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Home My WebLink AboutXR2023-1402 - PermitsUq,- .City of Newport Beach COMB Permit:XR2023-1402 Community Development Department - Building Division X R 2 0 2 3 1 4 0 2100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0205 Permit Counter Phone: (949) 718-1888 _ _ Issued Date : 05/26/2023 Inspection Area : 4 newportbeachca.govlcivicCombination Type - MFP ELEC PLUM Work Class - Alteration 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 : 555 VISTA FLORA Legal Desc : N TR 5740 BILK LOT 40 TR 5740 (L.L.84-214028) PAR 40 Description: DELTA 3 REVISION & ADD'L SCOPE TO REMODEL CLOSET AND BATHROOM. 120 SF Owner: DANIEL BIBB Contractor : Architect Address Address : 555 VISTA FLORA Address NEWPORT BEACH, CA 92660 Phone Phone : (949) 337-8164 Phone State Lic Con State Lic : Lic Expire Applicant: DAVID BAILEY Bus Lic: Engineer Address Address : 23183 LA CADENA DR, #101 Bus Lic Expire LAGUNA HILLS, CA 92653 Workers' Compensation Insurance Phone Phone : (949) 573-1050 Carrier Owner/Builder : DANIEL BIBB Policy No : Designer Address Address: 555 VISTA FLORA W. C. Expire NEWPORT BEACH, CA 92660 Phone Phone : (949) 337-8164 DAVID BAILEY 23183 LA CADENA DR, #101 LAGUNA HILLS, CA 92653 (949)573-1050 Fire Sprinklers : NO Construction Valuation : $5,000.00 Code Edition : 2022 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 120 Type of Construction : V-B No of Units : 3 Alteration sq. ft. Bldg : Occupancy Groups : U,R-2 2 Added/New sq. ft. Garage : 0 Bldg Height: No of Stories : TOTAL sq. ft. : 0 Building Setbacks : Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: 12�1 SPECIAL CONDITIONS: I hereby of mn under penally of perjury that I am exempt from the Contractors' State license Law for the reason(s) Indicated below by the eheckmark(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 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 Iicensureand 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 ant more than five hundred dollars ($500), 1 I, as owner of the property, or my employees with wages as their sole compensation, will do C-) all of or (_) portionsofthe work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 builtor mproved 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 5€y to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 1 am exempt from licensum under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in whim I must have resided for at least one year prior to completion of the improvements covered 6y this permit, I cannot lagall! Ioli a structure that I have built as an owner -builder if It has not boon constructed in iticensedcontractors. I understand that a copy of the applicable law, Section 7044 of the Business and s entirety by l �rofessions Code,, is available upon request when ic ' I itted orat the following Web site:http:l/www.leginfo.m.gov/calaw.btmi. of Property Owner or Authorized Agent Date Z 6/Z.�_ _ICENSED CONTRACTOR'S DECLARATiC) hereby affirm under penalty of perjury that. I am licensed udder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force Ind effect. License Class License. No Date Contractor Signature VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE le UNLAWFUL. AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 7T06 OF THE LABOR CODE, 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 self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thr edormance of the work for which this permit is issued. Policy No. 71 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which Ibis permit is issued. My workers' compensatior issrance carrier and policy number are: of Agent Policy Number Expiration Date Di.nnu N Certify that, in the performance if I should become subtast tw the work for which this permit is issued. I shall not employ any person in any menner so as to become subject to the workers' compensation laws of California., and work omp�tion provisions of Section 3700 of the Labor Code, I shall to comply with Those Provisions - Data/Z 6l2 are6y 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 my signature Name my sgnature below. I certify to each of the following: Lender's Address I am the property owner or authorized to act on the property owner's behalf. 1 have read this application and the information I have provided is correct. I agrea to comfit v'th all applicablecity and county ordinances and state taws relating to building construction. I authorize repr ,r rtatives of this city or county�to.gni� th ve•lc fled property for inspection purposea, r.-<=r+ of Prop�J,- O:vner or Authorized Agent __/�f// //_ Print Prooenv Owner's nr A�rthnrlrarl Aro er nL,.,... . DATE PERMIF E:.'TENOEC PERMIT FINAL CCRT,F7CA,E OF OCCUPANCY ISSUED PROPOSED OF TITLE 40 AND AQMD RULE TO NOTIFICATION IS NOT APPLICABLE TO FOR OFFICE USE ONLY Civil Code). M N O N 0� w U w ' U 9.19 W W I 0 J W Z Q] 3 O J 2 � N 0 W J = O C) m �m w M N d 030M NIW „� imn M N 0 N