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Home My WebLink AboutXR2023-0789 - Permits�gWPO�T City of Newport Beach II p� ' @ Community Development Department- Building Division .m X R 2 0 2 3 0 7 8 9 •` I ,: ,a, 100 Civic Center Drive, Newport Beach, CA 92660 z Permit Counter Phone: (949) 644-3288 ' Inspection Requests Phone: 644-3265 ,�N',''�newportbeachca.gov/inspections ons Combination Type - SFP Work Class - Other COMB Permit : XR2023-0789 Plan Check No : 1805-2021 Inspection Area : 1Issued Date : 03/27/2023 - 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: 250 COLTON ST Legal Desc : N TR 772 BLK 6 LOT 17 TR 772 LOT 17 BLK 6 ALL (EX NELY 18 FT) AND NELY Description: "CHANGE OF CONTRACTOR— SFR ADD 747 SF & REMODEL 1195 SF (X2021-2083) Owner: SCOTT DEFREITAS Contractor: LEYVA ROBERT CONSTR CO Architect : BROWN KENNETH Address : 250 COLTON ST Address : 953 UNION AVE Address : 25401 CABOT RD #207 LAGUNA HILLS, NEWPORT BEACH, CA 92663 COSTA MESA, CA 92627 CA 92653 Phone: (949)355-5084 Phone: (714)323-5820 Phone: (949)981-5106 Con State Lic : 825124 State Lic Lic Expire : 09/30/2023 Applicant : LEYVA ROBERT CONSTR CO Bus Lic: BT3007B214 Engineer Address : 953 UNION AVE Bus Lic Expire : 03/31/2024 Address COSTA MESA, CA 92627 Phone: (714) 323-5820 Workers' Compensation Insurance Phone: -' Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Owner/Builder : Policy No: CWC00293600 Designer Address : W. C. Expire : 11/10/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 • • " Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : • • ', , Bldg Height : No of Stories : 3 Added/New sq, ft. Garage: 0 ' TOTAL sq. ft. 0 ; Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 ' Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: HAULER CR&R LIQUEFACTION. OWNER -BUILDER DEGLAKAttura I hereby affirm under penalty of perjury that i am exempt from the Contractors' State License Law for the reason(s) indicated below repair the structure, prior I have placed next to the quires he item(S) Section 7031.5, BUB1nagF and Professions Code: Any city or county that requires a permit to construct, alter. improve, demolish, or repair any structure. p for fa its issuance, also requires the applicant for he permit to file a signed statement5that 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 ?rofessions Code) or that he o7ti 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 lot more than five hundred dollars ($500). t, 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, 3usiness 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 mprovemants ate not intended or Dilated 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 reproved for the purpose of sale). 1 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). 1 t am exempt from licensure under the Contractors' State License Law for the following reason: T_ covered - permit, I cannot legail) 3y my signature below I acknowledge that, except for my personal residence in which I must have resided forat least one year prior lD completion the improvements by this 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 ?rofesslons Code„ is available upon request when this application is submitted or at the following Web sitethttpliwww:legmto.ca.govlcalaw.html. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 7000) oDivision 3 f the Business and P[ofesy� o ,and y Ilcflnseis In full force and effect. License Class License. No .;Date: Contractor e Signatur iNORKERS' COMPENSATION DECLARATION NANNING: FAIRE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tEt00,eeDj, IN AOOrrION TO THE W COST OF COMPENSATION, DAMAOES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. —hereby arfirm under penalty of perjury one of the following declarations: ,-1 1 have and will maintain a certificate of consent lc self -Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth performance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of thee. Labor Code, for the performance of the work for which this permit is issued. My workers` -------^^`^ carrier and pokey number are: Policy Number Exoiration Dale are rf Agent 31 certify that, in thn performance of the work for which this ,permit is issued', I shall notempiay any person In any manner so as to become subject to the workers' compensation laws of Califomia, and agrel at, if I ,hould becom;KNCe_01NZ_TRe;UWCT10 heyvorkers mpensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply Will those provisions. _Date :gnalvre of. Apoiican 'e;t.ARATION 2=_GNDING AGENCY hereby affirm 'Inder oenaky 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 y my signature below, I certify to each of the following: I am file property owner or authorized to act on the property owner's behalf. I have read thir a.ophcation and the Information I have provided is correct. I agree to compiv with all applicable city and county or, inances and state laws relating to building construction. i authoriz representatives of this city or county t at v -identified property for inspection purposes. y�J ori, i Prnnpdv nwner's nr Authorized Aaenfs Name /, .. ` ' "�'/ Data- 27 A ACTION DATE 4p BY DECLARATiON.OFrACOMPLIANCE WITH CODE OF FEDERAL � FOR OFFICE USE ONLY I REGULATIONSP RT 61 OFTITLE 40 AND AUMD RULE PERMIT EXPIRED PERMIT EXTENDED uAitM u PERMIT FINAL SBESTp4 NOTdF7CATiUN l NOY APPLICABLE TO CERTIFICATE OP l PROPOSED DEVI011 L OCCUPANCY f55UED SIGNATURE: /!/