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HomeMy WebLinkAboutXR2023-0727 - Permits (3)City of Newport Beach Q 2�WPO�T d Community Development Department- Building Division 1"y 100 Civic Center Drive, Newport Beach, CA 92660 U Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C�4/FpftN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration ��111111111111111111111111111111111111111111111111COMB Permit : XR2023-0727 Plan Check No Issued Date : 03/20/2023 Inspection Area :2 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 : 125 VIA WAZIERS Legal Desc : N TR 907 BILK LOT 289 Description: SFR REMOVE & REPLACE W/ROLL-UP (1) ONE CAR & (1) TWO CAR GARAGE W/RELATED STUCCO REPAIR **NO STRUCTURAL CHANGES** 120-1305 (RENEW PERMIT X2020-1389)(RENEW EXPIRED PERMIT XR2022-1997) Owner: DENISE SCHAEFER Address : 125 VIA WAZIERS NEWPORT BEACH, CA 92663 Phone Applicant: ROBERT EDWARD GARDINIER Address: 1156 NORIA ST LAGUNA BEACH, CA 92651 Phone : (310) 497-8008 Owner/Builder : Address : Phone Contractor: ROBERT EDWARD GARDINIER Address : 1156 NORIA ST LAGUNA BEACH, CA 92651 Phone: (310)497-8008 Con State Lic : 630409 Lic Expire : 10/31/2023 Bus Lic : BT30078645 Bus Lic Expire : 0513112023 Workers' Compensation Insurance Carrier : Policy No : EXEMPT - NO EMPLOYEES W. C. Expire: Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : 1 Bldg Height: No of Stories : 1 Building Setbacks : Front: 0, Front: 4, Side: 3, Side: 3 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY:� SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: Address Phone: Designer Address Phone: Construction Valuation : Added/New/TI sq. ft. Bldg: Alteration sq. ft. Bldg : Added/New sq. ft. Garage: TOTAL sq. ft. : Ir— $4,000.00 0 0 0 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 chackmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Corte: 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 ie permit to rile 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 'rofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($50D). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, IUSmOSS 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 nprovements 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 nprovod for the purpose of sale), 3 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does flat 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 Ty 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 legail, ell a structure that I have built as an ownor-builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.cEl.govlcalaw.html, signature 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 000 f "vi 'on 3 of the Business and Professions ndeffect. Licensr Class License. No Date Contractor Signature VORKERS'COY. PCNSATION DECLARATION rAPPII'C: °AILURE TO SECURE 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 '1ST OF C?MPENS,.TR,N, Dr MAGER AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will ma 0ain 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 euormance of tbo work for which this permit is issued. Policy No. have and will r,a,Lain 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' ranee carrier and 9ehcy number are'. for Policy Number Expiration Date Agent I gpftify that, in Lou performance of the work for which this porm' is issued, I shall not employ any person in any manner so As to become subject to the workers' compensation laws of Califomia, and agre T, if I stould become s� ,#jl or m gsati n ro tsions of Section 3700 of the Labor Code, I shall forthwith comply wtlh those provisions. 3 %7-Y,7 17/ IY I mature of Applicant D a CLARATION REGAR ING CONSTRUCTION LENDING AGENCY Breby 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). ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act or) 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 rglating to building construction. { /�, I authorize representatives of this city or county to ,ttte i " li d ppoberty for inspection purposes. J A r,� C �a� � f f� r �2 / / dl i A aYl 5 ACTION DATE By i DECLARATION OF COMPLIANCE WITH CODE. OF -FEDERAL FOR OFFICE USE ONLY NE.GATIONS PART 61 OF TITLE AO AND AONID RULE 1 i 14Q3 UL PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUEO SUBMITTED ASBESTOS NOTIFICATION TO IS NI71'APPLICALIL£ TO Em