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Home My WebLink AboutXR2023-0365 - PermitsCity of Newport Beach ��ytiWPOR� @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ' S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cq�IF00.N`P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration COMB Permit : XR2023-0365 Plan Check No-686*202& Issued Date : 02/08/2023 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 : 2319 HEATHER LN Description: SFR REMODEL BATHROOM 64 SF ***CITY S- Owner: KENNETHMAIETTA Address: 2319 HEATHER LN NEWPORT BEACH, CA 92660 Phone: (562)522-0173 Applicant: FREEMODEL INC Address : 1325 Howard Avenue 310, 310 Burlingame, CA 94010 Phone: (415)755-5367 Owner/Builder : Address Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks: Flood Zone Use Zone: PROCESSED BY: 2022 V-B R-3 Front: 20, Side: 4, Side: 4, Rear: 10 A; X R-1 - Single -Unit Residential SPECIAL CONDITIONS: Fire Sprinklers.`.' Fire Hazard Zone No of Units: No of Stories.;. 38 BILK ILOT .36 AODEL INC .. Architect: loward Avenue 310, 310 Address ame,CA 94010 55-5367 Phone 6986 State Lic 31/2024 30080652 2912024 Ition Insurance . INSURANCE COMPANY -1243715 1v 1 er : FREEMODEL INC s : 1325 Howard Avenue 310, 310 Burlingame, CA 94010 (415)755-5367 Construction Valuation : :Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : $20,000.00 0 64 0 0 .•.• a , • ` c �a ° oJo :oea `a •..• a , 'oo • J JJ. v'JO 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 item(s) coon 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 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 fessions 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 more than five hundred dollars ($500). - j J I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the lusiness and Professions Cade: The Contractors' State License Law does not apply to an owner of property who, through emir Tlprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completi� Tiproved for the purpose of sale). 1, as owner of the property, am exclusively contractingwith licensed Contractors to construct the project (Section 7044, Bu: Ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pu t am exempt from libensure under the Contractors' State License Law for the following reason: ly my signature below t acknowledge that, except for my personal residence in which I must have resided for at least one year ,all a structure that I have bunt as an owner -builder if it has not been constructed in its entirety by licensed contractors. I under rro£essions Code, is available upon request when this application Is submitted or at the following Web site:httpJAVwwdegm1io.0 signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter g (commencing with Section 7 }gf and effect. License Class License No Data �5 YORKERS' COMPENSATION DECLARATION 1ARNING: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRMDNAL PENALTIES ;OST OF COMPENSATION, DAMAGESAS PRONWED FOR IN SECTION S700 OF THE LAeOR. CODE, INTEREST, AND ATTORNErS FEES. hereby affirm under penalty of perjury one of the fallowing declarations: 3 1 have and will maintain a certificate of consent to self - insure for workers' compensation, issued by the Director of Irx erfonnance of the work for which this permit is issued. Policy No. Kave and will maintain workers' Compensation insurance, as required by Section 3700 of the Labor Code, for the perfol isuuance carrier and policy number are: :amier Policy Number lame of Agent k, and the structure is not intended oroffered for sale (Section 7044, eas' ar personal effort, builds or improves the property, provided that the the 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). to completion of the improvements coven that a copy of the applicable law, Section 'oalaw.html. Date and 3 of the Business and Prof ssia s ade, nd Qry license is in full force Carrtractor Signature //„ It e_ �� CIVIL FRIES UP To 1Si W,.S0%. IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit Is Issued. My workers' certify that, in the performan the work far 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 agree t, if I should become subjec uon previsions of Section 3700 of the Labor Code I shall forthwith con{pty with those. provisions. /�J nature of Applicant o th kern' or pe a %— pate_ /a e 23 CLARATiON REGARDING CO�VI fRUCTI�OP LENDING AGENCY iii--- ereby affirm under penalty of pejury that there is a Construction landing agency for the performance of the work For which this (permit is issued (Section 3097, Civil Code). Iders Name Lender's Address my signature below, I certify to each of the following: 1 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 te, socaply with all applicable city and c ordinances a state laws relating to building construction, r 1 authalfz�wrilfw&entsfives of this city or ceun �fe te�ihe a entiflgd property for inspection purposes. • •pligilplum, of groptInIr Owner or Authorized Agent Print Property Owner's or Authariz ACflON • • • DATE BY [ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE •r REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE Ei1L-M-111.c7 Yi&I