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Home My WebLink AboutXR2023-0399 - PermitsCity of Newport Beach ' �c�EWPOj�T D d Community Development department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �'g4coFN`P newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration ��III��III�IIII��III�III111111111111111111111111 jj COMB Permit : XR2023-0399 Plan Check No Issued Date : 02/10/2023 Inspection Area : 2 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 : 1603 BALBOA AVE Legal Desc : A TR BALBOA ISLAND SEC 5 BILK 6 LOT 13 BALBOA ISLAND SEC 5 LO T 13 BLK 6 W 30 FT E 60 FT Description: SFR - INTERIOR ALTERATION. 3 BATHS, 1 POWDER, KITCHEN. 400 SF. RJR WOOD PANELING W/ DRYWALL *STOP WORK* 121-1518 * RENEW E;KPIRFO PERMIT X2021-1412 * 122-0281 Owner: THERESAFERGUSON Address : 1603 BALBOA AVE NEWPORT BEACH, CA Phone: (949)310-4716 Applicant : THERESA FERGUSON Address : 1603 BALBOA AVE NEWPORT BEACH, CA Phone: (949) 310-4716 Owner/Builder: THERESA FERGUSON Address : 1603 BALBOA AVE NEWPORT BEACH, CA Phone : (949) 310-4716 Contractor Address : Phone : Con State Lic Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier: Policy No: W. C. Expire: Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : 1 Bldg Height : No of Stories : 2 Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 10 Flood Zone : X Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: _ A Architect Address Phone: State Lic Engineer: Address: _ Phone : Designer Address Phone: Construction Valuation : Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage: TOTAL sq. ft. : `8 _., .. _. _w ON THE WEEKEND, $32,000.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I. am exempt front the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable rem(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, poor 10 its issuance, also requires the applicant for the permit to file a signed statement that lie 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 licensure 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 nngtt more than five hundred dollars ($500). MI, 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, huilds 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 -Sunder 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, 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 following reason: __ By my signature below I acknowledge that, except for my personal residence in which I must have roslded for at least one year prior to completion of the improvements covered by this. permit, I. cannot legally sell a structure that I have DUKES. an owner -builder 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 availsbie upon request when t application is submitted orat the following Web site:http:/lwm�w.leginfo.ca,govfcalaw.btml, Sic,nahtre of Propony Uwner or Authorized Agent '�� 1 X�.WIr.SCL. r'i 1�LI�.IA.SbW� Dat(� LI'-ENS&D CONYRA:,TOR'S DECLARATION I I he^eby affirm under perntlty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3-of the Business and Professions Cade, and my license is In full force and e4ect. License -lass License. No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WORNiNO' FAILURE TO SECul WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION T07HE COST OF COMPENSATION. ➢AMAGes AS Pftovioe6 FOR 1N SECTION 370S OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: Cl I have and will traintain 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, far the purfurnance of the work for which this permit is issued. Policy No, aPve and will ,T,amtLin workers' Compensation insurance, es required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rani carrier and policy number are: Policy Number of Agent Date certify that, in the performance 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' compensation laws of California, and , If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant _ Date iECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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, Civil Code). ender's Name Lender's Address Iy my signature below, I certify to each Of the following: 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 applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county tg,Al the above-iden(ified property for inspection purposes. i ACTION I] DATE BV r DECLARATION OF COMPLIANCE WILH CODE OF FEDERAL FOR OFFICE USE ONLY 3 �� {, REGULATIONS PART51 OFTITLE 40AND AQMD RULE J PERMITEXPIRED UISUBMITTED ASBESTOS NOTIFICATION TO PERMITCAMCELLED _ EPA PERMIT EXTEND ED _ PERMITFINAL CERTIFICATE Of OCCUPANCYIS$UED wil 3�r 1 LI ASBESTOS NOTIFICAI"ION IS NOT APPLICABLE TO OPOSED O,EMp41T`tON 1 ,NATI ell1/1 lnfl A\. art A ii\1 0 r I�