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Home My WebLink AboutXR2023-1062 - PermitsCity of Newport Beach 2E`•�°okr 0 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 DI " Permit Counter Phone: (949) 644-3288 e� Inspection Requests Phone: (949) 644-3255 C7��F0 RN`P newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration 1111111111111111111 ��11111111111111111111COMB Permit : XR2023-1062 Plan Check No : PC2023-0950 Issued Date : 04/25/2023 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 : 1243 BAYSIDE DR Legal Desc : N TR: 89.17 BILK LOT.1 UN 101 TR 8917 LOT 1 UNIT 101 FP, RP, CP 1, CP2 OF Description: MFR R/R STUCCO AT PATIO OVERHANG. Owner: KATHLEEN HOFF Contractor: RECONSTRUCTION EXPERTS INC. Architect Address : 1243 BAYSIDE DR Address : 5310 VIVIAN STREET Address CORONA DEL MAR, CA 92625 ARVADA, CO 80002, CA Phone: (562)477-7955 Phone: (310)648-8653 Phone: Con State Lie : 750511 State Lie: - Lie Expire : 1013112023 Applicant: Brant Keiser Bus Lie : BT30062567 Engineer Address : 1120 Princeton Drive 6, 6 Bus Lie Expire : 03/3112023 Address Marina del Rey, CA 90292 Phone: (760) 573-9116 Workers' Compensation Insurance Phone: Carrier: SENTINEL INSURANCE COMPANY LTD Owner/Builder. Policy No : 34WEAAU7WDJ Designer Address : - W. C. Expire-:- 11/1/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers-: ,.; NO Type of Construction : V-B Fire Hazard Zone: NO Occupancy Groups : U No of Units : 1 Bldg Height: No of Stories ;- 2 Building Setbacks Flood Zone : AE, 8 FT; X Use Zone : RM - Multiple Residential PROCESSED BY: n S SPECIAL CONDITIONS: AE8 FLOODZONE STUART AHN 3823 EL MORENO ST LA CRESENTA, CA 91214 (213)820-0008 Construction Valuation : Added/New/TI sq. ft. Bldg: Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : $9,700.00 0 I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1. am exampilrom the Contractors' State. License Law:for the -reasons) indicated belovi by :the checkmark(s) I b:ve placed next to the appllceble items) Section 7031-6, Business and Professions Coda; Any city or county (net requires a permit to construct, alter, improve, demolish, Or repair any structure, prior toils issuance, also requires the applicant for is permit to file a signed statement that lie or she is licensed pursuant to the provisions of the -Contractors" Stale License. Low (Chapter 9 (commencing with Section 7000) cf Division 3 of the Business and Irofessions .Code) or that he or she is exemptfrom lleensure 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 ($560), 3 I, as owner of the property, or my employees with wages as their sole compensation, will do {_) all of or U portions of the work; and the structure Is not Intended oroffered for sale (Section 7044, justness 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 nprovemanls 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 provingthat it was not built or nprovod for the purpose of sale), - I, as owner of the property, ant exclusivelycontracting with licensed Contractors to Construct the project (Section 7044, Business and Professions Code:. The Contractors' State License Law does not ply to an owner of propedywho builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from li®ensure under the Contractors' State License Law for the following reason ty my signature below i achnowletlga that; except ,for my personal residence In which I must have rosfdodfcrai least one year prior to completion ofthe improvements covered by this permit, I cannot legal], all a'structura that I have built as an owr or -builder fit has not boon constructed in its entirety by licensed Contractors, I understand that a copy of the applicable law, Section 7044 of the Business and 'rofesslons Code„ Isavailable ap6n request when this application is, submitted prat the following'yleb site hdp:/iwww.Ieg1nb,ca.gov/ca law. hml . :Ignature of Property Owner or Authorized Agent. ._. Oate._ ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that.I am licensed under provisions of Chapter 9 (Commencing with Section 700 ).of vision 3 of the Business and. Professions C e, and. my license is In full force. nd effect. License Class License No Date ti ZS 20 Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER 70 CRIMINAL PENALTIES AND CIVILFINES-UP' 70 ONE BUNDRVO THOUSAND' DOLLARS (6t00,0001, IN ADDrrION TOTHE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY s FEE$ hereby affirm under penalty of perjury one of the following declarations; 7 I have and will maintain a certificate of consent to self -Insure for workers' compansau0n, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th orformance of the work for which this permit is issued. Policy No. R have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the parform'ance of the work for which. this permit is Issued. My workers` compensatiol Isurance Carrier and policy number are: to of Agent certify that, in the performance of the. If I should become subiect to the wd of Applicant Pplicy Number. Date for which this permit Is iSSued, I shall not employ zany pereon'in any Mannarsoas to become' subjectto the 'workera' compensation laws of California, and ogre compensation provisions of Section 3700 of theLaborCode, I shall forthwith comply with those- provisions. Cate�Ll 2S 7— IM 1. ImillonJf] M(SCArI`V". !reby affirm under penalty of perjury that there Is a construction lending agency forthe performance of the work for which this permit is issued (Seclfon 3097 Idsr s Name Lender's Address. my signature below, I certify to each of the following: I am the property owner or authorized to act on theproperlyowner s behalf, I have read this application and the information I.have provided Is correct. 1 agree to comply with all applicable city and countyordinances and slate laws relating to building. construction, I authorize representatives of this city or county to entermArmove-identlfled properly for inspection purposes, ACTION PERNFITEXiENOED P@R ITFIPlAL CERAFICATE OF OCCUPANCY I5SUED or Authorized Age DATE I By 14W 51GNATURE: )N4PLIANCE W ITH CODE OF 61: OFTITLEAC AND AOMD NOTAPPLICABLE TO FOR OFFICE. USE: ONLY Civil Cc a), tiS117