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Home My WebLink AboutXR2023-2334 - Permits�EWPO�T City of Newport Beach jai 111111111111111111111111111111111111111111111111111 IIIJ jjjCOMB Permit : XR2O23-2334 0 @ Community Development Department- Building Division X R 2 0 2 3 2 3 3 4 Fy 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0853-2021 b i Permit Counter Phone: (949) 718-1.888 Issued Date : 08/23/2023 -r. newportbeachca.gov/civic Final Date: CqC/FORN�P Combination Type - Permit Status: Issued Work Class - Other Inspection Area : 3 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 : 1862 BRAEMAR WAY Legal Desc : N TR 3282 BLK LOT 42 Description: SFR PRE-FAB DIRECT -VENT ISOKERN FIREPLACE *RENEW EXPIRED PERMIT* Owner: KORI & BLAKE TIPPETT Address : 1862 BRAEMAR WAY NEWPORT BEACH, CA 92660 Phone: (1318)687-0449 Applicant: KORI & BLAKE TIPPETT Address: 1862 BRAEMAR WAY NEWPORT BEACH, CA 92660 Phone: (818)687-0449 Owner/Builder : KORI & BLAKE TIPPETT Address : 1862 BRAEMAR WAY NEWPORT BEACH, CA 92660 Phone: (818)687-0449 Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U Bldg Height: Contractor Address : Phone: Con State Lie Lie Expire Bus Lie : Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Architect Address Phone: State Lie Engineer: RADVAR SHAHROKH Address : 6412 TULAGI ST CYPRESS, CA 90630 Phone: (714)270-6780 Designer Address Phone : - Fire Sprinklers : NO Construction Valuation : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg No of Units: 1 Alteration sq. ft. Bldg : No of Stories: 0 Added/New sq. ft. Garage TOTAL sq. ft. : Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10 Flood Zone : X Use Zone : R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area) PROCESSED BY : 6� SPECIAL CONDITIONS: 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 checkrnark(s) I have placed Textile the applicable item(s) iecton 7031.5, Business and Professions Cade: Arty 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 me permit to file a signed statement that he or she is licensed pursuant to the provlsions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofesslons 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 for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, usilrass 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 nprovements 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 n ved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Busmess and Profes ' ode: The Contractors' State License Law does not p an owner of property who builds or improves thereon, and who contracts for the projects v' ice sad Contract want to the Contrac State License Law). 7 lam exempt from licensure under the Contractors' State License Law for the following reason _7 _ — __.___ y my signature below I acknowledge that, except for my personal residence in which I must have s ad of r at least one year prior la completion of the Improvements covered by this permit, I cannot legal], all a structure that I have built as an owner-bullqipr if R has not been constructed in its entiraty by license nlractors. I understand that a copy of the applicable law, Sactio 7044 of the Business and 'rofesslons Code, is available upon request who th applicat n is subroitterl or at the following ' sit p:/lwwwaeginfo.ca.gov/calaw.html, `�A/',G, signature of Property Owner or Authorized Agen �� ]— Date]' \ ICENSED CONTRACTOR'S DECLARATI 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 nd effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION tARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES OF TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: t ..r 1 have and Wih 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 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' compensatiol isurance carrier and policy number are: Policy Number me of Agent Phone 9 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 Califoma, and agre L if I should beco toLG_0_(rNWTk1 t 1 the A orkers' Compensation provisions of Sac of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date I o�.L-� CLARATION REG CTION LENDING AGENCY T---� 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, II Code). tder's Name Lender's Address 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 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 c, I authorize represenudrves of this city or cowny� t antgr the hove -identified 2@peG}�for inspection purposes ACTION DATE. BY V DECLARAT€ON. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AONID ROLE. PERMiTEXPYRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO _---- _.— P€RMrFCANCEtI€D 3 �r[pA PER,MITEXTENDED ( I _I_ IAnMn CERTIFICATE . Z�f /j _ - _ S05110 ]"IFICAT N IS NOT. CERFfFFCAFE OF Z AIV7/'//Y/IVA_/` PROP SF.D OITIO OCCUPANCY(SSUED SIGNATURE