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Home My WebLink AboutXR2023-0375 - PermitsCity of Newport Beach �AE�/PpRr Community Development Department- Building Division y `�' 100 Civic Center Drive, Newport Beach, CA 92660 _ U Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CqC/F00.N`P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 1111111111111111111111111111111111111111111111111 �� COMB Permit : XR2023-0375 Plan Check No : 1501-2018 Issued Date : 02/08/2023 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: 3811 RIVER AVE Legal Desc : A TR RIVER SECTION BILK 138 LOT 8 Description: SFR *ADDITIONAL SCOPE* ADD ROOF DECK 400 SF *RENEW EXPIRED PERMIT* Owner: JEFF BARRETT Contractor: DECLARK CONSTRUCTION Architect Address : 12230 CIRCULA PANORAMA Address : 206 NORTH BLUEROCK STREET Address SANTA ANA, CA 92705 ANAHEIM, CA 92807 Phone : Phone : (714) 815-0293 Phone: Con State Lie : 1009871 State Lie Lie Expire : 12131/2023 Applicant: DECLARK CONSTRUCTION Bus Lie : BT30069812 Engineer : XIAO OIANG Address : 206 NORTH BLUEROCK STREET Bus Lie Expire : 06/30/2023 Address : 1520 BROOKHOLLOW DR #45 ANAHEIM, CA 92807 SANTA ANA, CA 92705 Phone: (714) 815-0293 Workers' Compensation Insurance Phone: (714) 662-0510 Carrier: PREFERRED PROFESSIONAL Owner/Builder : Policy No: ON1171801 Designer : ROD JEHEBER Address : W. C. Expire: 9/1/2023 Address : 410 32ND ST NEWPORT BEACH, CA Phone: Phone: (949) 723-4393 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/NewITI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg: _ U u Y Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 U TOTAL sq. ft. : 0 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION 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 checkmark(s) I have placed next to the applicable ftem(s) clion 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 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 fessions Code) or that he or she is exempt from licensure 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 more than five hundred dollars ($500), 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portionsofthe work, and the structure is not Intended or offered for sale (Section 7044, ;tress 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 rovements 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 roved 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 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), J I am exempt from licensors under the Contractors' Stale License Law for the following reason: ly 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 impro oil a structure that I have bull(. as an owner-buildor if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the. appiicat 'rofessions Code., is available upon request when this application is submitted or at the following Web site;httpdtwww.leginfo.ca.gov/calaw.himl. signature of Property Owner or Authorized Agent .ICENSEO CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9- (commencing with Section ofa�io the. Business and Pro Ind effect. License Class License. No Date Contractor Signature COMPENSATION DECLARATION low, Section and 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CST OF COMPENSATION: DAMAGES AS PROVIDeD FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm underpenalty 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 ormance of the work for which this permit is issued. Policy Nm 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' carrier and policy number are: Policy Number Date me of Agent Phone q I certify that, in the padorma. of it is Issued: I shall not employ any person in any manner so as to become subject to the worke ' c mpensation laws of California, and agre t, if I should becom u jec t wo r a py We s ofSection3700 of the Labor Code, I shall forthwith comply with those provisions. _ nature of Applicant Da CLARATION'iEGA .AIN NSTRUCTION LENDINO AGENCY sreby'rtfirm unaer 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). loer's Name _ lender's Address - my signature 05w, ! certify to each of the following: am 'be property owner or authorized to act on the property owner's behalf. I have read th s ePplication and the information I ave provided i - orrect. ' agree to complr"rith all applcable city end coo rdin c an r a '`{o building construction. i authorize repre^entatives of this city or coon a ar he v e n 1 e f �r Inspection purposes maturr, of Prop rty owner or Authorized Agent; Print Prcoenv Owner's or Authorized Aoent's Name x �l/(�D_ �j��-inY�' Oat ACTION ( DATE j BY V i-DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY f j REGULATIONS PART 51 OF TITLE AU AND AQNID RULE ^ERMIT FXPIREP I SUBMIT _ _ PERT iR CANCELL5n _U_ =EPA PERMITEXTENOEP PERMITFINAL CERTIFICATE bf OCCUPANCYISSUEO ZZ/ l lrJ �JV� OM $REST. ROPOSEDD SIGNATURE: