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Home My WebLink AboutXR2023-0346 - Permits�rEWPORT City of Newport Beach p @ 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 CgC�FOftN`P newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration 111I��III��III ��III�IIII11111111111111111111111111111111111COMB Permit : XR2023-0346 Plan Check No : PC2023-0276 Issued Date : 03/08/2023 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: 2907 HARBOR VIEW DR Legal Desc : N TR 3660 BLK LOT 10 Description: SFR ATTACHED LATTICE PATIO COVER 472 SF *122-1822* Owner: SANDRA REMPALSKI Contractor: PATIOS BY B AND B Architect Address : 2907 HARBOR VIEW DR Address : 14701 MYFORD RD STE C Address CORONA DEL MAR, CA 92625 TUSTIN, CA 92780 Phone: Phone: (714)292-4177 Phone: ° Con State Lie : 999753 State Lie Lliic Expire — 01131/2025 - Applicant: PATIOS BY B AND B Bus Lie : BT30080920 Engineer Address : 14701 MYFORD RD STE C Bus Lic Expire : 03/31/2024 Address TUSTIN, CA 92780 Phone: (714) 292-4177 Workers' Compensation Insurance Phone: Carrier: EXEMPT Owner/Builder : Policy No: EXEMPT Designer: Address: W. C. Expire: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $8,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/NeW/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg: Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: V' SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjurythat 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 hems) (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 for the permit to file a signed statement that lie or she is licensed pursuant to the provisions of tho Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from Ircensure 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 not more than five hundred dollars ($500). El 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to anowner of property who, through employees' or personal effort, builds or improves the properly, provided that ilia improvements 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 improved for the purpose of sale). ❑ 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 apply to an owner of property who builds of improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). U I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of it soil a structure that I have built as an ownor-builder if it has not been constructed in its entirety by licensed contractors, I understand that a copy of the. Professions Code, is available upon request when this application is submitted orat the following Web site:http:/lwww.leginic.ca.gov)calaw.html. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I h.;reby alarm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) dp t the Business Ions Code i iSo is in full force and effect Licence Class License No Date 7i CGntracto Ignature IMORKERS' COMPLMSATION DECLARATION NAANINr: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NORED T U OLLAftS tS100,000j, IN AEDITION TO THE COST OF COMPENSATI1" 01MAGES AS PROVIDED FOR IN SECTION 3706 OF THELASOR CODE, INTEREST, Me ATTORNEY-S FEES. hersav a:firm undnr penalty of perjury one of the following declarations: D ' h7,10 and will rn ilotani a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th )Pdormar,ce of the wc;l: for which this permit is issued. Policy No. rents covered by this. permit, I cannot low, Section 7044 of the Business and Date LaE7 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' Fence carrier and o. l;cy number are: Policy Number -'Pgent _— — Date I ify that, in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation aws of California, and ogre t, if I should become subject to the ompen isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dale d _ DECLARATION REGA k Di LENDING A I hereby affirm under penalty of perjury that there is a can ctlon lendln a performance of the work for which this permit Is issued (Section 3097, Civil Code). Lendar's Name Lender's Address By my signature below. I earfify 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 I agree to comply with all applicable city and county ordinances and state laws relating to building. construction. I authorize representatives of this city or count. t nter the above -identified property for inspection purposes. 0 �f Si nature of Pro erty Owner or Authorized Age,,, Print Propertyp Owners or Authorized Agent's Na Da �y ACTION DATE By I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLF40 AND AQMU RULE f 1 1403 EXPIRED PERMIT EXTENDED PERMIT FINAL w CERTIFICATE OF (�i�27-ZS Vey OCCUPANCY ISSUED i — NOTIFICATION TO F CO �y z � x O ° E U 0) Z F ¢ Uoo 0 = `o W U� Z N m y Z Z t0 O O c� C V Oz5v a2� cv m .a A 04Z�� Q� o W �Am ED�V Woo 0� Ada o- F" Js VW o rF"r 'c HN co P? � W U o > 0 g W t rj c nx N i N (D 3 m � O Q Z U E o. d d a` co w °; o c � A N C tom' ° � o a)a y m EE m 'C oa� �c O Coa= s€Q� am6LN (Nn hUM� ° ai Yo In a)N X a) 3 y n f6 N w O a) , m z 0-0 a —a 45 O CO 3 CL O N a) N O CE mL m m ory y �am w o ° O O CO O .. a) 'Q 0a cn O � O�O cE = O CD m_a 3 � N O) .56 aJ O C O m OU OE CDCme O q O m�. N Ol — C a O O 3 ++ tV ._. 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