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Home My WebLink AboutXR2023-1034 - Permits�aEWPoRT City of Newport Beach e Community Development Department - Building Division F Fy 100 Civic Center Drive, Newport Beach, CA 92660 H' x Permit Counter Phone: (949) 644-3288 a.Inspection Requests Phone: (949) 644-3265 �'q</FppN�P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration 1111 IIIIIIII 1111111111111111111111111111111111111111111 1111�111 COMB Permit : XR2023-1034 Plan Check No : PC2023-0924 Issued Date: 05/01/2023 Inspection Area : 6 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 : 5 STONE PINE Legal Desc : TRACT 14103, LOT 3 OF PROJECT 935-90 LOCATED ON AP 473-021-6 5 TOGETHER WITH AN UND. 1/16 INT. IN PARS. 1 & 2 OF LLA 98-3 Description: SFR -'INTERIOR REMODEL 672 SF Owner: LYNN BRENDA TR Address : 5 STONE PINE DR NEWPORT COAST, CA 92657 Phone : (949) 922-7212 Applicant: LYNN BRENDA TR Address : 5 STONE PINE DR NEWPORT COAST, CA 92657 Phone : (949) 922-7212 Owner/Builder : LYNN BRENDA TR Address : 5 STONE PINE DR NEWPORT COAST, CA 92657 Phone : (949) 922-7212 Contractor Address : Phone: Con State Lie Lie Expire Bus Lie : Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire Architect : BARRY WALKER Address : PO BOX 11658 NEWPORT BEACH, CA 92658 Phone : (949) 246-4085 State Lie: Engineer: " Address Phone Designer: Address: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $53,7V0,011 , Type of Construction : V-B Fire Hazard Zone : YES Added/New/Ti sq. ft. Bldg : 0 " Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : 672 .' Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : -X _ Use Zone : PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: O/B FORM ATTACHED 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 cly or county That Teyuires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie 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 '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 any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). —?., as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044, cuslness 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 nproved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not pply 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). 1 am exempt from licensure under the Contractors' Stale License Law for the following reason: ty 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 legal oil a structure that I have built as an owner -builder if it h s 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 this p' Isrf� ufl�,m,-itted or �at the following V1'eb site.http:/i",w.leginfo.ca.gov/calaw.html. �� /� ,Ignnture of Property Owner or Authorized Agent. C �.____ Date 015 ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty 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 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 1510e,0e01. IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7FD5 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 wwkais' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN erformance of the work fer 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' rancevarrier .no poli,y number are: er a of Agent Policy Number Date certify that, in the ferformance of the 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 laws of California, and , If I should became s-Ihject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Jana NrR of Applicant__,_ _ _ Date—� IECLARATION RECARDING CONSTRUCTION LENDING AGENCY h�re5y affirm under parlcity 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). endar's Name Lender's Address 'y sly ,19, ature below, 1 certify to each Of the fallowing: , aut the propeny 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 lauvs relating to building construction. I authorize representatives of this city or cou',,''i�I,,�)e�ntteer the above -identified property for inspection purposes. tQ,,r ionalure of ProDern, Owner or Author€zed ADelt! fin toA d /f ' Print Prooertv Owner's or Authorized Anent's Name S/Ni� AM ACTION DATE BY I' DECLARATION OF CONIIPLiANCE WITH CODE, OF FEDERAL FOR OFFICE USE ONLY ' V REGULATIONS PART 61 OF TITLE 40 AND AWAD RULE E PERMIT EXPIRED r€RA4IT EXTENDED l�,OntD PLRMiT'FINAL SBEST05 NOiIIFIC LION I5 NOT APPLICABLE TO CERTIFICATE OF —.5 —�3 �/C_/�--4 PROPOSED DEVIOUT3�� OCCUPANCYf55UED SIGNATURE.