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XR2023-0008 - Permits
��6`wPORT City of Newport Beach p 6� Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 - 2 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq<fFp AN�P newportbeachca.gov/inspections Combination Type - MFP ELEC PLUM Work Class - Other COMB Permit : XR2023-000$ Plan Check No: PC2023-0010 Issued Date : 0110912023 Inspection Area : 2 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 : 102 SCHOLZ PLZ, 47 Legal. Desc : N TR 10587'BLK LOT 1 UN 1 TR 10587 LOT 1 UNIT 1 OF PROJECT L OCATED ON AP Description: MFR BATHROOM REMODEL AND CAN LIGHTS IN KITCHEN 128 SF Owner: SALLY WHITE Contractor: HIEBSCH CUSTOM HOMES Architect: Address : 17540 WALNUT ST Address: 9183 EL COLORADO AVENUE Address FOUNTAIN VALLEY, CA 92708 - FOUNTAIN VALLEY, CA 92708 Phone : Phone:, (714) 465-2912 Phone Con State Lie : '967286 State Lie '?a Lie Expire: 11/30/2023 Applicant: VINCENT BUILDERS INC Bus Lie: .BT30044946 Engineer: v Address: 9183 EL COLORADO AVENUE Bus Lie Expire : 10/31/2023 Address: FOUNTAIN VALLEY, CA 92708 r^-r r Phone: (714) 604-9889 Workers' Compensation Insurance- Phone: Carrier: CLEAR+SPRING+PROPERTY+AND+CASUAL TY+COMPANY Owner/Builder : Policy No: CSWC0008982 Designer: RAUL RAZONABLE Address : W. C. Expire:, 1/10/2023 Address: 4862 MERLEN AVE Phone: CYPRESS, CA 90630 Phone: (714) 622-0170 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $20,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 126 Alteration sq. ft. Bldg Bldg Height : No of Stories 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft.0 : Building Setbacks Flood Zone: X Use Zone: PC - Versailles on the Bluff PROCESSED BY.: ��— SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affrm under penalty of'perfury that i am exempt from the Contractors' Stake License Law forthe reason(s) Indicated Wow by the checkmark(s) i have placed next to the: applicable Items) (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]and 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 BusinessProfessions Code) or: that he ar sheds exempt from licensure-and the basis: forthe alleged exemptions Any violation: of Section 7031.5 by any applicantfora permit subjectstheapplicamto a civil penalnot more than five hundred dollars _000i 1, as owner of the property, or my employees with wages as their sale: Compensation, will do U all of or U portions ofthew rk, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License law does not apply ta: an ownerof property who; through empl yees'or personal effort, builds or improves the property, provided that timprovements are not intended or offered ror sale. If, however,. the building or improvement is sold within one year of completia the Owner -Builder will have the burden ofproving that it was riot Will o Improved for the purpose of sale). © 1, as owner of the property, am exclusively contracting with licensed Contractors to. construct the project (Section 7044, Busi: ess and Professions Code; The Contractors' State License Lawdoes note 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). © lam exempt from ticensure under the Contractors' State License Lawfdr the following reason: By my signature below t acknowledge that, except for my personal residence in which I must have resided for at least one year Her to completion of the improvements.; covered by this permit, I.cannot legally sell a structure that I have built as an awearbuildor if it has not been constricted in its entirety by licensed contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and Professions Code, is avallable upon request when this application is submitted arat the following Web site:h2tpJAvww.ieglnfo.callgovt'calaw.html.: Signature of Property Owner or Authorized AgentLICENSED : Dates. � and eaffirm t. Li underense y of CONTRACTOR'S at I am underd provinse sions of Chapter 9(commencing:with Se Section 00 te I of D' ' ion 3 of the. Business and Pro i C0 "nd�," li , rl ulfi'f t force. hereby penalty pgrYp . } Contractor Signature WORKERS' COMPENSATION DECLARATION ARNING1 FAILURE TO SECURE. WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL. SUBJECT AN EMPLOYER TO CRMWAL PENALTIES ,No CIVIC FINES UP TO ONE HUNDRED T SAND DOLLARS J$10g4001, IN ADDITION TO THE COST OF COMPENSATION: DAMAGESAS:PROVIDED FOR IN SECTION3706 OF THE LABOR COM INTEREST, AND ATTORNEY'S FEES: . nnhereby affirm under penalty of perjury one of the following: declarations: C..t I have: and will maintain a certificate of consent to selt4nsure for workers'. compensation, issued by the Director of Industrial Relations as provided for by Section 3700of the Labor Code, for ormance of the work for which this permit is issued. Policyy No, I ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labe' Code, for the performance of the wait for which this permit is issued.. My workers`-compensatio Insurance carder and policy number are; Carrier Policy Number Expiration Date area of Agent.. Phone # I certify that, in the pe ance of the work for which this permit is issued. I shall not employ any person in anymanner so as to become subject to the workers' compensation laws of California, and agra that, If I should becam the ere' compensation provisions of $700 of the LatroeGade, I shalt forthwith comply with those provisions. / ignature of Applicant Da`r 1 / I !� 3 DECLARATION t2EG RL1t RtJCT LENDING AGENCY I hereby affirm under panatty of perjury that t Is a construction tending agency for the performance of the work for which thi permit is issued (Section30 , . Ci 1 Code), antlers Name. LendeCe Address y my. signature below, I certify to each of the following:: I 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 to comply with all applicable city And ::c,Md state laws relating to building: construction. I authorize representatives of this city or Gounidentitie�pe ty, for mspectlun purposes:. i nature of Pro art Owner or Authorized A snr Print Property Owner's or Authori ed Agent's Name .Date ACTION DATE. BY DECLARATIO _ OMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE. ONLY PE'RA41T FINAL CERTIFICATE OF OCC't1PANCYiSSUED