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Home My WebLink AboutXR2022-2530 - PermitsagWPpRT City of Newport Beach 11111111111111111111111111111111111111111111111111111111 jj o" 6+ Community Development Department- Building Division X R 2 0 2 2 2 5 3 0 100 Civic Center Drive, Newport Beach, CA 92660 >r _ Permit Counter Phone: (949) 718-1888 <s.newportbeachca.gov/civic Combination Type - SFP ELEC MECH PLUM Work Class - Alteration COMB Permit : XR2022-2530 Plan Check No : PC2022-2362 Issued Date : 10/06/2022 Final Date: Permit Status: Reissued Inspection Area : 3 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 : 1212 SANTIAGO DR Legal Desc : N TR 4224 BLK LOT 189 Description: SFR REMODEL TO KITCHEN/DINING ROOM 693 SF r Owner: JORDAN CLIFFORD R TR B TR Contractor: STEVE MYERS Architect : ANDRESEN DOUGLAS Address : 1212 SANTIAGO DR Address : 1663 INDUSTRIAL AVE., A Address : 17087 ORANGE WAY FONTANA, CA NEWPORT BEACH, CA 92660 NORCO, CA 92860 92335 Phone: Phone : (951) 817-0525 Phone : (909) 355-6688 Con State Lic : 501397 State Lic Lic Expire : 11/30/2024 Applicant : STEVE MYERS Bus Lic: BT30079853 Engineer Address : 1663 INDUSTRIAL AVE., A Bus Lic Expire : 10/31/2024 Address NORCO, CA 92860 Phone: (951) 817-0525 Workers' Compensation Insurance Phone: ' Carrier: CALIFORNIA INSURANCE COMPANY Owner/Builder : Policy No: 460712290121 Designer Address : W. C. Expire: 9/13/2024 Address Phone: Phone: ' Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $300,000.00 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 : 693 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 ' Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION i hereby affirm under penalty of perjury that I are exempt from the Contractors' State License Law for the reason(s) indicated below by the cheokrnark(s) I have placed next to the applicable item(s) (Section 7031.5, Business aed 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 porrnit 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 of the Business and Professions Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 1, as owner of the property, or my employees with wages as their sole compensation, will de I all of or L) 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, 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 1m roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Secfii 7044, Business and Professions Code: The Contractors' State License Law does not 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 ucensure under the Contractors' State License Law for the following reason By my signature below I acknowledge that, except for my personal residence in which 1 must have resided -for at least one year prior to completion of the Improvements Covered by this. permit, I cannot legal], 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 70" 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,gov)calaw.html, Signature of Property Owner or Authorized Agent _ ___ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divis' n of the Bus]ness,and Professions, and my license is in full force and effect License Class License No DDT - ,��antra for Ignature �//."+'r WORKERS' COMPENSATION DECLARATION l` WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINEBUYITOOhf HUNDRED THOUS DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3TOS OF THE LASOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to se'If-insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th Pecformance of the �.'ork ror which this permit is issued. Policy No. and will mainta.n 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 pJcy number are: Policy Number Date game cf Agent Phone # JI-ertiry that, Li the performance of the work for which this permit Is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California. and ogre rat, d , should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. qt iatu,e of Ap'Y*Upnl _.... �'" D t IEGIARATlO�J R� GARBING CONS UGT1GN LENBING AGENCY h^.reni affirm under penalty of perj ' at there is a construction lending agency for the performance of the work for vdtich this permit is issued (Section 3097, Civil Code). enders Name _ _ Lender's Address aoy ignature below, I certify to each of the following: I ant the property owner or authorized to act on the property owner's behalf. I have read rhib application and the information I have provided is correct. I agree to comply with all applicable city an ounly ordinances and state laws relating to building. construction. I authorize representatives of this city or count enterpy Ab5Wdentified property for inspection purposes. ACTION PERMIT EXPIRED PF.RMtTCAMCELCED FE.RivliT EXTENOFO P1 RA4 fTFiNAC CERTff1CATE Of OCCUPANCYISSUEO DATE I BY 1403 'LIANCE WITH CODE OF FEDEI OF TITLE 40 AND AQMD RULE NOTIFICATION TO NOTIFICAIIONI5NOTAPPUCABLf '1'0 FOR OFFICE USE ONLY