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Home My WebLink AboutXR2023-0421 - PermitsCity of Newport Beach �rEWroar p @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 CNLIFORH�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - Other IIp�X R 2 0 2 3 0 4 21 � COMB Permit : XR2023-0421 Plan Check No: 1272-2021 Issued Date : 02114/2023 Inspection Area : 3 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 : 1726 CANDLESTICK LN Description: ***CHANGE OF CONTRACTOR*** SFR ST ENTRY(GARAGE). Owner: HILARY SHALLA Address: 1726 CANDLESTICK LN NEWPORT BEACH, CA 92660 Phone: (949)331-5327 Applicant : ADAMSON MARK Address : 104 OKRA ,. IRVINE, CA 92618 Phone: (714)376-6301 - Owner/Builder: Address : Phone : Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height: Building Setbacks Flood Zone: Use Zone : Front: 20, Side: 6, Side: 6, Rear: 6 X W.,C. Expire: 2/2/202,4 Fire Sprinklers : NO " Fire Hazard Zone : NO No of Units :... 1 No of Stories': 1 R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: 5 -5 SPECIAL CONDITIONS: CHANGE OF CONTRACTOR REPLACE (E) SIDING W/ STUCCO OVER NORTH Architect Address: Phone: State Lic : Construction Valuation : Added/NewlTI sq. ft. Bldg: 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 0 I hereby afrrma under penalty of perjury that I am exempt from the Contractors` State License Law for the reason(s) indicated bel Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish. or is permit to file a. signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Che 'roessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031 of more than five hundred dollars ($500).. 1 1, as owner of the property, or my employees with wages as their sole Compensation, will do U all of or U portions of the worl�C, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employ I nprovements are not Intended or offered for safe. IL however, the building or improvement is sold within one year of completion n roved for the purpose of sale). 1, as owner of the property, am exclusively contractingwith licensed Contractors to construct the project (Seetion 7044, Busn Poly to an owner of property who builds or Improves thereon, and who Contracts for the projects with a licensed Contractor pursu Ir 1 I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year on ell a structure that I have bottles an owner•builder if it has not been constructed in its entirety by licensed contractors. I understam: Yofessions Code, is available upon request when this application is submitted or at the fallowing web edte:hbp:/ www.Isginto.Ce.go Rgreature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) Pf 'vi iiyr end effect. License Class License No Date �II ' PORKERS' COMPENSATION DECLARATION IARNING; FAILURE To SECURE wORKERT COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AS EMPLOYERTQ CRMrI PEMALI. AN OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 870E OF THE LABOR CODE,INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: by the checkmark(s) I have placed next to the applicable Remus) pair any structure, prior to Its issuance, also requires the applicant for or 9 (commencing with Section 7000) of Division 3 of the Business and by any applicant for a permit subjects the applicant to a civil penalty of and the structure Is not intended or offered for sale (Section 7044, s or personal effort, builds or improves the property, provided that the a Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). of the applicable law, Section of the Business and Profe SID s ode, and _ Contractor Signature CM FUZES UP TO ONE HUNDRED THOUSAND DOLLARS 1$500,000), IN and is in full foree I e and will maintain a certificate of consent to self4rTsure for workers' Compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the rrmance of the work for which this permit is issued. Policy No. i 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' compensatior insurance carder and policy number are: i Carver Policy Number Expbation Date Name of Agent I I Phone # I certify that, inthe perform a of the work for which this permit is issued, I shall not employ any person in any manner so as Io become subject to Itw wcrkars' compensation laws of California, and agree that, if I should become su 'so a workers' compensation rovisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. Z Signature of Applicant Date��1 > DECLARATION REGAR I. UCTION LENDING AGENCY / I hereby affirm under Pena of perury that there is a construction lending agency for the performance of the work for which this prmit fs issued {Section 3097, Civet Code). Lenders Name Lenders Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on tha pro owner's behalf, I have read thir,•Dpptieation and the mformagan t ha a pr itlod is Correct. I agree to comply with all applicable city and coun ordi s and state Is ling to building construction. • • •IaAltharize RipreWtatives of this city or countyt enter a bove-id property for inspection purposes. �Z- ��ryt �lDh Signature of P� is veneer or Authorized A enf Print Pro Owner's or Authorize) Agent's Name LA � Date 2 l Z 3 ACTION • DATE DY LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY • REGULATIONS PART fit OF TITLE 40 AND AQMD RULE _ •••••• 1403 • D-51l"T FINAL �. • CERTIFICATE OF • Z. • 9Ld!Ul0ANCYISSU•ED IS NOT APPLICABLE