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Home My WebLink AboutX2022-0859 - Permits- City of Newport Beach Building Division �,EWPORT Community Development Department - . x )- �r 100 Civic Center Drive, Newport Beach, CA 92660 U S Permit Counter Phone: (949) 644-3286 Inspection Requests Phone: (949) 644-3255 Poo newportbeachca.gov/inspections Combination Type - MFP ELEC MECH PLUM Work Class - Alteration II III III I I II COMB Permit : X202,2-0859 Plan Check No : 0789-2022 Issued Date : 09/12/2022 Inspection Area : 6 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 : 135 JASMINE CREEK DR Legal Desc : N TR 7967 BLK LOT 66 Description: SFR REMODEL 2,445 SF. ADD REAR BALCONY 345 SF. EV CHARGER @ GARAGE Owner : LEVY DAVID TR Address : 135 JASMINE CREEK DR CORONA DEL MAR, CA 92625 Phone Applicant: KRISTI HENDERSON Address : 14645 RED HILL AVE TUSTIN, CA 92780 Phone: (714)454-4513 owner/Builder: KRISTI HENDERSON Address : 14645 RED HILL AVE TUSTIN, CA 92780 Phone : (714) 454-4513 Contractor Address : Phone: Con State Lic Lic Expire ; Bus Lic : Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No W. C. Expire Architect : BDAIWI MUSTAFA Address : 601 PARKCENTER DR #204 SANTA ANA, CA 92705 Phone: (714)673-6611 State Lic Engineer: JALALPOUR MOHAMMAD Address : 152 DEERFIELD AVE IRVINE, CA 92606 Phone: Designer: KRISTI HENDERSON Address: 14645 RED HILL AVE TUSTIN, CA 92780 Phone: (714)454-4513 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $195,600.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 2,445 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : Building Setbacks : Front: 15, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC - Jasmine Creek PROCESSED BY: SPECIAL CONDITIONS: O/B FORM & LLC ATTACHED 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) I have placed next to file applicable items) (Section 7031,6, 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' 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 ficensure and the bans for the alleged exemption. Any violation of Section 7031,5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500), 0 1, 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 notintendedor offered for sale (Section 7044, Business and Professions Code: The Contractors' Slate 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 red for the purpose of sale). a 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). :1 I am exempt from lieensure under the Contractors' Slate License Law for the following reason: _ ly my signature below I acknowledge that, except for my personal residence in which 1 must have resided for of least one year prior to completion of the Improvements covered Of a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Sacti 71 'rofassions Code, is available upon request wh Ih _ app'.al'S s miffed' ositathltp:Gwww.leginioca,govlcalaw.html. ,ignature of Property Owner or Authorized Agen or he follwing We bate ACEN:SED CONTRACTOR'S DECLARATI hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Professions Code, ai nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO' DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty 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 erformance of the work for which this permit is issued. Policy No. this permit, I cannot of the Business and my license is In full force have 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' Fence carrier and policy number are: Policy Number of Agent Date 11 certify that in the performance of the work for which this permit is issued, I shag not employ any person in any manner so as to become subject to the workKCIMC-C 'mpensation laws of California, and agre Tat, if I should becc�Sacto the wZLEXI 'Lion provisions of section 3700 of the Labor Code, I shell forthwith comply with those provisions.dgnatme of Applfua ___ DarBCLARATfON REN RGAG NCY hereby affirm under penalty of erjL that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,ode). ender's Name, Lenders Address ty my signature below. I certify to each of the follo ing: I ant the property owner or authorized to act on the properly 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 cocinly ordinances and slate laws rotating to buildin conslrucLlon. spect�J1 I authorize representatives of this city or cou 1 r o�.aoyentihed ppperty for in' n purposes. ACTION i DATE By V ' DECLAhATIIQN. OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF 1ITLF 40 AND AQMD RULE. 1,103 FOR OFFICE USE ONLY PERMIT EXPIRED jL J I SU8MI'TEC AS8EST0' NUT HLATION TO ...._.._.--- PER,r7CANCEtLF6 _ - _... .---- .--- ...._____.._.�__..._., �CP/ PER1,llT EXT£NOED AQI n PCR4IRT FIMAL ASBES NOIIFICAtION IS NOI APPLICABLE t0 CERTIFICATE OF ��b y� OFp5E0 0LT OCCUPANCVYSSUFO IGNA-UR