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Home My WebLink AboutXR2023-1258 - PermitsO��EWPpRT� Cimy of munityDevelopment BPamhnt- Building Division IIIIII IIIIIIIIII III IIIIIIIIIIII IIIIIIII II COMB Permit : XR2023-1258 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 05/15/2023 .s+< newportbeachca.gov/civic Inspection Area : 2 oq<rcpa�`P Combination Type - 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 : 205 CORAL AVE Legal Desc : A TRBALBOA ISLAND SEC 2 BLK 8 LOT 3 Description: DUPLEX- INTERIOR REMODEL 98 SF "CITY STD /097- ! $ o Owner: MCCAFFREY ROBERT T TR Address : 1410 S BAY FRONT NEWPORT BEACH, CA 92662 Phone: Applicant: MCCAFFREY ROBERT T TR Address : 1410 S BAY FRONT NEWPORT BEACH, CA 92662 Phone: Owner/Builder : MCCAFFREY ROBERT T TR Address: 1410 S BAY FRONT NEWPORT BEACH, CA 92662 Phone: Contractor Address : Phone: Con State Lie Lie Expire: Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Architect Address Phone: State Lie: Engineer: Address Phone: Designer Address Phone : Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $2,5017.99'„ Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 2 Alteration sq. ft. Bldg : 98 Bldg Height: No of Stories : 2 _ Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-BI - Two -Unit Residential, Balboa Island r , PROCESSED BY: 0— Y`0��'�1� 1`+ SPECIAL CONDITIONS: LIQUEFACTION/HIGH-DENSITY ZONE O/B FORM ATTACHED ®V4 iI 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 cherkmark(s) I have placed next to the applicable items) clan 7031,6, Business and Professions Cade: Any city or county that requires a permit to oonsla ot, 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 pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fesetons Code) or that he or she is exempt. from licensors and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicantto 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) portions of the work, and the structure Is not intended or offered for sale (Section 70", ;iness 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 raved for the purpose of sale). 1, 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 ly to an owner of property who builds at improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), J I am exempt from licensore under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal ros' once in which I must have resided for at least one year prior to completion ell astructure that I have built as an owner-bunder if it has not Edon. nstructed in i - -entirety by licensed contractors. t understand that a copy of 'rofessions Code, is available upon request when this application 1 fit the following Web sits:httpJlwww.laginfo.ca,gov/calaw.html. signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION law, Section 7044 of the Business and Date 7� — I `l — 2 3 hereby affirm under penalty of perjury that I am licensed under provisi- s of Chapter 9 (commencing with Section 7000)of Division 3of the Business and Professions Code, and my license is In full force no effect License Class License No Date Contractor Signature. VORKERS' COMPENSATION DECLARATION ARNRNG: FAILURE TO sell IRE WCRKERS" COMPENSATION COVERAGE IS UNLAWFUL. AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAIAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES, hareoy a:firm under penalty of perjury one of the following declarations; i I have and wil taaln,ain 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, Pnormanee of the work for which this permit is issued. Policy No.. JI have and will nointein 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' compensatio n^urine carrier a,lu puloy number are: :arrier __ Policy Number Expiration Date dame of "agent__ Phone # ry11 Fact& that, in thv performance of the work for which this permits Issued, I shall not employ any person in any manner sous to become subject to the workers' compensation laws of California, and Agra het, if I s'tou d become r ubject to the workers' compensation provisions of Section 3100 of the Labor Code, I shall forthwith comply with those provisions. 3'.g.-ta'j-e a9 Applicant _ Data DECLARATION REGARDING CONSTRUCTION LENDING AGENCY' hereby affirm u;,6er,penatty of pedurythat there is a construction lending agency for the performance of the work for which this permit Is issued (Section3097, Civil Code). _entlere Name Lenders Address )y my signature below, I certify to each of the fallowing: I am the property owner or authorized to act on the pro arty owner's behalf. I have read this application and the information I have video is correct. I agree to comply with all applicable city and county or ` am and state laws relating to building construction, I authorize representatives of this city or county to r B above antified property for inspection purposes. Signature of Property Owner or Authorized Agent Pnnt Pro art Owner's or Authorized Agent's Name �L Date ACTION DATE BY 1DkLAR € N COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE. USE ONLY RtGUtA N PART G1. OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMITEXTEN6E6_.._ _.m_._.. AQMO A58ESTQ$ NOTIFl TI01MtS N4T APP fiLE TO CEAPFICATEFQCCUPANCYIUS$UE0 DZZ VY S NATURE•EMO�ITFr