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HomeMy WebLinkAboutXR2023-2685 - PermitsaeWPoRT City of Newport Beach IIIIIIIIII II IIIIII IIIIIIIII IIII IIIIIIIIIIIIIII II COMB Permit : XR2023-2685 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2346 U ¢ Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Issued Date : 09/25/2023 CSCIFp0.N�P Combination Type - MFP Final Date: Permit Status: Issued Work Class - Alteration Inspection Area : 4 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 : 643 VISTA BONITA Legal Desc : N TR 5877 BLK LOT 25 TR 5877 (L.L.84-214030) PAR 2 Description: ATTACHED SFR - R/R WINDOWS (2)'68X40 IS EGRESS WINDOW* Owner: HENRY KRAFT Address : 643 VISTA BONITA NEWPORT BEACH, CA 92660 Phone: Applicant: RYDEN CONSTRUCTION INC Address : 11612 KNOTT UNIT 12 GARDEN GROVE, CA 92845 Phone : (714) 373-0011 Owner/Builder : Address : Phone Contractor: RYDEN CONSTRUCTION INC Architect Address : 11612 KNOTT UNIT 12 Address GARDEN GROVE, CA 92845 Phone: (714)373-0011 Phone: Con State Lie : 981264 State Lie Lie Expire : 02/28/2025 Bus Lie: BT30074071 Engineer: Bus Lie Expire : 01/31/2024 Address Workers' Compensation Insurance Phone: Carrier: FALLS LAKE FIRE AND CASUALTY CO Policy No: FLA01425002 Designer: W. C. Expire: 5/5/2024 Address Phone: Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U,R-3 No of Units : Bldg Height : No of Stories Building Setbacks Flood Zone :' X Use Zone : R-1 - Single -Unit Residential AM - PROCESSED BY: SPECIAL CONDITIONS: 1 ACT R NO Construction Valuation : $6,850.00 NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmarles) I have placed next to the applicable ftem(s) 3eclion 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 is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors" State License Low (Chapter 9 (commencing with Section 7000) of Division.3 of the Business and rofessions Code) or that ha or she is exempt from Bcensure 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 of more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 nprovements 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 builtor 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 pply 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). I I am exempt from licensure under the Contractors' State License Law for the following reason: ,y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior lD completion of the improvements covered by this permit, I cannot legall7 oil 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 rrotessions Code, Is available upon request when this application is submitted or at the following Web siterhttp:/Mae'w.leginfo.ca.gov/calaw.html. Agnature of Property Owner or Authorized Agent __ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of aptCTr 9 (co mencing with Section 70D0) of Di isioq �of the Business and Professi Cc d icens In full force nd effect. License Class License No 1 A R L� Date ��d' Contractor Signature IVIF VORKERS' COMPENSATION DECLARATION rARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUMORED THOUSAND DOLLARS tSiD0,0001, IN ADDITION TO THE GET OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm under penalty of perjury one of the following declarations: 'T „/ 1 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 th erformance of the work for which this permit is issued. Policy No. 91-Ti—eve 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 isurance carrier and policy number are: Policy Number - Date no of Agent rnone IT certify that, in the performance of the work for which this permit is issued, I shelf not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre . if I should become subieut to the Viq*ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of �A� 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 Lenders Address ly 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 will, all applicable city and county or 'nances and state laws relating to building. construction. I authorize representatives of this city or county to a the ab entified property for inspection purposes. �L it nature of Property Owner or Authorized A ant Print Property Owner's or Authorized Agent's Name�- ACTION DATE. BY DECLARATION Or COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE. 1403 PERMIT EXPIRED PERMITCAIVCELLED T PERMrT EXTENDEC PERMIT FINAL W CERTIFICATE OF OCCUPANCYISSUED UASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION Date