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Home My WebLink AboutXR2023-0377 - PermitsQ ��WPORT City of Newport Beach D @ Community Development Department- Building Division Fy 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 « Inspection Requests Phone: (949) 644-3255 c9t�FOPH�t newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Other 111III��I1111111111111111111111111111111111111111111 �� COMB Permit: XR2023-0377 Plan Check No: 1501-2018 Issued Date : 0210812023 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 BLK 138 LOT 8 Description: SFR INFILL 2ND FLOOR FOYER AREA AND ENCLOSED EXISTING BALCONY AT REAR (+238 SOFT); REMODEL KITCHEN, MASTER BEDROOM, MASTER BATH, BATHROOM 1, BATHROOM 2, AND RECESSED LIGHTING FIXTURES THROUGHOUT. AND RELATED STRUCTURAL UPGRADES *RENEW EXPIRED 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) B15-0293 Phone Con State Lic : 1009871 State Lic Lic Expire : 12/31/2023 Applicant : DECLARK CONSTRUCTION Bus Lic: BT30069812 Engineer: XIAO QIANG Address : 206 NORTH BLUEROCK STREET Bus Lic 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 : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/NeW/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : ; 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; AO 1 Use Zone : R-2 - Two -Unit Residential PROCESSED BY: f" 'y SPECIAL CONDITIONS: s a OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I. am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or count' that requires a permit to construct, alter. improve, dernalish,. or repair any structure, prior to its issuance, also requires the applicant for ie 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 Dtvsion 3 of the Business and Irofessjons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation or Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended oroffered for sale (Section 7044, rosiness 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 Dprovements 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 bui€I or nproved 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 oply to an owner of property who builds or improves thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law), -1 1 am exempt from licensure under the Contractors' State 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 ID Completion of the improvements Covered bythis permit, I.cannot legal oil a structure that 1 have built as an owner-buildor 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 Yofessions Code,, is available upon request when this application is submitted or at the following Web site:http:liw .leginfo.ca,govlcalaw.htmi, iignature 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 ) sf the Business and I o e a m ice a In ll forc nd effect. License Class License No Date Contractor Signat VORKERS' COMPENSATION DECLARATION IAKNING; 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 ISt0a,0W1, IN ADDITION TO TH' OST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3TO6 OF THE LABOR CODE, INTEREST, AND ATTORNEWS FEES. hereby affirm under penalty of perjury one of the fallowing declarations: I 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 if erformance of the work for which this permit is issued. Policy No. 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 lame of Agent Phone # 3 Certify that, in the p ' m oce of My� d, I shall not employ any person in any manner so as to become subject t0 tfte wnrke mpensation laws of California, and ogre iat, if [should boo a ubje t we rs' ffsa Of eation 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applivan Dat - Z IECLARATIQN R�^4• DIN NSTRUCTION L NCY 7Prohy'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, Ci it Code). enders'Nama _ Lenders Address y my, ignature below, I certify to each of the following: I om the property owner or authorized to act on the property owner's behalf, I live read 'his application and the information 1 have provided is correct. I TOree to comply with all applicable city and @@@otty a. a to building construction.n fhorize r,=.prnsen?olves of this city or coun G ar a a ie-Id, le r ,§g) inspection purposes. ic-ra`t re of Property Owner or Authorized Agent K ]� Prinl Property Owner's or Authorized Aoent's Name n t :,LT�GG ( DATE BY Y k 5E LARAT€ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / '\ i REGULATION5 PART 51 OFTPTLF 40 AND AQMD RULE 1403 LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED CERTIFICATE OF V (V l vil v OROPNEO 0 OCCUPANCY ISSUED Bk SIGNATURE: