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Home My WebLink AboutXR2023-0318 - PermitsCity of Newport Beach e`��WPoRr p p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cgGiFpµ��r newportbeachca.gov/inspections Combination Type - MFP ELEC MECH PLUM Work Class - Alteration COMB Permit : XR2023-0318 Plan Check No : PC2023-0248 Issued Date : 02/0,9l/2023 Inspection Area : 1 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: 242 HARTFORD DR Legal Desc : N TR 11604 BLK LOT.6 UN 127 TR 11604 LOT 6 UNIT 127 OF PROJE CT LOCATED ON AP Description: MFR BATHROOM REMODEL 15 SF "123-0410` Owner: EASTON JOHN A TR EASTON FAMILY TR Address : 38313 PLACER CREEK ST MURRIETA, CA 92562 Phone: Applicant: John McNeely Address : 242 Hartford Drive NEWPORT BEACH, CA 92660 Phone : (949) 233-3435 Owner/Builder : Address : Phone: Contractor: DECLARK CONSTRUCTION Address : 206 NORTH BLUEROCK STREET ANAHEIM, CA 92807 Phone : (714) B15-0293 Con State Lie: 1009871 Lie Expire : 12/31/2023 Bus Lie: BT30069812 Bus Lie Expire: 06/30/2023 Workers' Compensation Insurance Carrier: PREFERRED PROFESSIONAL Policy No: ON1171801 W. C. Expire : 9/1/2023 Architect Address Phone: State Lie Engineer: Address : Phone Designer: John McNeely Address: 242 Hartford Drive NEWPORT BEACH, CA 92660 Phone: (949)233-3435 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $3,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 1 Alteration sq. ft. Bldg : 15 - Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone: X Use Zone: PC - Aeronutronic Ford ' 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 applicableitem(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 file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 7031.6 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 (_) all of or C_) portions of the work; and the structure is not intended Dr offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeesor 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 or proving that it was not built or improvedfor the purpose of sale). El 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' State License Law), F1 1 am exempt from licensure 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 legally soil a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. j understand that a copy of theapplicable 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.leginte.ca.gov/calaw,html. Signature of Propertyy Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION \ I hereby affirm under penalty of perl'ury that I am licensed under provisions of Chapter 9 (commencing with Section 70Q0' 'v" f6 J of the Business and POISE Cod , and y ce s to 11 crcp and effect. License Class License No Date // //� Contractor Signature WORKERS' COMPENSATION DECLARATION NARNINGI FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TOONE HUNDRED THOUSAND DOLLARS IS100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEVe FEES. hereby affirm under penally of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workem' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth Derformlr Iwe-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 ibis permit is issued. My workers` rance carrier and policy number are: Policy Number Ie of Agent certify that, in the p< if I should become lature of Applicant _ Date I not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre 3700 of the Labor Code, I shall forthwith comply with those provisions. --�j _ Date L� Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for whichthispermit is issued (Section 3097, Civil Code).. Ider's Namo. - Lendefa Address my signature, "Iyw, I certify to each of the following: I am the pn,peny owner or authorized to act on the. property owner's behalf. I have read Eta application and the information I have provided is come I Egree to co -lply with all applicable. city and coi�n ord an an t eta g t building construction. I authorize -ea-esentatives of this city or County'tor th tiov 'i nti a p. fo inspection purposes. iratJre of Prccs 7i Owner or Authorized Anent �� M��M� Print Property owner's or Aothnrized Anent's Nama ACTION DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT CANCEL-* PERMTEXTEADED PERMIT FINAL CERTIFICATE (IF OCCUPANCYISSUED