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Home My WebLink AboutXR2023-1451 - PermitsaEW R> City of Newport Beach I 111�1111111111111111111111111111111111111111111111111111111 jj COMB Permit : XR2O23-1451 C�. @ Community Development Department- Building Division X R 2 0 2 3 1 4 5 1 F r 1"y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1315 Permit Counter Phone: (949) 718-1888 Issued Date : 06/27/2023 newportbeachca.gov/civic Inspection Area : 4 coaN�P Combination Type - SFP 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 : 3 INVERNESS LN Legal Desc : N TR 7638 BILK LOT 62 Description: SFR REPLACE FRENCH DOORS AT FAMILY ROOM W/ BIFOLD DOORS Owner: WALKER BRIAN J TR THE WALKER FAMILY Contractor: JAMISON HOME SERVICES CORP Architect: ; REVOC LIVING T Address: 3 INVERNESS LN Address : 27472 PORTOLA PARKWAY, 205-307 Address NEWPORT BEACH, CA 92660 FOOTHILL RANCH, CA 92610 ' Phone: Phone: (949)750-7477 Phone: , Con State Lic : 1074004 State Lic Lic Expire : 03/31/2025 Applicant : DAWN VAUGHT Bus Lic: BT30079601 Engineer: DEIHIMI AMIR HOSSEfI Address : 1041 W 18TH ST, Al06 Bus Lic Expire : 08/31/2023 Address : 23172 PLAZA POINTE DR STE 145 COSTA MESA, CA 92627 LAGUNA HILLS, CA 92653 Phone: (714) 488-8003 Workers' Compensation Insurance Phone: (949) 954-7244 Carrier: HARTFORD ... Owner/Builder : Policy No : 76WEGAVOM9Z Designer : JASON RICHART , Address : W. C. Expire : 11/17/2023 Address : 1041 18TH W, Al06 COSTA MESA, CA 92627 Phone: Phone: (949) 422-9191 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $12,000.00 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 : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC®�k- Big Canyon � C_ PROCESSED BY: 'IiO g SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that t am exempt from the Contractors State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable items) ciion 7031-:5, Business and Professions Code: Any city or county that requires a permit to conslruc€. alter, improve, demolish, or repair any structure, prior to ifs issuance, also requires the applicant for permit to{ite a signed statement that lie or she is licensed pursuant to this provisions of the Contractors' State License Law (Chapter 0 (commencing with Section 7000) of Division 3 of the Business and fessions 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 more than five hundred dollars ($500t, 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, ;mass 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 rovements 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 4 was not built or roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70", Business and Professions Code; The Contractors' State License Law does not ,ly 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). L J I am exempt from Ilcensure under the Contractors' State License Law for the following reason: _ By my signature below I aoknowledgo that, except for my personal residence in which I most have res tiled for at least one year prior to completion of 11 sell 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 Professions Code, is available upon request when this application is submitted or at the following Web slte:http://~.Ieginfo.ca.govlcalaw,htmi. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm une'er penrity of perjury that I am licensed underprovisions of Chapter g (Commencing with Be n 7 of ii Ili fthe Business my' effect- License Class License No C ' SConttacta[ S COMPENSATION DECLARATION rARVINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAOE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL O1 T CF CO.APeNSATIOr., OAMAOES AS PROVIDED FOR IN SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNENS Fees - hereby affirm unite. pecclty of perjury one of the following declarations: law, Section Date and DOLLARS ($100,000h IN ADDITON I hevq 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 'ormance of tip wmk fur which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor for the performance of the work for which this permit is issued. My workers' compensa hrk� A Hamer and policy number are: Policy Number Date •s rf Agent Phone# vt,6fy that, In dire performance 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 it I should becftme subjg .to-ihe wo. a a'roQmpensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. hereby affirm under ponalty of perjury that there is a construction lending agency for the performance of the work for which thispermit is issued tinder's Name LendersAddress Iy my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information Ihave provided Is correct. I agree to. comply with all applicable city and county Drugjjantes and state laws relating to building construction. I authorize representatives of this city or sty Ifirei , he atigl j;56eA#fle0, property for inspection purposes. _ ACTION I DATE REGULATIONS PART bi OF TITLE 40ANO AQMO RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXrtNDED PERMIT FINAL CERTIFICATEOP 3�2 OCCUPANCY ISSUED FOR OFFICE USE ONLY 6rkers' compensation laws of California, and agro 13 Civil Code).