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Home My WebLink AboutXR2022-3108 - Permits�gWPp�T City of Newport Beach Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c7C/pppN�P newportbeachca.gov/inspections cT 1 �^ 1/ Combination Type - FP lJty`�' e FuC�+\ Work Class - Deo COMB Permit Plan Check No: Issued Date : Inspection Area: 1 : XR2022-3108 PC2022-1766 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST ALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOIS�^ON�SAT yMDA DAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 117 24TH ST Legal Desc : A TR NEWPORT BEACH CITY BILK 24 LOT 27 Description: DEMO SFR & GARAGE 600 SF. 1 BEDROOM. SEWER CAP INCLUDED Owner: DAS BEACHIN MON LLC Address : 21243 PO BOX MESA, AZ 85227 Phone Applicant: RON CARROLL Address : P 0 BOX 7829 HUNTINGTON BEACH, CA 92615 Phone: (714) 749-0622 Owner/Builder : Address : Phone Contractor : RON CARROLL Address : P 0 BOX 7829 HUNTINGTON BEACH, CA 92615 Phone: (714)749-0622 Con State Lie : 682756 Lie Expire : 10131/2024 Bus Lie: BT30069597 Bus Lie Expire : 11/30/2022 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units: 1 Bldg Height : No of Stories: 1 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL COW)ITIONS: TIGHT QUARTERS TO HAUL DEBRIS Architect Address Phone: State Lie Engineer : REZAEI ALI Address : 18021 SKYPARK CIR #E2 IRVINE, CA 92614 Phone: (949)466-9394 Designer: Address Phone Construction Valuation : $9,500.00 Added/New/TI sq. ft. Bldg: 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ftem(s) 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 he 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 'rofessions Code) or that he or she is exempt from licensure 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 lot 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 i_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 theproperty, provided that the nprovemenle are not Intended or offered for sale. Ir, 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 mproved for the purpose of sale). 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not Ipply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I am exempt from licensors under the Contractors' State License Law for the following reasom iy my signature below I acknowledge that, except for my personal residence in which I most have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot lepall) yell a structure that I have built as an ownar-buildar if it has not been constructed in its entirely 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:/Lwvvr.leginfo.ca.gov/calaw.html. >ignature of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of ivision 3 of the Business and Prof f de, and. as is In full force Ind effect. License Class License No Date 'ZDn+ Contractor Signa Q,( VORKERS' COMPENSATION DECLARATION 1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P TIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE INTEREST, ANO ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 have and will maintain 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 erformance, of the work for which this permit is issued. Policy No, have 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 carder and policy number are: Policy Number Agent _ Date -z�e R'y that, in the performance of the work for which this permit is Issued. I shell not employ any person in arty manner so as to become subject to the workers' compensation laws of California, and agre t, it I houid become )ct �®rke�on a allbn provisions of Section 3700 of the Lahor Gode, I shall forthwith comply w4th those provisions.rat a of Applicani(e„�,�ATION Ril ING C dLE IN AGENCY l�d(ry nreby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, II Code). Ider's Name Lender's Address my signature below, 1 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to ante�,vg79rt,�' e-identifie p perty for inspection purposes. / nature of Proci Owner or Authorized Adent % ��i.� .� Print ProDertv Owner's or Authorized Aaent's Name .� '�YY i v� 1 Date /'Z9'�Z ACTION DATE BY RGLAPART ONOF FOR OFFICUSE ONLYI /DECLARATION 61 OFTTE 40ANDAOD RULE L-1 I SUBMITTED ASBESTOS NOTIFICATION TO aFPA _ —_UQ_MD PERMIT FINAL L� l W_ASBESTOS NOTIFICATION IS NOT APPL BLE TO CERTIFICATE Or I 1r �Z� `�� PROPOSED DE %�TtA/6y/T `n OCCUPANCYISSUEA SIGNATURE\ / Imo/ I -2/00