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Home My WebLink AboutXR2022-2899 - Permits�gWPORT City of Newport Beach Community Development Department- Building Division X R 2 0 2 2 2 8 9 g COMB Permit : XR2022-2899 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2756 = Permit Counter Phone: (949) 644-3288 Ns Issued Date c •�" r Inspection Requests Phone: (949) 644-3255 Inspection Area : 4 q�rFOAN` newportbeachca.gov/inspections P Combination Type - SFP ELEC MECH PLUM 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: 1821 PORT TIFFIN PL Legal Desc : N TR 7032 BILK LOT 40 Description : SFR REMODEL BATHROOM & CLOSET 156 SF Owner: ERICKRAMER Address : 1821 PORT TIFFIN PL NEWPORT BEACH, CA 92660 Phone Applicant: DAVID MCDONALD Address : 11051 ARROYO SANTA ANA, CA 92705 Phone: (714)323-5251 Owner/Builder : Address : Phone Contractor: MCDONALD CONSTRUCTION Address : 11051 ARROYO AVE SANTA ANA, CA 92705 Phone : (714) 323-5251 Con State Lie : 1024297 Lie Expire: 03/31/2023 Bus Lie: BT30060675 Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier: CALIFORNIA+INSURANCE+COMPANY Policy No: 460091230307 W. C. Expire : 6/1/2023 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3 No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks : Front: 18, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address Phone Designer: DENNIS JAUERT DESIGN - DRAFTING Address: 17504 WINDCREEK CIR RIVERSIDE, CA 92503 Phone: (951)688-5421 Construction Valuation : $100,000.00 Added/New/Tl sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. Bldg: 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) 1 have placed next to the applicable Item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a penult to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for to permit to file a signed statement that he or she is liconsed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensureand the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil parialty of of more than five hundred dollars ($500). I I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, usiness 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 nprovemenls 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 theburden of proving that it was not built or nproved for thepurpose of sale). 11, 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 pply 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 I am exempt from licensure under the Contractors' State License Law for the following reason. _ __T __--------- --- -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, 1-Gannet legallt all a structure that I have built as an owner -builder if It has not boon constructed in its entirely by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and 'rofesslons Code, is available upon request when this application is submitted or at the following Web site:htip:liwww,leginfo.ca.govicalaw.html. ,Ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) of Division 3 of the Business and P ass Cade, d m ikon , is In f I force Ind effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS t5100,000i, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIpED FOR IN SECTION 0709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: ] 1 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, eve 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' compensatior Isum a carrier and policy number are: Policy Number of Agent Date ❑1 certify that, in the rf Finance of the work for whic is permit is issued. I s all not employ any person in any manner so as to become subject to the workers compensation laws of California, and agra that, if I should become bjQefta•Lhe workers' c mpen a t1 revisions of (e, IT 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant \ �o e�r,LJ Date — �Z DECLARATION REGA IN ONSTRUCTION LE DING I hereby affirm under p ally of perjury that there Is a construction lending agency for the performance of the Work for which this permit is issued (Section 3097, t I Code). Lenders Name Lender's Address By 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. L have read this application and the information I ave provided is correct. I agrea to ,:omp1,, with all applicable city and cou Nth' and state laws relating to building construction, i authorize representatives of this city or county t t r th bove-id tified property for inspection purposes. 18:Snature of Property Owner or Authorized Agent 22 0� pLe n,. Print Property Owner's or Authorized Agent's Name 10,ci IN C fn Data ALTION DATE ''I BY (ECL RATIONS OF OMD TNTLf. 40ANCE I-P AQ OF FEDEVID Rll.ERtL FOR OFFICE USE ONLY NOTIFICATION TO CRMITCANCLt.ED_.___ _ .___...�..----777--U(((E��PA P RiYiIT EXl cNDCC a P�RMrT FINA r�, 5REST 5 N 1FICATION IS N07 APPCICABLF, TO CERTIHCA)E OF� PROP SED E I. OCCUPANCY 155UE0 SIGNATURE: A_d �.., / 4rr