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Home My WebLink AboutXR2022-2861 - Permits�aEWPoRT City of Newport Beach Community Development Department- Building Division > 1y" 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cyc�coaN`r. newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration 111I��III��III 111111111111111111111111111111111111111111111COMB Permit : XR2022-2861 Plan Check No : PC2022-2710 Issued Date : 1013112022 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 : 1416 DOLPHIN TER Legal Desc : N TR 1700 BLK LOT 24 Description: SFR REMODEL TO KITCHEN AND BATHROOMS 1,560 SF Owner: DAVID & JANA EWLES Address : 1416 DOLPHIN TER NEWPORT BEACH, CA Phone : (714) 270-7605 Applicant: DANIEL GARRISON MAC BETH Address: 37PARKCREST NEWPORT COAST, CA 92657 Phone: (949)584-4999 Owner/Builder : Address : Phone Contractor: DANIEL GARRISON MAC BETH Address : 37 PARKCREST NEWPORT COAST, CA 92657 Phone: (949)584-4999 Con State Lie : 700795 Lie Expire : 12/31/2022 Bus Lie: BT30047260 Bus Lie Expire : 05/31/2023 Workers' Compensation Insurance Carrier : Policy No : EXEMPT W. C. Expire: Architect Address Phone: State Lie Engineer: Address Phone Designer: DANIEL GARRISON MAC BET!i Address : 37 PARKCREST NEWPORT COAST, CA 92657 Phone: (949)584-4999 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg: Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories: 1 Added/New sq. ft. Garage: TOTAL sq. ft. Bldg Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: $165,033.OG 1,560 0 0 OWNER -BUILDER DECLARATION 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 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 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 of the Business and Drofessions Code) or that he or she is exempt from licensors 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 hat more than five hundred dollars ($500), 1 1, 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, 3UalnOSS 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 mprovements 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 mprovsd for the purpose of sale). I, 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 appTV 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). 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 tor at Yeast one year prior to completion of the improvements covered by this permit, I cannot legalll sell a structure that I have built as an owner -builder 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:/1www.leginfo.ca.govlcalaw,html. Signature of Property Owner or Authorized Agent O LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 O visio - of the Business and Profession d e is In full force and effect. License Class License No Date 'Z Contractor Signafum JC tNORKERS' COMPENSATION DECLARATION NARNING: 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 ($ 00,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES- ^^ hereby affirm under penalty of perjury one of the following declarations: :1 I have and wid hlail4ain 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 Derformanca of the work for which this permit is Issued. Policy No. _ ,.]I nave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which ibis permit is issued. My workers' compensatio.. insurance carrier ar,d policy number are: 3 of Agent _ _ r ify that, i t e p, it i should be'trm^. nure of Applicent Policy Number Date lh 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'n(�(laws _pfC,alifornia, and ogre the rkers' compen n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /�/�� / Date b 2v NSTfit1CT16N LENDING AGENCY :hereby affirm and pe rally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Saciron 3g97, Qvil Code). .anrlar s Name Lender's Address tiC., iy 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 pravi correct. I agree to comply with all applicable city and county Ord' rites nd slate laws relating to building construction. I authorize representatives of this city or county to e t he entitled property for inspection purposes. y //�- h Q l.( ii oatUre of Property Owner or Authorized Agent X _ Print PropertypOwner's or Authorized Agent's Name/ _ �Jri /(ifL L OC f &eOat � Z ACTION DATE. BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY -i-REGULATIONS PART 61 Of TITLE 40 AND ACIM D RULE PERMIT EXPfRED PERMIT EXTENDED PERMIT PINAL E5T05 ICATI 15 NOTAPPUCABLE 10 CERTIFICATE Of / 2 PROPOS OCCUPANCY ISSUED 1�1IGNA RE: