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Home My WebLink AboutXR2022-3019 - PermitsaEWPORT City of Newport Beach ��IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIII �� COMB Permit xR2o22-3019 D4 @ Commuiity Development Department- Building Division X R 2 0 2 2 3 0 1 9 > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2885 Permit ;,ounter Phone: (949) 644-3288 Issued Date : S Inspection Requests Phone: (949) 644-3255 Inspection Area : 2 °gc,�oRe`P-tiewportbeachca.gov/inspections 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: 1201 DOLPHIN TER Legal Desc : N TR 1700 BLK LOT 5 Description: SFR REMODEL MASTER BATHROOM (440 SF) **STOP WORK 122-3013** Owner: PETER FOX Address : 1401 DOLPHIN TER NEWPORT BEACH, CA Phone : (408) 219-1111 Applicant: PETER FOX Address : 1401 DOLPHIN TER NEWPORT BEACH, CA Phone: (408)219-1111 Owner/Builder: PETER FOX Address : 1401 DOLPHIN TER NEWPORT BEACH, CA Phone : (408) 219-1111 Contractor Address : Phone: Con State Lic Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Architect Address Phone: State Lic Engineer Address Phone : Designer: Address Phone: CHRIS BRANDON 151 KALMUS DR, G-1 92626 (714)754-4040 COSTA MESA, CA Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $35,200.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U.R-3 No of Units : 1 Alteration sq. ft. Bldg : 440 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 5, Side: 4, Side: 4 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: STOPWORK 122-3013 AS BUILT PE RI;T EXPOSE ALL STRUCTURAL, ELECTRICAL, PLUMBING, MECHANICAL CGI,f�,- 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 items) (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 to its issuance, also requires the applicant for the 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 leensureand 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 not more than five hundred dollars ($500), 0 1, as owner of the property, or my employees with swages as thelrrsole compensation, will do L) all of or U 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 property, provided that the Improvements are not intended or offered for sale. If, however, the building or Ymprovement 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). N1, 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 ap y 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). 0 1 am exempt from Iicensure under the Contractors' Stale 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 covered by this permit, I cannot legall, soli a structure that I have built as an owner -build it. h t boar co tructed in its e vOty by licensed contractors. understand that a copy of the applicable law, Se ct'n 7044 o the Bu moss and Professions Code, is available upon request who s ajoA ' n is fitted or the ollQwing VVebsite:http,.IiVNPA�.leginto.ca.gov/calaw,html, Signature of Property Owneror Authorized Agent � _ 11 vJ'LICENSED CONTRACTOR'S DECLARATI. N`` I hereby affirm under penalty of perjury that I am licensed rider provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date Contractor Signature INORKERS' COMIPENSATION DECLARATION NARNING: 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 t310D,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of Consent t0 self -insure for workers' compensation, Issued by the Director of Industrial Relations as Provided for by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy No. JI 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' compensatioi nsurance carrier and policy number are: ;arriar Policy Number Expiration Date flame of Agent Phone # �1 certify that, inthe periorma of e work for ich his permit is Issued, f shalt not employ any person in any manner so as to become subject to the workers' compensatio laws o California, and ogre hat, if I should beco subj t t th rkers' co pe alion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ ifgnalure of Applica Date )ECLARATION RE ROING 0 TRUCTIO LENDING AGENCY hereby affirm under penalty of erjury that the is a construction lending agency for the performance ofthe work for winch this permit is issued (Section 3097, ivil ode). .ender's Name 1 Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to acton the property owner's behalf, I have read this application and the information I have provided is correc I agree to comply with all applicable city and county o a.. cos and st a aws relating to building construction. I authorize representatives of this city or cou t ent r t a ve-id fled property for inspection purposes. o I�.i�yVAne� �" vtezz:_5L_113 'ri nature of Property Owner Or Authorized A enl y Print Property Owner's Or Authorized Agent's Nan' ` " ' ACTION DATE. BY 1 RATION COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R.GULATIONS ART 61 OF TITLE 40 AND AQMD RULE 1403 PERMiTEXPIRED i s U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENDED _ 11AgMD _ PERMITFINAL ASBESTOS OTiK 1590SAPP 4E iU CERTIFICAYE OF Q f, O(p;L C P P05EU OtafN OCCUPANCY ISSUED SIG. AFORE f