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Home My WebLink AboutXR2023-0050 - Permitsva �a��Pokr City of Newport Beach o @ 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 Cq//F00.N�P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Alteration 11IIIIIIIII1111111111111111111111111111111111111111111111 jj COMB Permit : XR2023-0050 Plan Check No : PC2023-0038 Issued Date : 01/09/2023 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 BLK 16 LOT 12 Description: MFR *ADDITIONAL SCOPE* CREATE NEW BEDROOM IN (E) FOOTPRINT 130 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: Con State Lie Lie Expire Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Architect Address Phone: State Lie Engineer: Address Phone: Designer: Address Phone: /°j l JAMES CARO 14 GUMWOOD IRVINE, CA 92612 (949)500-2208 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $5,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: B, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: HIGH DENSITY ZONE; A01 FLOODZONE ; LIQUEFACTION ZONE 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-item(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 toits issuance, also requires the applicant for is 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 7031.5 by anyapplicant for a permit.aubjectsthe applicant to a civil penalty of of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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 the property, provided that the nprovements 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 Cn oved for the purpose of sale). os 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. pty to an owner of property who builds or Improves: thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law). I am exempt from licensure-under the Contractors' State License Law for the following reason. iy 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 covered by this permit, I cannot legall,. ell a structure that I have built as an owrior-bulldfqthas not boon canstructod 13 its opt I ty by li sed contractors. I understand that a copy of theapplicable law, Sectio 44 of the Business and "rofessions Code, is available upon request who t pplic 'o o at t n b site:http://www.leginfo.ca.govlcalaw.htmi, Rgnature of Property Owner or Authorized Agent _ Det .ICENSED CONTRACTOR'S DECLARATIOA hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commeneing with Section 7000) of Division 3 of the Business and Professions Code, an my license is In full force nd effect. License Class License No _ Date Contractor Signature PORKERS' COMPENSATION DECLARATION rARNING: 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 (E100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I 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, forth erformance of the work for which this permit Is issued. Policy No. 31 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' compensatior Isurance carrier and policy number are: Policy Number no of Agent Phone # Date certify that, in the performance of the wank for hick this p it is : l shall not of the any rperson Code, any mannor with c m l become subject to the workers' compensationlaws California, and ogre I, if I should becomkalffyof h r mpe vis' Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant — Date CLARATION REGASTR TI " LENDING AGENCY baby affirm under pury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, vll Code).. Ider's Name Lender's Address my signature below, I Certify to each of the following: I am [be property owner or authorized to act on the properly 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 cou ty o mances and state laws relating to building construction. I authorize representatives of this city or county to a 7a- d p for' spection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's G �ct� //g' '�` Date DATE BY I� REGULATIONSCLON OFCOMPLIANCE i OF TITLE 0 H C DE OFQMD FEDERAL FOR OFFICE USE ONLY 1403 EXPIRED V[R F FINAL OEp/ II Y� �,��ij;I'jG,�N�AF SiD$ iiFICA7'ION I>> CERTIFICATE OF ,,'JI U PROPOSED DE LITI OCCUPANCY ISSUED FICATION TO