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Home My WebLink AboutXR2023-1330 - PermitsSEW PO�r City of Newport Beach IIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2023-1330 Community Development Department -Building Division X R 2 0 2 3 1 3 3 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 05/19/2023 a,. newportbeachca.gov/civic Inspection Area : 8 C9G/F00.N`p Combination Type - SFP ELEC MECH PLUM Work Class - Alteration 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 : 6 CAPE ANDOVER Legal Desc : N TR 15012 BLK LOT 5 Description: SFR - KITCHEN REMODEL 180 SF (CITY STD) *REV2023--0952 Owner: DOUG MCGILVARY Contractor: GAYOSSOS CONSTRUCTION INC Architect Address : 6 CAPE ANDOVER Address : 1001 W 17TH ST #G Address: NEWPORT BEACH, CA 92663 COSTA MESA, CA 92626 Phone: (949)292-3217 Phone: (949)295-2782 Phone: Can State Lic : 1068871 State Lic Lic Expire : 09/30/2024 Applicant: GAYOSSOS CONSTRUCTION INC Bus Lic: BT30076249 Engineer Address : 1001 W 17TH ST #G Bus Lic Expire : 08/31/2023 Address COSTA MESA, CA 92626 Phone: (949) 295-2782 Workers' Compensation Insurance Phone: Carrier: GUARD PIB Owner/Builder: Policy No: GAWC424570 Designer Address : W. C. Expire: 1/28/2024 Address Phone: Phone: Code Edition : 2022 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 : 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone: PC - Upper Castaways j PROCESSED BY: c lLi SPECIAL CONDITIONS $18;6 .66 0 180 0 0 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 tennis) (Section 7031,5, Business and Professions Code: Any etty 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 licensed 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 a exempt from lioensuro 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 ($50D). ❑ I, 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 Corse: 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 improved for the purpose of sale). 0 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 Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from icensure under the Contractors' State License Law For the following reason: By my signature bslow 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 Iage[] soil a structure that I have built as an owner -builder if It has not been constructod 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:lfwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent �,,_ Date LICENSED CONTRACTOR'S DECLARATION i hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7Z f ivision 3 of the Business and Profes e a license is In full farce and effect. License Class License No Date' Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 (3100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TO6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: J I havyy/�ddnd 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 3erfor2ncB of the work for which this permit Is issued. Policy No. 31 have and will maimaio 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' eompensatiol nsurance -arrier and policy number are: :�a'rler Policy Number Expiration Date Nama of .Agent Phone N -I1 certify that, in the perfn manse work for hick this permit is issued. shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree hat,, If I snnuld bewnm e o ' c pensatlun provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. Signature of Appli"n' DaI_T L DECLARATION fit^.-p CO RUC ON LENDING AGENCY hereby affirm under.oenalty 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). d'Name _ _ Lender's Address 3y 'my sign azure 63bw, I rerl.ify to each of the following: G r.1 U.e property owner or authorized to act on the property owner's behalf. !,,rv: read th's epirlicgUon andthe information I have provided is correct. I agree to comply wish all applicable city and county rdinances d sta a laws relating to building. construction. I authorize representatives of this city or county er id tified progeny for inspection purposes. 3i natura of Property Owner or Authorized Agent Print Property Owner s or Authorized Agent's Name 2 Dat ACTION DATE By D CLARATION. OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY i REGULATIONS PART 61 OF TITLE AO AND AQMD RULE ASBESTOS NOTIFICATION TO PERMIT EXTENDED PERYHTFINA! Jd`ASBESTOS NOTIFICAI., O�TAP%LICABLE TO CERTIFICATE Of �I 1PROPOSED0 OCCUPANCY ISSUED 7,�1' SIGNATURE: w(�]