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HomeMy WebLinkAboutXR2023-2782 - PermitsCity of Newport Beach jj�� lf:Ili11111111111111111111111111111111111111III 11COMB Permit : XR2O23-27s2 @m Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 9266E Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 10/04/2023 newportbeachca.gov/civic Final Date: Combination Type - SFP - Permit Status: Issued Work Class - Alteration Inspection Area : 8 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 : 422 ALISO AVE Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BILK 28 LOT 6 Description: SFR RETROFIT (6) WINDOWS AND (1) SLIDING DOOR Owner: CHARLES & HELEN DUNCAN Address : 422 ALISO AVE NEWPORT BEACH, CA 92663 Phone: (714)264-3728 Applicant: CHARLES & HELEN DUNCAN Address : 422 ALISO AVE NEWPORT BEACH, CA 92663 Phone: (714)264-3728 Owner/Builder: CHARLES & HELEN DUNCAN Address : 422 ALISO AVE NEWPORT BEACH, CA 92663 Phone: (714)264-3728 Contractor: Architect Address: Address Phone: Phone: Con State Lic: State Lic: Lic Expire Bus Lic : Engineer Bus Lic Expire : Address Workers' Compensation Insurance Phone: Carrier: Policy No: Designer: W. C. Expire: Address Phone: Code Edition : 2022 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: NO Construction Valuation : $5,000.00 NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION a I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for 94 iaasoEps) w.cisaler+ bclo+a by'G.e checkmark(s) I have placed next to theapplicableltem(s) Section 7031 a. Business and Professions Code: Any city or county that requires a permit to construct, alter, hpro'k tlemol uh or repair any structure, prior to its Issuance; also requires the applicant for is permit to file a signod statement that he or she is licensed pursuant to the p€ovssions of the - Contractors` State Lieensa. Law (Chapter 6 (zommencing with Section 7000) of Division 3 of the Business and Irofessions Code) or that he or she is exemptfrom licensure and the basis for the alleged exemption. An,, violation of Section 7031,15 by any applicant for a permit subjects the applicant to a Civil penalty of of more than five hundred'. dollars ($500). 1 I,.as owner of the property, or my employees with wages as their sole compensation, will do L) all of ar (_) ,,or':lonr of tl•r v nr4, acd •ne s,wcture Is not Intended or offered for sale -(Section 7044, lusiness and Professions Code: The contractors' State License Law does not apply to an owner of prop�riy -vh, thrUurn. e,.ipnyees o, personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of complet un. 4ho CwrIL-- 3,3der will have the burden of proving that it was not bullsor nprovedfor the purpose of sale), I, as ownerof the property,am exclusively contractingwith licensed Contractors to construct the project (Section 7344, Business and Professions Code: The Contractors' State Licensa Law does not. p€y to an owner of property who builds or improvers thereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law), I am exempt from licensure-under the. Contractors' State License Law for the following reason: ly 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 legally ell 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 7044 of the SusinD sand 'rofessions Code, is available upon request when fgatw issub mrtled at the following Web silehttp:IMv,vr.leglnfo.ca.govfcalaw.htmL T�L Ilgnature of Property Owner or Authorized Agent // o Date .ICENS£D CONTRACTOR'S DECLARATIO hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9l(commencing. with Section 7000) o£ Division of the Business and Professions Code, and rry, license is In full force ad effect. License Class License. No Date Contractor Signature VORKERS' COM:PENSATION DECLARATION tARNING. FAILURE TO SECURE WORx ERr COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPIODINE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE SST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COVE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate of consent to seihfnsure for workers' compensation, Issued by the Director of Industrial' Relations as provided for by Section 3700 of the. Labor Code, for thi erformance 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' ranco carrier and policy number are: Policy Number of Agent Join Date certify that. M the performance of the work for which this permit is lsI 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 Mth those provisions. CLARATION REGARDING CONSTRUCTILbN LENDING AGENCY areby 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). Iders Name. Lender's Address my signature tilelow, I certify to -each of Fhna follrnroil I am the property Owner or authorized to act on tha.property owner's behalf. I have read this application and the information I:have provided Incorrect. i agree to comply withall appllDable city and County ordinances and state sus relating to building construction. I authorize representatives of this city or county to enter a -id d property for inspection purposes nature of Property Owner ci Authorized Age_Print Property Ovmel's or Authorized Aeent.'s Name ACTION DATE BY DECLARAT€ON. OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE. USE ONLY REG JLATIONS PART sI OF TITLE AO AND AWAD RULE PERMrT EXPIRED t_.lI SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCEL E€© LIEPq. PERMIT EXTENDED PCR,NHT FINAL OCCUPANCYISSIJED OCUPAATE 155060 �3 /// 4/ / r- SBESTOS NOTIFICATION 15 NOT APPLICABLE TO S GNATURE EM/L�//,�