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HomeMy WebLinkAboutXR2023-1515 - Permits�_*P0 City of Newport Beach iiiiiiiiiiiii 111 jjCOMB Permit : XR2023-1515 (1 8 Community Development Department - Building Division 1 Fy 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: G Z Permit Counter Phone: (949) 718-1888 Issued Date : 06/05/2023 newportbeachca.gov/civic c9s�owCombination Type - SFP Inspection Area : 2 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 : 223 VIA SAN REMO Legal Dose: N TR 907 BLK LOT 199 Description : SFR RESURFACE DECKING ESR# 2151 110 SF Owner: JOHNSON JOHN M TR J M Contractor Address : 223 VIA SAN REMO Address NEWPORT BEACH, CA 92663 Phone Applicant: DURADEK/DURARAILSYS Address: 24921 DANA PT HARBOR DR #B110 DANA POINT, CA 92629 Phone : (949) 218-9989 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2022 V-B U,R-3 Front: 0, Front: 4, Side: 3, Side: 3 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: Phone: Con State Lie Lie Expire Bus Lie: Bus Lie Expir e DURADEK/DURARAIL SYS 24921 DANA PT HARBOR DR #B110 DANA POINT, CA 92629 (949)218-9989 817934 01131 /2025 BT30080587 : 08/31/2023 Workers' Compensation Insurance Carrier: CLEAR SPRING Policy No : CWC00362900 W. C. Expire : 1/1/2024 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect Address Phone: State Lie Engineer: Address Phone Designer: Address Phone: NO Construction Valuation : NO Added/New/Ti sq. ft. Bldg 1 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage TOTAL sq. ft. : $4,200,00 0 0 0 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 ptaced next to the applicable Item(s) ,Section 7031 a, 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 he permit to a signed statement that he or she is licensed pursuant to the previsions of the£ontrsctots` State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and orofessions Code) or that he or she is exempt from liconsure and the basis for the alleged exemption_ Any vibtation of Section 7031.Bby any applicant for a permit subjects the applicant to a civil penalty of Tot more than five hundred dollars ($500), I 1, 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. It, 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 improved for the purpose of sale). 131, as owner of the property, am exclusively con€racting with licensed Contractors to Construct the project. (Section 70", Business and Professions Code: The Contractora` State License Law does not Reply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), © 1 am exempt from licensors under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resMod for at least one year prior to completion of the improvements covered bythis permit, I cannot lagali) sell 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, Section 7044 Of the Business and Professions Code, is available upon request when this application is submitted or at the following Web sito:httpJ/www.toginlo.ca,gov/Calaw.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 (commending with Section O) s n 3of the Business and fess its od a - my It a is In full force and effect. License Class License No Date Z Contractor Signs WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TOONE HUNDRED THOUSAND OOL 2S (j100,0001., Ni ADDITION TO THE COST OF COMPENSATION, DAMAO" AS PROVIDED FORM SECTION 5700 OP THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain. a certift€ate of consent to seitinsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th erforman€e of the work for which this permit is issued. policy No. _ 01-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` componsatiol insurance Carrier and polity number are: Carrier Policy Number Expiration Date no of Agent more R certify that, in th pa once of the work for which this permit is Issued. I shall not employ any person in any manner so as to become subject to the workers' omponsatiotlaws /otcalifomia, BAD ogre L If I should be bj a woIke ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Mth those provisions. nature of Applicen _ Da CLARATION REG DIN TR TI0- N NG AGENCY Ireby affsm under per illy of perjury that the a construction lending agency for the performance of the work for whichthispermit is issued (Section 3097,. Civil Code). ider's Name Lender's Address my signature below, I car* to each of the folWyving: I am the property owner or authorized to act on the. property owner's behalf. I have read this application and the Information I have provided is correct. I agree to comply with all appli€able city and coup y ordinances and state laws relating to building construction. I authorize representatives of this city or count' t ent" the Bova-WHnbfied grope nnpeetion purposes. �� � i / DATE ay aFG 0lON5 ON OF O 10 OF, AO AND AQ ANCE WITH CODE OF RULE AL FOR OFFICE USE ONLY E PERMIT EXPIRED CERTIF1CATEOF � In 1 - .6 A ���0BEM0LfTIGN1 N!S NOT