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HomeMy WebLinkAboutXR2023-0094 - PermitsaEwPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-0094 Community Development Department - Building Division X R 2 0 2 3 0 0 9 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0100 U _ Permit Counter Phone: (949) 718-1888 Issued Date newportbeachca.gov/civic Flnal Date: c'01111=� Combination Type - SFP GRAD °+; A`'_"- "'` �*, �" a Permit Status: Applied Work Class - Other G 3 Ifm d. f-..� Inspection.. Area : 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: 31 CAMBRIA DR Description : SFR 10 CAISSONS (SEE S2023-0014) Owner: DO NEWPORT LLC Address : 31 CAMBRIA DR CORONA DEL MAR, CA 92625 Phone: (949)756-8393 Applicant : NANCI GLASS Address : 1 CORPORATE PLZ #110 NEWPORT BEACH, CA 92660 Phone: (949)756-8393 Owner/Builder Address : Phone Legal Desc : N TR 7844 BLK LOT 106 Contractor : BRETT STEELE Address : 4921 E LEEDS ORANGE, CA 92867 Phone: (714) 496-1427 Con State Lie : 923975 Lie Expire : 10/31/2024 Bus Lie: BT30042152 Bus Lie Expire : 02/28/2024 Workers' Compensation Insurance Carrier: EXEMPT- NO EMPLOYEES Policy No : EXEMPT W. C. Expire: Architect Address Phone: State Lie: Engineer: KOLODZIEJ KENNETH J Address: 400 E ESTHER PLACE PLACENTIA, CA 92870 Phone: (714)996-1219 Designer: CRAIG M DEPFYFFER Address: 1278 GLENNEYRE ST, 196 LAGUNA BEACH, CA 92651 Phone: (800)811-3010 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $66,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 0 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 46-40 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY SPECIAL CONDITIONS: ni90 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ContractorsState 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 Code: Any city or county [hat 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 is exempt from licensers 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 properly, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code' The Contractors' Stale 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 riot intended or offered for sale. II 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). © 1, 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). ❑ I am exempt from iicensure 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 poor 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 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:llwww,leginfo.ca..govfcalaw.html. Signature of Property Owner or Authorized Agent_ —T � _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 of Shan a of the Business and Profess + 7 an Jens!,is in f Pr force and effect. License Class License No Date 2__'� Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 4100,000), IN ADDITION TO THE �OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION a706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES. hereby affirm under Density of perjury one of the following declarations: 1 have and 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. )erformance of the work for which this permt Is issued. Policy No. JI have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit is Issued. My workers' compensation nsurance carrier and policy number ai larder policy Number Expiration Date ,lama of Agent phone S :1I certify III in the pert ante 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 California, and agre net, it I should cap me t) rkers compensation provisions of Section 3700 of the Labor Code, I shall furthwith comply With those provisions. 31gnelure of Applicutl Date_2S%�m )ECLARATION R A G CONSTRUCTION LENDING. AGENCY hereby 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). -end&$ Name _ _ _ _ _ _ Lenders Address 3y my signature below,jI certify to each of the following: I am the properly owner or authorized to art on the properly owner's behalf. I have read this application and the information I have provided Is correct, agree to comply with all applicable city and cou dinances and state laws relating to building construction. I authorize represenialives of this city or county t e er the- ve-identified property for inspection purposes. c� iiynature of Property Owner. or Authorized Arent / _- Print Property Owner's or Authorized Agent's Name SH11'24 -&,13 bP F .�yZ Date " Z ACTION I DATE RV ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART at OF TITLE 40 AND AQMta RUI E 1403 PEHMIi EXPIRED i SUDMITTED ASRF.STOS NOTIFICATION TO PERMIT CANCLOEC HMII 1I/JAL pp FiERMIT rOE0 AQMD PCFSTOS N FI TIUN IS PLOT APPlICABLF 7U CCHiFICATE OEEM LIT�PAMCY f5OCCJ` SGNUR