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Home My WebLink AboutXR2023-0379 - Permitso�aewvo�T City of Newport Beach 11 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cqt/FOP•N�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 111111111111111111111111111111111111111111111111111111111 COMB Permit: XR2023-0379 Plan Check No: 0303-2018 k Issued Date : e2/e8/2023 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 BLK 138 LOT 8 Description: SFR R/R SIDING "LIKE FOR LIKE" (ENTIRE HOUSE)'RENEW EXPIRED PERMIT' Owner: JEFF BARRETT Contractor: DEC LARK 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 : 12/31/2023 Applicant: DECLARK CONSTRUCTION Bus Lie : BT30069812 Engineer Address : 206 NORTH BLUEROCK STREET Bus Lie Expire : 06/30/2023 Address ANAHEIM, CA 92807 Phone: (714) 815-0293 Workers' Compensation Insurance Phone: Carrier: PREFERRED PROFESSIONAL Owner/Builder : Policy No: ON1171801 Designer Address : W. C. Expire: 9/1/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. 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: 0 0 " rF` ° a �aaaaa OWNER -BUILDER DECLARATION I hereby of rmi under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the cheokmsrk(s) I have placed next ie the applicable item(s) (Section 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 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 ticensure 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 not more than five hundred dollars ($500). 13 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 Improvements are not Intended or offered for sale. If, however, the building or improvement Is sold within ono year of completion, the Owner-Suilder will have the burden of proving that it was not built or improved for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). El I am exempt from licensure under the Contractors' State License Law for the fallowing reason: By 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 legal sell a structure that I have built as an owner -builder it it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and Professions Code„ is available upon request when this application is submitted or at the following Web site:htip:// w .leginfo.ca,govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 sion�S the Business and Pr ii s C'le, i m c s In�tull )dice and effect. License Class License No Datw!/ Contractor Sfgnatu€ i WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN LTIES AND CNIL. PINES UP TOONE HUNOREO T USAND DOLLARS (St00,000), IN ADDITION TO TH COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370s OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: J L have and will maintain a certificate of consent to selNnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ormance of the work for which this permit Is issued. Policy No, PI ve 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' compensation nsuranice carrier and policy number are: Carrier Policy Number Expiration Date 'Jame of Agent Phone # —11 Certify that, in the perfo anc th o ermit is issued. I shall not. employ any person in any manner so as to become subject to the workers' ompensation laws of California, and agre :hat, if I should bee om su 1 the vorf r r Tee on rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applir2 I'.. _ Da DECLARATION AE R CONSTRUCTION ,. :�NCY aereby affirm undo realty of perjury that there is a construction lending agency for the performance of the work for Which this permit is issued (Section 309 , Civil Code). _�nder's Name Lenders Address 3y my =ignatvre below, I certify to each of the following: I nm the properly owner or authorized to act on the property owner's behalf. I have read Iris application and the information I hav provis ided correct, anree to Comply with all applicable. city and cow y r a d in to building construction. Q I authorize retre�cntatives of this city or noun t t ea ve-i ti f 'r inspection purposes. 3 mature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ent's Nana e "` DateA AnT't'P- DATE RY DECLARATION OF COMPLIANCE WIT] -I CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 !'E.RMIT EXPIRED I Lit SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED PERMIT FIMAL CERTlFfCA OCCUPANCY ISSUED