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Home My WebLink AboutXR2022-2794 - Permits�eWPoRT City of Newport Beach IIIIIIIIIIi�lllllllllllllllllllllllll�lllllll II p� m Community Development Department- Building Division X R 2 a 2 2 2 7 9 4 F n 100 Civic Center Drive, Newport Beach, CA 92660 y. Permit Counter Phone: (949) 644-3288 c P Inspection Requests Phone: (949) 644-3255 4 .g si+coati` newportbeachca.gov/inspections `\ 1 =}. °Y � �"" 1°'� n"`� Combination Type - SFP t s Work Class - Alteration COMB Permit:XR2022-2794 Plan Check NO : PC2022-2652 Issued Date : 10/20/2022 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 : 3901 SANDUNE LN Legal Desc : N TR,6425 BLK LOT 73 Description: SFR REPLACE (11) WINDOWS/DOORS AND ALT BATHROOM WINDOW SIZE. Owner: KIELY BERNADETTE TR B Contractor : ;. Architect Address : 3901 SANDUNE LN Address`: Address CORONA DEL MAR, CA 92625 Phone: (503)970-5523 ,:. Phone: Phone: Con State Lie : State Lie -` Lie Expire Applicant: KIELY BERNADETTE TR B Bus Lie :'= Engineer: Address : 3901 SANDUNE LN Bus Lie Expire : Address CORONA DEL MAR, CA 92625 Phone : (503) 970-5523 Workers`: Compensation Insurance Phone Carrier Owner/Builder : KIELY BERNADETTE TR B Policy No: Designer: CHURCHILL DESIGN- LIFESTYLE Address : 3901 SANDUNE LN W. C. Expire: -:Address : 1991 PORT TRINITY CIR CORONA DEL MAR, CA 92625 NEWPORT BEACH, CA Phone: (503)970-5523 - Phone: (949)721-8577 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $27,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg Bldg Height: No of Stories 1 - Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg : 0 °°°°• Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 „ Flood Zone : X :. Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: °a a 'a a as a ease I hereby affirm under penalty of perjury that tam exempt from the Contractors State License Law for the reasongs) indicated below by the checkmark(s) I have placed next to the applicable literals) .ction 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 permit to fife 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 0tvision'3 of the Business and fessions Code) or that no or ahe Is exempt from 11censure and the basis for the alleged exemption. Any violation of Section 7031.5 by any appliesnt for a permit subjects the applicant to a:civil penalty of .7 more than We hundred dollars IWO), I,:as owner of the property, or my employees with wages as the sole compensation will do t_) all of or (_) portions -of the work, and the structure is not Intended or offered for sale (Section 7044, (mess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees or personal eff tit, builds or improves the property, provided that the Irovements are not intended or offered for sale. If; however, the building or Improvement is sold within one year of completion, the Owner-SuRderwit] have the burden of proving thatit not built or + Ired for the purpose of sale). [,as owner of the property,am exclusively contracting with licensed Contractors to construct the project (Section 71)", Business and: Professions Code: The Contractors' State License Lawdoes not >Iir to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant So the Contractors' State License Law). I am exempt from licensors under the: Contractors' State License Law for the following reason: my signatore below I acknowledge that, except for my personal rasidonce in which I musth0av7esided.€or at least one year prior to completion of the improvements covered. by this permit, I cannot legal hereby affirm udder penalty of perjury that I am'[Iran.- nd effect License Class VORKERS' COMPENSATION DECLARATf4N under provisions of Chapter License No 110 7000)of Division 3 of the Business and Professions Code, and my license is In full force: Contractor Signature AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO, ONE HUNDRED THOUSAND DOLLARS (E100,000),IN ADDITION TO THE 0 ATTORNEWS FEES, reby affirm under penalty: of perjury one of the following declarations: I have and will maintain a certificate of consent to self.msura for workers' compensation, issued by. the Director of Industrial: Relations as provided for by Section 3700 of the. Labor Carte, for ormance, of the work forwhlch this permit is issued. Policy No, have 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' compensa trance carrier and policy number arsi tier Policy Number Expiration Date certify that, in the per€ormanci , if I should become sgoiect to for which this permit is is shall not employ any parson in arty manner so as to become subject to the workers' compensat on laws ofCalifomia, and agre m ensation p ID s Se tton 3700 of 01e Labor Code, I shall forthwith comply with those provisions. ki Date/D . ao 00,2 IN LENDING AGENCY re Is a construction lending agency for the performance of the work for which this permit is. issued (Section $097,, Civil Code). s have read. this lapplkation and the mnforma'. ;1 fIlgfild'to comply -with all applicable city an( 4autflorize repjesenta fves of this city or cot 3igta&40 Of ProperQ+'Owrh7r or Authorized Altai ACiFO&. .. •+ . DATE. BY PIMTT &TIRED PE94 jT (;4 iCFLLE0 P M F.iEfYDED� „ j PERMIT FINAL correct. CbnstruCtlon.