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Home My WebLink AboutXR2023-0374 - Permits��EWPORT City of Newport Beach p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u tea. Inspection Requests Phone: (949) 644-3255 cgGiFOp��P. newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 1111111111111111111In11111��11111COMB Permit: XR2023-0374 Plan Check No : 1501-2018 Issued Date : e2/0612023 'r 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: DELTA 6- *ADDITIONAL SCOPE* NEW INTERIOR STAIRS *RENEW EXPIRED PERMIT* Owner: JEFF BARRETT Address : 12230 CIRCULA PANORAMA SANTA ANA, CA 92705 Phone Applicant: DECLARK CONSTRUCTION Address: 206 NORTH BLUEROCK STREET ANAHEIM, CA 92807 Phone: (714)815-0293 Owner/Builder: Address : Phone Contractor: DECLARK CONSTRUCTION Address : 206 NORTH BLUEROCK STREET ANAHEIM, CA 92807 Phone: (714)815-0293 Con State Lic : 1009871 Lic Expire : 12/31/2023 Bus Lic: BT30069812 Bus Lic Expire : 06/30/2023 Workers' Compensation Insurance Carrier: PREFERRED PROFESSIONAL Policy No: ON1171801 W. C. Expire : 9/1/2023 Architect: Address : Phone: State Lic: Engineer: XIAO QIANG Address: 1520 BROOKHOLLOW DR #45 SANTA ANA, CA 92705 Phone: (714) 662-0510 Designer: ROD JEHEBER Address : 410 32ND ST NEWPORT BEACH, CA Phone: (949)723-4393 Code Edition : 2019 Fire Sprinklers : YES 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 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 checkmark(s) I have placed next to 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 wlth Section 7000) of Division .3 of the Business and Professions Code) or that he or she is exempt from lieensure and the basis 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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 one year of completion, the Owner -Builder will have the burden of proving that R. was not built or improved for the purpose of sale). L_I I, 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 '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). 0 1 am exempt from Reensure under the Gontractors' Stale License Law for the following 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-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.govicalaw.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 Secti 7 o7Kvy! the Business and Prassi n de, d c e s full or and effect. License Class License No D /j`C/ Contractor Sinnature�J( WORKERS' COMPENSATION DECLARATION % f ,NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS t511RDe0), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, Ithereby affirm under penally of perjury one of the following declarations: D I have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations asprovided for by Section 3700 of the Labor Code, for th. ormance of the work for which this permit is issued. Policy No - Lave 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' compensatior Insuran a carrier and policy number are! Carrier Policy Number Expiration Date Name of Agent Phone # 01 Certify that, in the parforman o w it' all not employ any person in any manner so as to become subject to the warko gg9000mpensalion laws of California, and agree that, if I should become jeat th orker m n tto p isia Sacti 1 3700 of the Labor Code, I shall forthwith comply With Inose provisions. �` ^ Signature of Applicant CatX. 19 DECLARATION REGA DING TRUCTION LENDING AGENCY I hereby ^ff rm unaer penalty of perjury that there is a construction lending agency for the performance ofthe work for which this permit is issued (Section 3097, Civil Code). Lcineer's Name Lender's Address By my signature certify to each of the following: , am the property owner or authorized to act on the property Owner's behalf. I have read th:s &r2lication and the information I hav provid is me , : agree to cornp% -nth all applicable city and county rd' cos nd ing,do building construction. I authorize refre^enlatives of this City or county i to as v le o e r inspection purpose BiSs. �, natur-- of Pro crt nwri or Authorized A ant Print Pro e Owner's Or Authorized Agent's Name O e ACTION DATE: BY DECL ATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE r'ERMIT'XPIRED _ _ 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITUNCELL'D iL3cPA PERMIT EXTENDED itMD PERMIT FINAL 'L--� `gESTD N I TI A C CERTff1CATE OF {( PROPOSEOOE T. N OCCUPANCY ISSUED € SIGNATURE: