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Home My WebLink AboutXR2023-0533 - Permits�,E.waoRT City of Newport Beach COMB Permit : XR2023-0533 p @ Community Development Department- Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 X R 2 0 2 3 0 5 3 3 Plan Check No: Permit Counter Phone: (949) 644-3288 Issued Date : 02/27/2023 a.� Inspection Requests Phone: (949) 644-3255 Cq1/FD0.N�P newportbeachca.gov/inspections Inspection Area : 6 Combination Type - SFP PLUM Work Class - Alteration 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: 2600 POINTE DEL MAR AVE Legal Desc : N TR 12209 BLK LOT 4 Description: SFR BATHROOM REMODEL 250 SF *123-0657* Owner: NEFF FAMILY TRUST Contractor Address: 2600 POINT DEL MAR Address: CORONA DEL MAR, CA 92625 Phone Applicant: JOHN NEFF Address: 2600 POINTE DEL MAR AVE NEWPORT BEACH, CA 92625 Phone : (949) 500-6544 Owner/Builder: JOHN NEFF Address: 26DO POINTE DEL MAR AVE NEWPORT BEACH, CA 92625 Phone : (949) 500-6544 Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone: Use Zone: PROCESSED BY: 2022 V-B R-3 Front: 5, Side: 4, Side: 4, Rear: 10 X PC - Point Del Mar SPECIAL CONDITIONS: O/B FORM ATTACHED Phone: Con State Lic Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Fire Sprinklers : NO Fire Hazard Zone: NO No of Units : 1 No of Stories: 2 Architect Address Phone: State Lic Engineer: Address Phone : Designer: Address Phone: 0l� r— C- L5.-I q C C0 Z Construction Valuation : $5,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 sw y 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) 'action 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 appflcam for le 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 professions 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 of more than five hundred dollars ($500). 1 1, 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, asiness 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 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 nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors t0 construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ply 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 licensure under the Contractors' State License Law for the following reason: _ .._T— ,y 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 legalli all 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 INS application is submitted or at the following Web site:http:ltwww.leginfo.ce.gov/calow.html, ,Ignature of Property Owner or Authorized Agent Date .ICENSED`CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL M14ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION aTss OF THE LABOR ConE, INTEREST, AND ATTORNEY's FEE$. hereby affirm under penalty of perjury one of the following declarations: 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, 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 permitis issued. My workers' ranee carrier and policy number are: Policy Number Date is of Agent Phone 9 certify that, in the performance of the work for which this permit is Issued, I shell not employ any person in any manner so: as to become subject to the workers' Compensation laws of California, and , if I should become subject to the workers' compensation provisions of Section 3700of the Labor Code; I shall forthwith comply With those provisions. ,Ignature of Applicant Date— tECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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). endor s Name Lender's Address ly my signature below, I carlify to each of the following: I am the property owner or authorized to act on the property owner's behalf, I have read this applicationand 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 enter the above-Identlfled property for inspection purposes. iionature of Property Owner or Authorized Agent Print Propene ACTION DATE BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 DF TITLE 40 AND AOMD RULE 1400 PERMIT EXPIRED 10 1 SUBMITTED ASBESTOS NOTIFICATION TO PEMFTC4IVCELLE0 _ TIEFIA PERMIT EXTENDED _ qM D' J _ASBESTOS PERMITFfNA1 _ _ NOTIF1Cp;fIONISNOTAPPLICABLE TO CERTIFICATEOF 4--% p,�S Qy(� IIIIII PROPOSED DEMOLITION OCCUPANCY ISSUED ( SIGNATURE: FOR OFFICE USE ONLY Name 0 m z to x UCDo Z < F vo 0 W o U M 2 h+,l W m 0 Z g000 m0 fx - Qa �LL TShZ0 co Orvr,� L z M� F X U I.f. a uj W �Am°Tv WU Z OF A�ao J UJ FW U) I' G w L) W Y U o o U U O U) a1 ` .O. O C - N a)an d O a 7 r y a'y � 7 c a) C N a� � �° ° .0 Co . 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