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Home My WebLink AboutXR2023-1699 - Permits�EWPOQT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2U23-1699 0� @ Community Development Department - Building Division X R 2 0 2 3 1 6 9 9 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No �'? = Permit Counter Phone: (949) 718-1888 Issued Date : lc IZi L3 w.newportbeachca.gov/civic Inspection Area : 3 cq[/F00.N�P Combination Type -SFP Work Class - Other 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: 345 CHERRY TREE LN Legal Desc : N TR 3062 BILK LOT 10 Description: SFR STUCCO REPAIR APPROX 36 SF (XR2023-1508) Owner: KARCHER JEROME THOMAS TR Contractor : George Wayne Lamarre Address : 345 CHERRY TREE LN Address : 17421 Caspers Circle NEWPORT BEACH, CA 92660 Huntington Beach, CA 92647 Phone : (714) 307-1113 Phone : (714) 330-3714 Applicant: George Wayne Lamarre Address : 17421 Caspers Circle Huntington Beach, CA 92647 Phone: (714)330-3714 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height : Con State Lic : 344398 Lie Expire : 05/31/2025 Bus Lie : BT30081781 Bus Lie Expire : 06/30/2024 Workers' Compensation Insurance Carrier: BENCHMARK INSURANCE CO Policy No: CST5023965 W. C. Expire : 8/11/2023 2022 Fire Sprinklers : V-B Fire Hazard Zone U No of Units : No of Stories Architect Address Phone: State Lic : Engineer Address Phone: Designer: Address Phone : NO Construction Valuation : NO Added/New/TI sq. ft. Bldg 1 Alteration sq. ft. Bldg : 1 Added/New sq. ft. Garage TOTAL sq. ft. : Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 20 Flood Zone : X Use Zone : R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area) PROCESSED BY: _ SPECIAL CONDITIONS: G E3 It � ETC irI $200.a0 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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, after, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for the permit to file a signed statement that be 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 lieensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500), 0 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, Business 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 properly, provided that the improvements are not intended or offered for saleif, 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 Improved for the purpose of sale). El 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 apply 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 licensors under the Contractors' State License Law for the following reason: ,_...... ____ By my signature below f 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, sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by liconsod 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 orat the following Web site:http://www.leginfo.ce.gov/colaw.htmi. Signature of Properly Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) f t "st 3 olthe Business and Professions license is In / force and effect. License Class License No Date Ocntractor Signature /�'Lll WORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAwFUI., AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION aTDB OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under pE.nalty of perjury one of the following declarations: 7" `have and wilt maintain a cerlifdcate of consent to self- insure for workers' compensation, Issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for th tots�st.i�o, of the v.arl, for which this permit is Issued. Policy No. Atilt havr 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` compensatiol . qurapce carrier arm policy number are:. ter_ __ Policy Number Expiration Date is of Agent Phone # I,i; y that In B,a l,br;ormance of the IN ich this permit is issued. I shalt not employ any person in any manner so as to become subject to the workers' compensatlon laws If California, and agre ' should become subject to the nation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, I tore ofApplic•Int e Ch. 1.1 I�hYlRT�I/I"TI1 RI�1 h_ A!1 IfV r, EJy afimi 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). )lrr'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 ow is behalf. I have read this application and the information I have tl is orrect. I agree to comply with all applicable clty and county or d state laws relating to building construction. I authorize representatives of this city or co un y t ntifie�d,Lpr�iarty for Inspection purposes. q nature of Prooertv Owner or Authorized AD enl ram% "' �_ Print Prooetiv Owner's or Authorized Apart's Name J� T IGl ACTION DATE BY DECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED PERMIT CANCEL( PERMIT FINAL I J�� 14 I -;.I ASREST03 NOTIFdC PpCIC 4 CERTIFICATE OF �/ PROPOSED Di' OCIFI OCCUPANCYISSUED SIGNATUR�.R