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Home My WebLink AboutXR2023-2966 - PermitsD4�gvuaoR a City of NDewport Beachevelopment pnt-Building Division 111111111111111111111111111111111111111111111111111111111I1COMB Permit: XR2023-2966 Community �' i 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1063 Permit Counter Phone: (949) 718-1888 Issued Date : 10/19/2023 U 2 newportbeachca.gov/civic Final Date: cg4pppN�r Combination Type - Permit Status: Issued Work Class - Other Inspection Area : 8 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 : 402 KINGS RD Legal Desc : N TR 1219 BLK H LOT 10 Eg 2+! ;; ";'�,� " i Description: DEMO POOL *METHOD B* �" Li'"''"'� i v n Owner: GILCHRIST JOHN TR J & S Address : 402 KINGS RD NEWPORT BEACH, CA 92663 Phone: Applicant: ERICAUST Address : 62 BALBOA COVES NEWPORT BEACH, CA 92663 Phone : (949) 637-5220 Owner/Builder: Address : Contractor: GREGORY BUILDERS Address : 233 OCEANVIEW AVE NEWPORT BEACH, CA 92660 Phone : (714) 747-4027 Con State Lic : 719030 Lic Expire : 02/29/2024 Bus Lic: BT20012402 Bus Lic Expire : 06130/2024 Workers' Compensation Insurance Carrier: CALIFORNIA INSURANCE COMPANY Policy No: 4604999801 W. C. Expire: 9/28/2024 Architect : ERIC AUST Address : 62 BALBOA COVES NEWPORT BEACH, CA 92663 Phone : (949) 637-5220 State Lic Engineer : ROSS SCOTT WILLIAM Address : 1800 E 16TH STREET #B " SANTA ANA, CA 92701 Phone : (714) 835-2800 " Designer Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation: Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 0 Added/New sq. ft. Garage: TOTAL sq. ft. : Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: �VP, I $6,500.00 0 0 0 OWNER -BUILDER I hereby affirm unde* penally 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 he 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 )ecr essions 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 tot 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3LJ9l1PMs 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 properly, provided that the mprovements 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 built or mproved 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 noL 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), 1 am exempt from licensure under the Contractors' State License Law for the following reason: ___,_- _... 3y my signature below I acknowledge that, except for my personal residence In which I must have resided For of least one year prior to completion of the improvements covered by this permit I cannot legally yell 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 the applicable law, Section 7044 of the Business and 'rofesslons Code„ is available upon request when this application is submitted or at the following Web site: http:live^nv.legtnfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent T___,_,�_____.._.____._�—__—�.._._____—__._._._____....v�._.—_____ „__,__ Date _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter A (commencing with Section 7 00) of D' dsi �7y 3 of the sf ass and Proles nss, end r Is In full force Ind effect. License Class License No � /o Cantr for Signature NORKERS' COMPENSATION DECLARATION YARNING: FAILURE 10 SELL -RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU84ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS iS10 ,0001, IN ADORION TO HE ;CST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby sffirm under penalty of perjury one of the following declarations: I I 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 IN L,ar`fot.iance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: ter_ a of Agent Policy Number Expiration Date vertify that, in the i,erformance of the work for whicI1.IIk<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 agre 1, if I she be;nma subje/cat wpe workers' com cation provisions of Section 3700 of the Labor Code, I shall forthwith comply A-0Ih those provisions. Deiore of A ni _.. l1r�e�J /�/ .... CL.ARATH) REGARDING CONSTAU LENDING AGE: Y `� -- Ireby affirm under penalty of perjury that there is a construction ending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). ider's Name Lenders Address _ 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 infoi mallon I have prOVl Is correct. I agree to comply will) all applicable city and county sn s and state relating to building construction. I authorize representatives o Is cit r-county t enter above-ide d property for inspection purposes. ��// nature of Property Owner or A nzed Agent na. �� Print Procerly Owner's or Aulhorizetl>Auent"s Name t7�5 �''S v ->� '"'inZI i./�i ACTION DATE It DECLARATION. OF COMPLIANCE WIT/CODE OF FEDERAL I FOROFFICEUSEO REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PEAMIT CANCEILEO -- al'A _ P€R vRT EXTENDED aOMD PEAM77V1.W L CERTIFICATE OF __ �+ 0 ( ASBESTOS N01IFICA110N I6 N01 APPLICABLE IU J I PROPOSFD DEMOLITION OCCUPANCY ISSUED I SIGNATURE;