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Home My WebLink AboutX2022-0752 - PermitsD4 �EWPpRT City of Newport Beach Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cy</F00.N�P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Addition III��I�III��I II COMB Permit : X2022-0752 Plan Check No : 0661-2022 Issued Date : Inspection Area : 5 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 : 215 POINSETTIA AVE Description: SFR - NEW ADU OVER GARAGE 775 SF Owner: RICHARD O BURNS Address : 215 POINSETTIA AVE CORONA DEL MAR, CA 92625 Phone: (949)677-3180 Applicant: RICHARD O BURNS Address: 215 POINSETTIA AVE CORONA DEL MAR, CA 92625 Phone: (949)677-3180 Owner/Builder : RICHARD O BURNS Address: 215 POINSETTIA AVE CORONA DEL MAR, CA 92625 Phone: (949)677-3180 Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 142 LOT 11 RESUB OF CORONA DEL MAR LOT 11 BLK 142(AND SWLY Contractor : Architect AddresNO CONSTRUCTION NOISEAddress: Phone: Phone: Con State Lie : State Lie Lie Expire : Bus Lie: ON THE WEEKEND Engineer: Bus Lie Expire : Address Workers' Compensation Insurance Phone Carrier : Policy No: Designer W. C. Expire: Address Code Edition : 2019 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : R-3 No of Units : Bldg Height : No of Stories Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Phone SCHLEY KEVIN ARTHUR 25225 MACKENZIE LAGUNA HILLS, 92653 (949)770-8586 ROSS SCOTT WILLIAM 1800 E 16TH STREET #B SANTA ANA, CA 92701 (714)835-2800 NO Construction Valuation : $149,000.00 NO Added/New/TI sq. ft. Bldg : 775 1 Alteration sq. ft. Bldg 3 Added/New sq. ft. Garage: 0 mr TOTAL sq. ft. : 775 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Coda; 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 lie or she is licensed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from fieensure 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 ($500). 0 1, 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 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 soli within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Improv p d for the purpose of sale). il'y sowner 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 to an owner of property who builds or improves. thereon; and who contracts for the profects with a licensed Contractor pursuantto the Contractors' State License Law). am exempt from hcensure under the Contractors'State License Law for the following reason: 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 legally sell a structure that I have built as an owner-butdor i a nstructad in its entirety 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 his is mitted or at the following Web site;http:ftwww.leginfo.ca,govtcaiaw.btml. Signature of Property Owner or Authorized Agent.— D4{fre�:_ LICENSED CONTRACTOR'S DECLARATION 1 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date Contractor Signature yORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS tEi0D,0001, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR iN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: 3 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 3700 of the Labor Code, for in performance of the work for which this permit is issued. Policy No.. 31 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' compensatior isurance carrier and policy number are: ;artier Policy Number Expiration Date aa, f Agent Phone IN Iffy that. in. the parfo k for which this permit is issued, l shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and ogre I should become sub ct to or ' Dompens�atio�n provisions" of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7 > gnature of Applicantqj _ _ ___ I - Date )ECLARATION REGX15_1! CC STRUC Or LENDING AGENCY hereby affirm under penalty 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 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 andthe information I have provided is correct. I agree to comply with all applicable city and Go s and state laws relating to building construction. I authorize representatives of this city or county t am a ve-identified property for inspection purposes, Si nature of Property Owner or Authorized Age*.* �i!.�"-7i�_ Pnnl Pro ert Owner's or Authorized A ent's Name iG c, k7G�r�+S Data ACTION DATE aY DE LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQNTD RULE 3403 PERMIT EXPIRED LJ I SUBMITTED_ ASBESTOS NOTIFICATION TO PERMIT CANCELLED 1PA PERMITFINAL (2.-IL4. 1.AdASBE5TO5 TIF OT APPLICABLE TO CERTIFICATE OF V PROPOSED OEM OCCUPANCYISSUED I SIGNATURbO /./k-1„ — a