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HomeMy WebLinkAboutXR2024-1130 - Permits,,��y' City of Newport Beach COMB Permit : XR2024-1130 0� ­.„ e Community Development Department- Building Division x R 2 e 2 a 1 1 3 0 > . ➢ 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-3047 a Permit Counter Phone: (949) 718-1888 Issued Date : 04124/2024 newportbeachca.gov/civic Final Date: c"<i.oaN�P Combination Type - SFP Permit Status: Issued Work Class - Alteration Inspection Area : 4 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: 535 PLAYA Legal Desc : N TR 7166 BILK LOT 17 Description: ATT SFR - REPLACE SLIDER AT MASTER BEDROOM & STAIR HANDRAILS/GUARDS. (REV2024-0815) Owner: SUSAN L NEUHAUSEN. Address : 535 PLAYA NEWPORT BEACH, CA 92660 Phone: Applicant: AUTUMN JOHNSON Address: 35 ARGONAUT, 2B ALISO VIEJO, CA 92656 Phone: (805)815-8131 Owner/Builder : Address : Phone Contractor: ALPHA OMEGA HOME BUILDERS Address : 3972 BARRANCA IRVINE, CA 92606 Phone: (714)616-0417 Con State Lie : 962358 Lie Expire : 06/30/2025 Bus Lie : BT30083547 Bus Lie Expire : 02/28/2025 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9350651 W. C. Expire : 12114/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups: U,R-3 No of Units : 1 Bldg Height : No of Stories : 2 Building Setbacks Flood Zone : X Use Zone: R-1 - Single -Unit Residential �+ PROCESSED BY: - �.J 0 SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: KYLE MADDOX Address: 35 ARGONAUT STE B2 ALISO VIEJO, CA 92656 Phone: (805)815-8131 Designer: Address : Phone: Construction Valuation : Added/New/Ti sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : $9,000.00 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State 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 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 $be is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 171 1, as owner of the property, or my employees withwages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 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 property, 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). 111, 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 improvesthereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), F-1 I am exempt from licensure under the Contractors' Stale License Law for the following reason: IBy 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 legall, (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:liwww.teginfo.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 (commencing with Section 7000f i i n 3 f the Business and Professi if FIB 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 OF TO ONE HUNDRED 7HOUSANO DOLLARS (6100A00), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES" PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty Of perjury one of the following declarations: 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 rmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date of Agent Phone #_ 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 California. and agre, if I should become ec I+ workers mpensaticn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature of Applicant Date�ri ii- zreby affirm under penaltybf-perjOr that there "1§actrrstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ideas 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 coup ordinances and SIM laws relating to building construction. I authorize representatives of this city or county to a� a ao 'ern led property for inspection purposes. [nature of PfoDert4 Owner or Authorized Aoenl. Print Property Owner's or PART 61 OF TITLE 40 AND AOMD RULE 1403 t SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENDED___ _ tti�tt AQ_M_D PERMI7 FINAL iJ ASBESTOS NOIIFICA IION IS NOT APPLICABLE TO CERTlFICAFE o' PROPOSED DEMOLITION OCCUPANCY ISSI'ED i I SIGNATURE: Name