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HomeMy WebLinkAboutXR2023-1894 - PermitsEWPo City P of Newport Beach Community II II COMB Permit : XR2023-1894 X R 2 0 2 3 1 8 9 Oda �T d Development Department- Building Division 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1669 ' Permit Counter Phone: (949) 718-1888 Issued Date : 07126/2023 newportbeachca.gov/civic Final Date: Combination Type - MFP Permit Status: Issued Work Class - Alteration Inspection Area : 1 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 : 1013 BAY AVE W Legal Desc : N TR 626 BLK 6 LOT 8 Description: DUPLEX REMOVE AND REPLACE EXTERIOR STAIRS AT THE FRONT RESIDENCE Owner: SSD CAROUSEL BEACH PROPERTIES LLC Contractor: CARPE DIEM CONSTRUCTION INC Architect Address : 3315 FAIRVIEW RD Address : 366 A 15TH STREET Address COSTA MESA, CA 92626 COSTA MESA, CA 92627 Phone: (714)292-7730 Phone: (949)423-9235 Phone: Con State Lic : 1055080 State Lic Lic Expire : 06/30/2025 Applicant: LANE WHITESIDE Bus Lic : BT30074368 Engineer Address : 366A E. 16TH ST Bus Lic Expire : 02/28/2024 Address COSTA MESA, CA 92627 Phone: (949) 423-9235 Workers' Compensation Insurance Phone: Carrier: ACCREDITED SURETY AND CASUALTY COMPANY INC Owner/Builder : Policy No: 1ATCA160057620 Designer Address : W. C. Expire : 8/22/2023 Address Phone: 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 : Front: 10, Side: 3, Side: 3, Rear: 0 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: BURKE LEO 34167 PACIFIC COAST HWY#D DANA POINT, CA 92629 (949)226-7130 NO Construction Valuation : $5,000.00 NO Added/New/Ti sq. ft. Bldg : 0 2 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 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 the 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 Professions Code) or that he or she is exempt from Iieensure 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 not more than five hundred dollars ($50D). 11 I, as owner of the property, or my employees With wages as their sole compensation, will do U 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. If, however, Ilia 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). ❑ 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 app€y to an owner of properly who builds of improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), [, 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 resided far at least one year prior to completion of the Improvements covered by this permit, I cannot leg all) sell a structure that I have built as an owner -builder if it has not been constructed in its entiroty 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 site;http:liwww.leginfo.ca.govicalaw.btml. Siqnature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Div' ion 3 f the Business and Pro ns - yrf' s}� D11 spree and effect. License Class License No Date `!— ntractor Signature as WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES Ae PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 th performance of the work for which this permit is issued. Policy No. 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' compensstioi isur carrier and policy number are ;artier Policy Number Expiration Dale Jame of Agent Phone # :11 certify that, in the erfarmance of the wank for hic pa Issued. I shall not employ any parson in any manner so as to become subject to the works ' compensation laws of California, and 2gra hat, if I should beco ubject to the r sions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. i�Delay ignalure of Applicant )ECLARATION REG NSTRUCTION LEND_ING AGENCY hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civ 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 1 have provided is correct, I agree to comply with all applicable city and co I ty ordinances and st elating to building. construction. I authorize representatives of this city or count. - property for inspection purposes. / 7 ii nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent s Name 4H I' au k-sj ate ACTION DATE BY V I -DEZIrARATION OF COMPLIANCE wirF CODE OF FEDERAL FOR OFFICE USE ONLY -77 REGULATIONS PART 51 OF TITLE 40 AND AQUID RULE PERMIT EXPIRED WISUBMITTED ASBESTOS NJTIFL:ATION TV PERAMTEXTENDED I IJAOMO ETIITfONkONISNOlAPPG' ' LEAI �O GNATVR I CERTIFICATE tl � �/z� OCCUPACY5UE0 z3