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Home My WebLink AboutXR2022-2456 - PermitsCity of Newport Beach r Community Development Department - Building Division a. y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 tea. Inspection Requests Phone: (949) 644-3255 c9L)FpR��P newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration COMB Permit : XR2022-2456 Plan Check No : 1006-2021 Issued Date: 09/13/2022 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 : 6 CANYON ISLAND DR Legal Desc : N TR 8445 BILK LOT 1 UN 1 TR'8445 LOT 1 UNIT 1 G1, 2, P OF PR OJECT LOCATED Description: MFR - R/R (4) WINDOWS @ (E) LOCATIONS, SAME SIZE Owner: OAKHURST INTERNATIONAL INC 'Contractor : ,: Architect Address : 3230 E IMPERIAL HWY STE208 Address : Address BREA, CA 92821 Phone: (949)306-2526 .Phone:` Phone: Con State Lie : State Lie Lie Expire Applicant : OAKHURST INTERNATIONAL INC Bus Lied Engineer Address : 3230 E IMPERIAL HWY STE208 Bus Lie Expire : Address: BREA, CA 92821 Phone: (949) 306-2526 Workers' Compensation Insurance Phone: Carrier`:. Owner/Builder : OAKHURST INTERNATIONAL INC PolicyNo : Designer Address: 3230 E IMPERIAL HWY STE208 W. C. Expire: Address BREA, CA 92821 Phone: (949)306-2526 - Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone NO -- Added/New/TI sq. ft. Bldg Occupancy Groups: U,R-2 ' No of Units : - 7 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: Building Setbacks Flood Zone: X Use Zone : PC - Big Canyon - PROCESSED BY: SPECIAL CONDITIONS: $2,300.00 0 °... . . .• ° ° ° ea •• ° a 00 • C600 . °9 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Fam(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 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 penalty of kof more than Elva hundred'. dollars ($500). L as owner of the property, or my employees with wages as their sole compensation, will do U all of OF (-,) portions of the work, and the structure is not intended or offered for sale (Section 7044, B siness and Professions Code: The Contractors' State License Law does not apply to anowner of property who, through emp"es 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 Iwmroved for the purpose of sale). iJ 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). ff 1 am exempt from licensure under the Contractors' State 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 prior to completion of the improvements covered by this permit, I cannot lega9l} sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Coda, is available upon request when ifj'ta application is submitted or at the following Web site:http:h'www.legmfo.ca..govlcalaw.html. Signature of Property Owner or Authorized Agent Oate LICENSED CONTRACTOR'S DECLARAT1 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business antl 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 WORKERT COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000I. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ST46 OF THE LABOR CODE,. INTEREST, AND ATTORNEYS 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 workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 370U of the Labor Code, for the performance of the work for which this permit is issued. 6Ay workers: ranee carrier and policy number are: //'�� ier PolicAuml r _ __. .......Expiration Date �! meofggem Jv i Gertity that, in the performance of the that, if I should become su bject to the wo Signature of Applicant___, is issued, i shall not employ any person in any manner so as to become subject to the workers' compensation I of C ifomla, and agre :ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date„---' :V hereby affirm under penalty of perjury thief there is a Construction lending agencyfor the performance of the work forwhich this permit is issued (Section 3097, Civil Code). Jmder's Name Lenders Address iy my signature below, f certify to Each of the following: I am the fyG¢ 1pvmer or authorized to act on the property owner's half I Dave read•lhis application and the information] have provided !so rect- • • ! agree to ooanily with all applicable city and county Grdi ces a s laws relating to building construction. I authorize iepiasentatives of this city or county t ant t Roo . ntified property for inspection purposes, 3i n%ure of Pr .Owner or Authorized ent Print Property Owner's or Authorized Agent's Name Li J LL ACTION • • DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY •• �••••� REGULATIONS PART GA OF TITLE 40AND AQMD RULE I SUBNIiTTED •• • / U ASBESTOS NOTIFICATIO S OT P LI LE TO r / _-•(�IfJ PROPOSED DEMOLITION EUFB•• SIGNATURE: 'Y F\ Fee Name Transaction Date Payment Method Building Building Permit Fee -Valuation Green Building Fee GRAND TOTAL: PERMIT FEE DETAILS FOR PERMIT XR2022-2456 Fee Amount Fee Paid Amount Trans. Paid Amount Paid By $120.10 $0.00 $1.00 $0.00 o "N Y •E• i ••e• e s Iasi• •• • • e • i •♦s• •• • s • •a • • •♦•ws• •s sexes s • •♦ •f •sees •s••u s • : • s• • • • s •• e ee••• w • • •e s se• es