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Home My WebLink AboutXR2022-2656 - PermitsCity of Newport Beach F'�waoRT p 9 Community Development Department- Building Division F y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 °q<;FoaN�P Inspection Requests Phone: (949) 644-3255 newportbeachca.90v/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration IIII III IIIIIIII I IIIII IIIIIIIII II II II �6g �r ry L 1�j .� COMB Permit : XR2022-2656 Plan Check No: PC2022-2491 Issued Date : 10/05/2022 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 Description : Owner: Address Phone: Applicant Address Phone: 414 EL MODENA AVE Legal ,Desc : A TR FIRST ADD TO NEWPORT-HEIGHTS BLK 27 LOT 4 SFR ALT: REMODEL 680 SF KITCHEN, CLOSET, POWDER ROOM, 8, MSTR BATHROOM. **STOP WORK 122-2743** MATTHEW PAVLOVICH 414 EL MODENA AVE Contractor : VAUGHN BUILDERS INC - Architect NEWPORT BEACH, CA 92663 Address: 2815 RIACHELO Address SAN CLEMENTE, CA 92673 Phone ; (949) 742-4358 Phone Con State Lic: 994745 State Lic VAUGHN BUILDERS INC Lic Expire : 07/31/2024 2815 RIACHELO Bus Lic: BT30079842 Engineer SAN CLEMENTE, CA 92673 Bus Lic Expire : 10/31/2023 Address (949)742-4358 W k`'C or ers ompensation Insurance .. Phone: Carrier: Owner/Builder : Policy. No : EXEMPT Address : Designer: W. C. Expire: - Address Phone: Phone: DOMUS PLANS 24257 SANTA CLARA AVE, 9 DANA POINT, CA 92629 (949)489-9392 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone i NO Construction Valuation Occupancy Groups : R-3 No of Units : 1 Added/NewfTl sq, ft. Bldg Bldg Height : No of Stories : 2 Alteration sq. ft. Bldg Added/New sq. ft. Garage: Building Setbacks : Front: 20, Side: 4 Side 4 Rear 5 TOTAL sq, ft. Bldg : Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: f35 SPECIAL CONDITIONS: $100,000.00 .... „INNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that tom exemptfrom the Contra£tna �emrit to Conste License truct improve,ldemol demolish, ondicated rrepairtany structure, prior to its issuance, lso regU es the applicant. for c(ion 7031.5, Business and Professions Code: Any city or county that requiresp permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contmetors' 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 fieensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant in a civil penalty of more than five hundred dollars ($500), I �) all of or t_j portions of the uEbrk, and the structure is not intended or offered for sale (Seddon 7044, 1, as owner of the property, or my employees with wages as their sole compensation, will do Imess and Professions Code: The Contractors' State Ltoense Law dues not apply to an owner of property who, through employees or personal effort, builds or improves the property, provided that the rrovements 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 )roved for the purpose of $ale). 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 >ly to an owner of property who builds or improves thereon, and who contracts for the. projects with a licensed Contractor pu;ant to the Contractors' State License Law).. I am exempt from licensors under the Contractors' State License Law for The fallowing reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year rior to compleuon of the Improvements covered by this permit, icannot legs I a structure that I have built as an owner -builder if it has not been Constructed in its entirety by licensed contractors. 1 undenr tend that a copy of the applicable law, Section 7044 of the Business and )fessions Code, is available upon request when this application is submitted or atthe following Web site:http.fiwww.legmfo.e-.gov/calaw.htmi. Date ,nature of ProDerty Owner or Authorized Agent hereby affirm under penalty nd effect. License Class _ provisions of Chapter S.(coramencing wihi Section 7000)-lf DiG ion 3 of the Business and Prof Ens Code,. and n erase is In full force n � _ Te CrtnNatfior SiOnH1U (O PORKERS' COMPENSATION DECLARATION !ARMING: FAILURE TO SECURE. WORKERS' COMPENSATION COVERAGE IS uNLAwFU” AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALI COST OF COMPENSATION, DAMAORS AS PROVIDE,, FOR M SECTION 370E OF THE LABOR CODE INTEREST, AND ATrORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of �erfoemanca of the work forwhieh this permit Is issued. Policy No. :1I have and will maintain workers compensation insurance as required by Section 3700 of the Labor Code, for the p€ nsurance carrier and policy number are: Policy Numper_ CIV)L FINES up To ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION Relationsas provided for by Section 3700 of the Labor Code, for of the work for which this permit is Issued. My Date gi5m I that, in the performance of to work( Ich this pe Is issued. I shall not employ any. person in any manner so pis to become subject to the workers' Compensation laws Of Cafffomla, and ogre Quid become subject fn th wor comp n provaslonspf Section 3700 of the Labor Code, I shall foritrvifh crlymply with those provisions. Date®/ )f Applicant _ V under penalty of perjury that there is a construction lending agency of the work for which my. signature bataw 4I sart'Ify to each of tits. following: I am t;a propertyne owr or authorized to act On the property Owners behalf. t fts"readthis-avviication and the information I have provided is correct. I agree to coApIp with all applicable city and county ordinances and state €awe. relating In building construction. • 1 eAerize representatives of this city or county to enter the above -identified property for inspection purposes. nature of Pro: e 9mmeror Authorized Agent. Print Pra erty Owner' S•TTp�r • • ... DATE BY DECLARAIDON OF COMPLIANCE WITH CODE OF FEDERAL FOR • • • REGULATIONS PART 61 OF TITLE 40 AND AgMD RULE ••.•• • • • 14h3 To «rrs•s s'^^� • CERTIFICATE OF •• OCCUPANCYISSUED USE ONLY is issued (Section 3097, CNit Codej.