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Home My WebLink AboutXR2022-2977 - PermitsCity of Newport Beach O��EWPO�,T Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 m.� Inspection Requests Phone: (949) 644-3255 c9UFOpN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 11IIIIIIIIIIII111111111111111111111111111111111111IIIIIII 11COMB Permit: XR2022-2977 Plan Check No: Issued Date : 11/10/2022 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: 216 RUBY AVE Description: SFR DECK COATING 100 SF ESR #0586 Owner: MANNING WILLIAM U TR Address : 3476 RED BLUFF CT SIMI VALLEY, CA 93063 Phone Applicant: CRANK WATERPROOFING Address: 134 COMMERCIAL WY COSTA MESA, CA 92627 Phone: (949)646-9356 Owner/Builder Address : Legal Desc : A TR BALBOA ISLAND SEC 2 BLK 10 LOT 10 Contractor: CRANK WATERPROOFING Address : 134 COMMERCIAL WY COSTA MESA, CA 92627 Phone : (949) 646-9356 Con State Lic : 1038420 Lic Expire : 04/30/2024 Bus Lic : BT30063958 Bus Lic Expire : 06/30/2023 Workers' Compensation Insurance Carrier: FALLS LAKE FIRE AND CASUALTY COMPANY Policy No: FLA01345002 W. C. Expire 1/26/2023 Architect Address Phone: State Lic Engineer:°` Address Phone : Designer: Address : Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage TOTAL sq. ft. : Building Setbacks : Front: 7, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: $3,500.00 0 I 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 end 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 Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions.Code) or that he or she is exempt from ficensure 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 ($50D). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U port'ons of the work, and the structure is not Intended or offered for sale (Section 7044, rusiness 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 nprovemenis 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 n roved 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 poly 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 I am exempt from ficensure under the Contractors' State License Law for the following reason: ry my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this. permit, I.cannot legali) ell a structure that I have built as an owner -builder if ithas not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and 'refesslons Code., is available upon request when this application is submitted or at the following Web site:http:/lw .leginfo.m.gov/calaw.html. signature of Property Owner or Authorized Agent v Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) of Division 3 of the Business and Prof Code, and y fcense-is In full force nd effect. License Class License No Date 1(3l 2 Contractor Signature 40RKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000)., IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, M13 ATTORNEYS FEES. hereby affirm underpenalty of perjury one of the following declarations: 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 3T00 of the. Labor Code, for ormance 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' compenso lance carrier and policy number are: Policy Number Date lame of Agent Phone 8 3 certify that, in lKe p rfcrmance of thework for which this permit is Issued... I shall notemploy any person in arty manner so as tobecome subject to the workers' c pensatien laws of California, and agre iat, if I should be subject to the workers' co�t(��ensatio�n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Appik .�J� `r'��h y \./ \ lam_ Date IV0 U / 22 ,ECLARATION RECIARR5 dU C`ONSTRUCTION LL�IIXNG AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for whichthispermit is issued (Section 3097, ivi Cade). enders Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act Dn the 'repent owner's behalf. I have read this application and the nfonnali n I h e provided is correct. I agree to comply with all applicable city and un ordinances and state laws relating to building construction. I authorize representatives of this city or county o am a abov idenlifie¢`p�openly for inspection purposes, ignature of Property Owner or Authorized Agant/\. _]ljpttilll Property Owner's or Authorized Aoeo€s Name Jk�-:Fi L'IGC."i(SC 1"� Date (Zaol-21 ACTION DATE BY ✓ REGULATIONS PART 61 COMPLIANCE 4ITH CODE OF R O E AL FOR OFFICE ( PERMIT EXPIRED LJ I SUgPMITTFD ASBESTOS NOTIFICATION TO PERMIT CANCELLED--�ryCP,1 FERM7T EXTFNDED " LI{,kh; _ PERMIT FINAL f2 L2/ GL. �F-� SBESTO N Ti FICATION 15 NOT APPLICABLE 10 CERTIFICATEOF I iA^ , PRO ED 0 ON OCCUPANCYf55UED E RAC siGNP.T'IRF: