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Home My WebLink AboutXR2023-0415 - Permits¢��WPoRr City of Newport Beach p @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 y. Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �gtiFoa"�P newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Alteration X R 2 0 2 3 0 4 1 5COMB Permit : XR2023-0415 Plan Check No : PC2023-0038 Issued Date : 02/14/2023 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 : 322 CORAL AVE Legal Desc : A TR BALBOA ISLAND SEC 3 ELK 16 LOT 12 Description: DELTA 2 *ADDITIONAL SCOPE* REMODEL 2ND FLOOR BATHROOM 32 SF Owner: HAVIKEN MICHAEL R TR M R Address : 35 RISA ST RANCHO MISSION VIEJO, CA 92694 Phone: (949) 632-2888 Applicant: JAMESCARO Address: 14 GUMWOOD IRVINE, CA 92612 Phone: (949)500-2208 Owner/Builder : HAVIKEN MICHAEL R TR M R Address : 35 RISA ST RANCHO MISSION VIEJO, CA 92694 Phone: (949)632-2888 Contractor Address : Phone: Can State Lic Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier: Policy No: W. C. Expire Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3 No of Units: 2 Bldg Height : No of Stories : 2 Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: REV2023-0285 Architect Address Phone: State Lic Engineer: Address Phone Designer: JAMESCARO Address: 14 GUMWOOD IRVINE, CA 92612 Phone: (949)500-2208 Construction Valuation : $3,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 r 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 Item(s) Ilion 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 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 fassions Code) or that he or she is exempt from licensure 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 more than live hundred dollars ($500), - I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, ress 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 vemenls are not intended or offered for safe. 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 roved 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' Stale License Law does not ,y� 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). r-.( 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 the improvements coven sell a structure that I have built as an owner -bu'Id r if't has not bean constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Sect]op Professions Code, is available upon requestwhen s applic tion Fritte a fol. 1. eb'te:http:llwww.loginfo.ca.gov/calow.html. PAI Signature of Property Owner or Authorizetl Agent — Da LICENSED CONTRACTOR'S DECLARATI N I hereby affirm under penalty of perjury that am I sensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Professions Code, and effect. License Class License No Date Contractor Signature this permit, I.cannot of the Business and my license is In full force VORKERS' COMPENSATION DECLARATION IARNING: 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 ($100,0001. IN ADDITION TO T �OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations, J I have Bad 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 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' ranee carrier and policy number are: Policy Number Date To of Agent —vnone R certify that, in the performance of the work for which this permit is Issued. I shell notemploy any person in any manner so as to become subject to the workers' compensation laws of California, if I should become sut6ct to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. A / ✓�� /�/� nature of Applicant _ vnm �� var- CLARATION REGA IN4 S7 UC I LENCNNG A NC Ireby 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, Civil Code). Tder 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. /11.�+.��/< • �7r�.1 I agree to comply with all applicable city and county dinances a d st I cos ling to building construction. , I authorize representatives of this city or county Ve- d Inspection purposes. `j��J ��,// ..f o�.,, 0 n,,,,�,..,r a,dhna,Ad Anaa1 Print Pmoertv Owner's or Authorized Aeent's Name I 'V./�iO ___. — Data ACTION PERMIT EXPIRED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUEO DATE. BY �/) DECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY V ( REGULATIONS PART 61 DP TITLE 40 AND AQNID RULE TED ASBESTOS NOTIFICATION TO NCTIFICATIONN 15 NOT APPLICABLE TO MJ\ V