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Home My WebLink AboutXR2023-2918 - PermitsD�?EWiepR @ City De opment Department partment- Building Division IIIIII IIIIIIII III IIIII IIIII IIIII IIIIIIIIIIIIIIIIIIII IIIII IIIIIIII COMB Permit: XR2023-2918 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No { Permit Counter Phone: (949) 718-1888 Issued Date : 10/16/2023 u T newportbeachca.gov/civic Final Date: cq<iroa"`P 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 : 120 KINGS PL Legal Desc : N TR 1219 BLK E LOT 1 Description: SFR - R/R REAL WALL SIDING Owner: BROOKS BRIAN Contractor : Architect Address : 120 KINGS PL Address : Address NEWPORT BEACH, CA 92663 Phone : (702) 539-2988 Phone : Phone Con State Lic : State Lic Lic Expire Applicant : BROOKS BRIAN Bus Lic: Engineer Address : 120 KINGS PL Bus Lic Expire : Address NEWPORT BEACH, CA 92663 Phone : (702) 539-2988 Workers' Compensation Insurance Phone Carrier : Owner/Builder : BROOKS BRIAN Policy No : Designer Address : 120 KINGS PL W. C. Expire: Address NEWPORT BEACH, CA 92663 Phone Phone : (702) 539-2988 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $2,100.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 Bldg Height: No of Stories : 1 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential �• PROCESSED BY: ( - SPECIAL CONDITIONS: cos` a Z OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5. Business and Professions Code: Any 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 the permit to file a signed statement that lie 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 is exempt from licensors 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 ($500). 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 TOSS, Business 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 properly, 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). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe 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). ❑ I am exempt from licensors under the Contractors' State License Law for the following reason: prov. y my signature below I acknowledge that. except for my personal residence in which I must have resided for at toast 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 constructed in its entiroty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the BUSmOSS and ;Professions Code, is available upon request when this applic n is sub tl or t the following N,'e6 sits:http:Y/wvrw.leginFo.ca.gov/calaw.html, . 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 7000) of Division 3of the Business and Professions Code, and my license is In full force and effect. License Class License No Date Contractor 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 s100,000f, IN AUDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37DS OF THE LABOR CODE, INTEREST, AND ATTORNEYB FEES_ I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a Certificate of consent to self -insure for workem' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance 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' ranee carrier and policy number are: Policy Number of Agent Date certify 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 laws of Califomia, and If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. stature of Applicant NG Date CLARATION REGARDICONSTRUCTION LENDING AGENCY — �reby 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). idri Name __ Lender's Address my signature below, 1 oertify 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. authorize representatives of this city or county toenterthe abo/ an lifted property for inspection purposes. nature of Property Owner or Authorized AgentPrint Proeerty Owner's or Aulhol,, H Ananl'c Alan,c ACTION DATE: By DECLARATION OF COMPLIANCE WITH CODE. OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE 1403 PERMIT£XPIREO ( _ I SuBMITTEDASKSTO5 NOTIFICATION TO PEfl YlITCANCELLEJ ®CPA "' `�—` ..... -... ..... ...._...- + ..__ P€FYI7T EATENDEG _ QAi1M0 PEFNi7T frNAt ...... I t -r'-I -'— 2� iJASRE5T05 NUrIFICA(ION 15 NOT APPLICABLE TO CERTIFICATE Of 3 PROPOSED DEMOLITION OCCUPANCYISSUED LT�Z" 4 SIGNATURE