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Home My WebLink AboutXR2023-0936 - PermitsFa£WPoRT City of Newport Beach p Community Development Department - Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 � Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 oqt, coa"�P newportbeachca.gov/inspections Combination Type - Work Class - Other 111��III��111111111111111111111111111111111111111111111111 COMB Permit : XR2023-0936 Plan Check No Issued Date : 04/1212023 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: 2209 BAYSIDE DR Legal Desc : P BK 383 PG 45 PAR 2 Description: SFR ADD 20' LONG BY THIGH MAX BLOCK WALL INSIDE P/L *PERMANENT MARKERS ONSITE* PER CITY STANDARD 3B DETAIL Owner: GREG CULLEN Address : 2209 BAYSIDE DR CORONA DEL MAR, CA 92625 Phone : (310) 702-5252 Applicant: BILL HYLAND - Address : 15 CORPORATE PLZ NEWPORT BEACH, CA 92660 Phone : (949) 386-0282 Owner/Builder : Address : Phone: Contractor: PATTERSON CUSTOM HOMES. Address : 15 CORPORATE PLAZA, STE 150 NEWPORT BEACH, CA 92660 Phone : (949) 723-1800 Con State Lic : 802367 Lic Expire : 07/31/2024 Bus Lic: BT02110534 Bus Lic Expire : 09/30/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9065406 W. C. Expire: 8/1/2023 Architect Address Phone : State Lic Engineer Address Phone Designer: PATTERSON CUSTOM HOMES Address: 15 CORPORATE PLAZA, STE 150 NEWPORT BEACH, CA 92660 Phone : (949) 723-1800 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 15, Front: 5, Side: 4, Side: 4 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential , NO CONSTRUCTION NOI ? BY: PROCESSED „ SPECIAL CONDITIONS: HIGH DENSITY ZONE; AE8 FLOODZONE; LIQUEFACTION 30 ON THE WEEKEND OWNER -BUILDER DECLARATION I hereby affinn 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 liconsed 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 licensureand the basis for the alleged exemption. Any violation of Section 7031.6 by any applicantfora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($50D).. El 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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, the building or improvement is sold within one year of completion, the Owner -Builder will have theburden of proving that it was not bullt or improved for the purpose of sale). ❑ 1, 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 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), El 1 am exempt from licensvre 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 for at least one year prior to completion of the improvements covered by this permit, I cannot Iegally sell a structure that I have built as an ownor-builder if it has not been constructed 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 this application is submitted or at the following Web site:http:liwww.leginto.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 Division 3 of the Business and Professions Co.Sje, and y licensa is In full force and effect. License Class License No Date A-11-23 Contractor Signature B— WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL, Me SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STQS OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I hereby affirm under;penalty of perjury one of the following declarations: 0 1 have and will maintain a Certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrlial 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' trance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date^ tI-1 -z3 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 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 on the property owner's behalf, I have read INS Appli„alion and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize repres intatives of this city or cbun enter. t`he boy Sniffled property for inspection purposes. iaoatw e of Prooertv Owner or Authorized Agent _ F-a�, Print Prooertv Owner's or Authorized Aaenfs Name ' _ t 1CTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE. 40 AND AQrYID RU1.F. 1403 Fid),4,7 CANCELLED j LIERA PFRS4i7 EK(ENOED.--- -- _ _ PERWIT FINAL i� ig:�.$BEST03 NOTIFICATION IS NOT APPLICAtlLE TO I I OF IIl� + EO'DEM�OLC.PHNCYISSC<SIGNATURE: Civil Code).