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Home My WebLink AboutXR2022-2522 - Permitso�aEWPOR @ Community Development City of Newport Bea m"nt-Building Division II IIII I I II I II I�III III IIII I II COMB Permit : XR2O22-2522 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No U ,T Permit Counter Phone: (949) 644-3288 Issued Date : 09/20/2022 o- Inspection Requests Phone: (949) 644-3256 C'Q<IFORr�P newportbeachca.gov/inspections r— - Inspection Area : 3 Combination Type - SFP 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: 1201 CLIFF DR Legal Desc : N TR 1219 BLK B LOT 2 Description: SFR R/R DRYWALL TO INSTALL SOUND INSULATION (100 SF) **STOPWORK 122 2624** Owner: DAVID LYON : Contractor: =. Architect: Address : 1201 CLIFF DR - Address:. ''. Address NEWPORT BEACH, CA 92663 Phone: =Phone: Phone: ...... Con State'Lic : State Lic Applicant: DAVID LYON - LicExpire: Bus Lic:.- - Engineer: o °°° ° Address: 1201 CLIFF DR Bus tic -Expire: Address: NEWPORT BEACH, CA 92663 Phone: Workers' Compensation Insurance Phone• Carrier`. Owner/Builder: DAVID LYON Policy No: Designer. Address : 1201 CLIFF DR W. C. Expire: - = Address NEWPORT BEACH, CA 92663 Phone: Phone: ° Code Edition : 2019 Fire Sprinklers : NO Construction Valuation ; $2,200.(1) Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 '' Alteration sq. ft. Bldg : 100 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: STOPWORK **122-2624** I hereby affirm under penalty of pelf ury that] am exempt from the Contractors' State, License Law for the reason(s) indicated below by the chackmark(s) I have placed next to the applicable item(s) iection 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 is 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 rofessions 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 for a. permit subjects the applicant to a civil penally of ct ore than five hundred'. dollars ($600). as owner of the property, or my employees with wages 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, usmess 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 1provements 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 o-[proved for the purpose of sale). J 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 pply 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 licensure under the Contractors' State License Law for the following reason: y my signature Wow 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 legal all 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 Bushiness and 7� rafessions Code, is available upon request when this ap ication' sub itted ar at the following Web site:http:llw .leginfo.ca..gov/calaw.Mml. Date Ignature of Property Owner or Authorzed Agent .ICENSED CONTRACTOR'S DECLARAT! N hereby affirm under penally of perjury that I am licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,. and my license is in full force nd effect. License Class License No Date Contractor Signature yORKERS' 9.0,KPENSATION DECLARATION 'ARNING: FAILWE TO SLCURE WORKER$" COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 1S100,000). IN A➢ORION TO TH DST SF COMPErtB MN,DAMAGE$ AS PROVIDED FOR IN SECTION 3106 OF THE LABOR cope, BITEResT. AND ATTORNEY'S FEES, hey affirm G11L1erpenalty of perjury one of the following declarations: l have aL*M maintain a cerfficate 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 t orffo trance of IRS work for which this permit is issued.. Policy No.. it pave and 411 aiwmam 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' componss* lapVhce carddreandopolicy, number are: Catrler .....Policy Number Expiration Date Irf Agent.... Prone if ,certify that. itx the Performance of the work her which this permit is issued, I shall not employ any person in any manner se, as to become subject to the workers' compensation laws of California, and agre L if; shoukj Deco% subject to the wor rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. na9Dre ofAp;licaq� Dale„ o`/ 2C) UIRATION RGGA..DING CONSTRU TION LENDING AGENCY !reby affirm tin2fer penalty of perjury that there is a construction lending agency -for the performance ofthe work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, 1 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 t have provided Is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or countyto enter the ab e-identified property for inspection purposes. nature of Property Owner or Authorized Aa•••em �'Z� Pint Property Owners or Authorized Agent's Name ec...v - Date TION DATE BY OECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE PERMIT FINAL 10'7:G2 ASBESTOS NOFIFICATIONI6 NO A-�P7P L/ICAJpLETO CERFtF/CAFEOF PROPOSED DEgY10llTE0-'%'$�% OCCUPANCYISSUED S16NATURE: �' e 1k