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Home My WebLink AboutX2021-2410 - Permits (3)04'. City of Newport Beach COMB Permit: X2021-2410 Community Development Department- Building Division X 2 9 2 1 - 2 4 1 0100 Civic Center Drive, Newport Beach, CA 92660Plan Check No : 2084-2021 Permit Counter Phone: (949) 71 B-1888 Issued Date : 0910912021 newportbeachca.gov/civic Final Date: 10/03/2022 Combination Type - SFP Permit Status: Reissued Work Class - Alteration 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 : 760 VIA LIDO SOUD Legal Desc : N TR 907 BLK LOT 283 Description: SFR BATHROOM & LAUNDRY RM REMODEL 180 SF Owner: ROSS STEVEN J / ROSS GAIL L Address: 760 VIA LIDO SOUD NEWPORT BEACH, CA 92663 Phone: Applicant: RJ TANNER CONSTRUCTION Address : B93 OAK STREET COSTA MESA, CA 92627 Phone: (949)235-4856 Owner/Builder : Address : Contractor: RJ TANNER CONSTRUCTION Address : 893 OAK STREET COSTA MESA, CA 92627 Phone: (949) 235-4856 Con State Lic : 744104 Lic Expire : 12/31/2025 Bus Lic: BT98043220 Bus Lic Expire : 06/30/2024 Workers' Compensation Insurance Carrier: PREFERRED+PROFESSIONAL+INSURANCE +COMPANY Policy No : ON0897404 W. C. Expire : 6/1/2024 Architect: RANIERI RANDY Address : 5868 MESQUITE SPRINGS RD TWENTYNINE PALMS, CA 92277 Phone: (714)296-5502 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 : U,R-4 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 0, Front: 1.5. Front: 4, Side: 4 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury ltlat I aryl exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable'ftem(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, Improve, dernolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that ho or she is licensed pursuant to the provisions of the Contractors' Stale License LaIa (Chapter 9 (commencing with Section 7000)of Division 3 of the eusinoss and Professions Code) or that he or she is exempt from licensure 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 I, as owner of the property, or my employees with wages as their sole compensation, will do L_) 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' Slate 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. I f, 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 improved 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 app€y to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). El I am exempt from licensure 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 forat least one year prior to completion of the improvements covered by this permit, I.Cannot legall; sail a structure that I have built as an owner-buildor 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 ''Ned silo;http:AWwwaeginfo.ca.govlcalaw.ntml. 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 70 iv" I n 3 o the Business and Professions C license is l+f0rca and effect. License Class License No Date tractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,000)., IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE. LABOR CODE, INTEREST, AND ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: ::Li:c 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 th performance of the work 'or 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' rance carrier ..ind policy number are: Policy Number Expiration Date of Agent _ _ Phone IF ^CI`y that, in 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 I wss off Caali�fomia, and agre t if I should become subject to the worker pen anon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Appleant / �� _ Datr�� v C Lrf't TIpN REGARDINGQNS U AGENCY X� a'Pbv arflrm under { analty of perjury th th ra is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). eder's Name _ Lenders Address. my signature below, I certify to each of the following: I am the property owner orauthorized to act on the propertyowner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordieanD state laays relating to building construction. I authorize representatives of this city or county t_Onter -id lifted property for inspection purposes. _ 1,F ACTION I DATE BY r DECLARAT€OP OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ! REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE PERMIT EXPIRED :-L J I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCEiLED a �A PERMIT EXiEN0E0 - t —QhpMD PCRNH7 FYNAi CERTIFICATE OF ,/ 2l J`T 21 _ I l_I A513E5 I OS NOLIf1CA'I ION 15 NOI"APPLICABLE TO ��"L PROPOSED DEMOLITIONOCCUPANCY ISSUED IIf ( SIGNATURE: