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Home My WebLink AboutXR2023-0381 - PermitsCity of Newport Beach oWPoRT @ Community Development Department - Building Division y - m Y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �g4FoaN`P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other �iiiio111��11111111111111 ill11111��1111111111 jj COMB Permit : XR2023-0381 Plan Check No : 0303-2018 Issued Date : 02/08/2023 Inspection Area : 1 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: 3811 RIVER AVE Legal Desc : A TR RIVER SECTION BLK 138 LOT 8 Description: SFR INTERIOR REMODEL AND REROOF 304 SF *STOP WORK* *RENEW EXPIRED PERMIT* Owner: JEFF BARRETT Address : 12230 CIRCULA PANORAMA SANTA ANA, CA 92705 Phone Applicant: DECLARK CONSTRUCTION Address: 206 NORTH BLUEROCK STREET ANAHEIM, CA 92807 Phone: (714)815-0293 Owner/Builder : Address : Contractor: DECLARK CONSTRUCTION Address : 206 NORTH BLUEROCK STREET ANAHEIM, CA 92807 Phone: (714)815-0293 Con State Lic : 1009871 Lic Expire : 12/31/2023 Bus Lic: BT30069812 Bus Lic Expire : 06/30/2023 Workers' Compensation Insurance Carrier: PREFERRED PROFESSIONAL Policy No: ON1171801 W. C. Expire: 9/1/2023 Architect Address Phone: State Lic Engineer : XIAO QIANG Address : 1520 BROOKHOLLOW DR #45 SANTA A_NA, CA 92705 Phone: (714)662-0510 Designer Address Phone : Phone Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg 0 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : ,. TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: s " a' , I hereby affirm under penalty of perjury that I am exempt trom 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 Io Its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant 10 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 licensure and the basis for the alleged exemption. Any violation of Section 7C31.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)- 0 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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 improvement Is sold within oneyear of completion, the Owner -Builder will have the burden of proving that it was not bull! or Improved 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' State License Law does not apply 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). ❑ I am exempt from Iicensure under the CDntractors' State 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 legal], sell a structure that I have built as an owner-bulldor if it has not been Constructed in its entirely by licensed 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 prat the followtng'Web site;http:liwww.le!ginfo.ca.goWealaw:html, Signature of Property Owneror 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 OkEDDi ryfofi'7SCfthe Business and Pro si n K d a li s )full orce and effect License Class License. No Date .L J v) Contractor Signatur NORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE ]OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TDe OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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, forth ?"Oormance, of the work for which this permit is issued. Policy No_ 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 issoed. My workers' carrier and policy number are: ne of Agent _ Dal that, in the if I should becor lature of. Applicer, Policy Number Date I shall not employ any Person in any manner so as to become subject to the workers' colpipensation laws of California., and agre ction 3700 of the Labor Code, I shall forthwith comply with those provisions. 11 - it 7� Date 1,t� oo ehv 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, evil 6 ede). mder's Name Lenders Address Iy my rignalure below, i certify to each of the following: I nri the property owner or authorized to act on the property owner's behalf. I hrve read ±his application and the infomation 1 h ve or Wed I •6orreact.I w ce to comply'�tiU1 all applicable city and co or ran s s Slati g to building construction. authorize r?prestntalives of this city or tour er th b e r pe for inspection purposes. -Immure dT i-Tpwrty Uwner Or AUMO IZed Agent Print Property Owner's or Authorized A ACTT'I" DATE BY DE ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I 1 REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE NOTIFICATION TO PEAM17CANCELLEi) PERiF1NAL eO(L31 J� CEftT(FlCA7E OF C '!\ OCCUPANCY ISSUED 2