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Home My WebLink AboutXR2023-0056 - Permitsa�WPORT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c,G/F00.N�P newportbeachca.gov/inspections Combination Type - MFP ELEC Work Class - Other ��III��III�IIII��III�III11111111111111111111111111COMB Permit : XR2O23-0056 Plan Check No: PC2023-0064 Issued Date : 01/1012023 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 : 202 HARBOR WOODS PL Description: MFR CAN LIGHTS THROUGHOUT UNIT Owner: JANRIC REAL ESTATE LLC Address : 921 EMERALD BAY LAGUNA BEACH, CA 92651 Phone Applicant: GALLO BUILDERS INC Address : 1278 GLENNEYRE ST #412 LAGUNA BEACH, CA 92651 Phone : (949) 683-3500 Owner/Builder : Address: Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : 2022 V-B R-2 X RM - Multiple Residential Legal Desc : N TR 11935 BLK LOT 3 UN 100 TR 11935 LOT 3 UNIT 100 OF PROJE CT LOCATED ON AP Contractor: GALLO BUILDERS INC Address : 1278 GLENNEYRE ST #412 LAGUNA BEACH, CA 92651 Phone : (949) 683-3500 Con State Lie: 852218 Lie Expire : 01/31/2025 Bus Lie : BT30028998 Bus Lie Expire : 08/31/2023 Workers' Compensation Insurance Carrier: STARNET INSURANCE COMPANY Policy No: BNUWC0155365 W. C. Expire : 11/20/2023 Fire Sprinklers : Fire Hazard Zone: No of Units : No of Stories Architect Address Phone: State Lie Engineer: SHEPPARD STEVEN THOMAS Address: 28782 EL MIO LANE MISSION VIEJO, CA 92692 Phone: (949)481-9669 Designer Address Phone : NO Construction Valuation : $5,000.00 NO Added/NewlTI sq. ft. Bldg: 0 10 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 PROCESSED BY: . SPECIAL CONDITIONS: i j j,� `� t� 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 Items) often 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, attar, 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 Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant fore permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do [_) all of or L) portions of the work; and the structure is not intended or offered for sale (Section 7044, inpss and Professions Code: The Contractors' State License Law does not apply to an Owner of property who, through employees' or personal effort, builds or improves the property, provided that the rovements are not intended or offered for sale. If, however, the building or improvement is sold within aria year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to aOOSBUCt the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ty 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), J I am exempt from licensure under the Contractors' Stalo License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resisted -for at least one year prior to completion of the improvements Covered by this permit, I cannot legalll ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent _ _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Soction 0 0) DIVISI.... of the Business and Pro 130s, BE is In full force Fill effect. License Class License. No Date Contractor Signaturej/ VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjuryone of the following declarations: J I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as providad for by Section 3700 of the Labor Code, for th o ormance of the work for which this permit is issued. Policy No, rhave 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' compensatia Isurance carrier and policy number are: anier Policy Number Expiration Date me of Agent Phone # certify 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 laws of California., and agre L if I should become/sub act to thew r sass' corn nsahn cuisiuns-cx •ion 3700 of the Labor Code, I shall forthwith comply with those provistons. nature of Applicant become Dah CLARATION REQtRD17? -00NS RU TfON LENDING AGENCY / \ =.retry affirm underenal€y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Co e). order's Name Lender's Address 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 Coul�y ordinances and state laws relating to building. construction. p I authorize representatives of this city or county t entgr3jte)qgM� I0ertified Droeerty for inspection purposes. '� /•T, $ t I v a r 1. A I 7 ACTION PERMIT EXPIRED PERMITCANCELL PERMIT EXTENDS PERMIT FINAL CERrfFICATE OF DATE BY ./ j CLARATION OF COMPLIANCE WITH CODE OF FEDERAL ':I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE TO APPLICABLE TO FOR OFFICE USE ONLY