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Home My WebLink AboutXR2023-3339 - PermitsFw�okr C'oty of Newport Beach III1I1III1111111III11111III1III111111II1III1II II J� .. ! 9. Community Development Department- Building Division x R 2 0 2 3 3 3 3 s CC1ML� Perml :.XR2fl23-3339 a y` 100 Civic Center Drive, Newport Beach, CA 92660 Play+ Ct+eck No: OC2023 -848 = Permit Counter Phone: (949) 718-1888 Issued Date : 11/22/2023 newportbeachca.gov/civic Final Date: Combination Type - SFP oerm:t Status. Issued Work Class - Alteration 4nspe:tion Ares: 6 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 : 24 VENEZIA Legal Desc : N TR 15467 BLK LOT 51 Description: SFR R/R WALL WITH A BEAMS AND WOOD POSTS **STOP WORK (123-3256) Owner: DAMELIN JUSTIN Address : 24 VENEZIA NEWPORT BEACH, CA 92657 Phone: (310)801-3911 Applicant: DAMELIN JUSTIN Address : 24 VENEZIA NEWPORT BEACH, CA 92657 Phone: (310)801-3911 Owner/Builder: DAMELIN JUSTIN Address : 24 VENEZIA NEWPORT BEACH, CA 92657 Phone: (310)801-3911 Contractor Address : Phone: Con State Lic Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : R-3.1 No of Units : Bldg Height : No of Stories Building Setbacks : Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone : State Lic Engineer: DRAGOS URSU Address : 30 N MADISON AVE #430 PASADENA, CA 91101 Phone: Designer: Address Phone : NO Construction Valuation : $9,800.00 YES Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION •• ••• I hereby affirm under penalty of perjury that I Fri, exempt im.n the ,:_'Wte License° Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5. Business and Professions Lode: „nv d q c,- c:oi, ty Thal eyui,es a pernit. to chnstruct, 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 c r she :s linnscc' pursnaIn in Pie provisions "of tlr� 3ontractors' 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 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). ❑ 1, as owner of the property, or my employees with wages a, their so;,a cd•r.pen,atfon, willdo (_j?II of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Cputrac,ors�J fl ' S.st.: Lice rsr Law nc appl7 to An mrfiner o,. properly who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for salr. If, how• ver, fh61[ ai.Iv ng D Tipmy4ment 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 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). ❑ 1 am exempt from licensure under the Contractors' Slate 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 legally sell a structure that I have built as an owner -builder if it has not been construpi In is 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 appli ation is �rtf(fted or at the following Web site:http:l/www.leglnfo.ca.gov/calaw.html. `y" — Signature of Property Owner or Authorized Agent Date _A 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 Code, and my license is In full force 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 16100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for Yorkers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code. for lh Jerfonnance of the work for which this permit is issued. Policy No. :1I nave 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' compensatior rlsurance carrier and policy number are: Policy Number of Agent Date JI certify that, in the performance of the h 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 agr 1al, i' I should become subject to the workers' compe sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Iiynature of Applicant K Daley I�_ _ _G Zfq Z3' IECLARATION REGARDING CONSTRUCTI LE DING AGENCY ! -- hereby affirm under penalty of perm ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y Iny 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 Pd-state laws relating to building construction.. I authorize representatives of this city or county to enter the" bove-identifidd property for inspection purposes. _ �/ / ionaiure of Property Owner or Authorized ADent K -�� Print Prooertv Owner's or Authorized Agents Name +C J,'1 ,0, - - I Date ^ tj 2 ACTION I DATE BY DECLARATION OF.COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGUL'AMNSPART 61 OF TITLE 40 AND AQMD RULE 1403 FERMiTFXP+RED I SUBMITTED ASBESTOS NOTIFICATION TO P°ii MrTIAAEfi !ED PERi%4lT EXTENDED r I PERMIT FINAL- 7---�- CE.RTI,9CATE OF OCCUPANCYCY ISSUED ISNOTAPPLICABLE TO