ tNORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO E3JLRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000),IN ADDITION TO THE COST OF COMPENSAi ION, DA IAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYR FEES_ h.?rebv a -firm under penalty of perjury one of the following declarations: :5 1 have and wN m.^iihnn 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 the le^formar:e or the work for which this permit is issued. Policy No. have and will iuoi.Cain 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' made carder artpolicy number are: Policy Number Expiration Date me of J,gent Phone # I ^,v+tiry 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 L ,i I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. !V,ului3 of Applicant Date__,_ 0!`P..ATION P.Er1ARTANG CONSTRUC ENDING AGENCY 3reby 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). lder's 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 owner's behalf. I have read this application and the information I 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 abov -Wa6jt tad -property for inspection purposes. signature of Property Owner or Authorized Age ACTION I DATE I BY EXPIRED PERMITEXTENOED PERrvfIT FRAL L CERTIFICATE OCCUPANCY ISSUED REG UTAVONS PART 61 OF TITLE 40 AND AQMO RULE 1403 SIGNATURE: NOTINCATION IS NOT APPLICA&E TO owner's or FOR OFFICE usE ONLY Name ` e, ( J "t 3 f Date I If 11 Z