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Home My WebLink AboutXR2022-2730 - Permits�Evuro City of Newport Beach r @ Community Development Department - Building Division - ` 100 Civic Center Drive, Newport Beach, CA 92660 G > s Permit Counter Phone: (949) 644-3288 n. Inspection Requests Phone: (949) 644-3255 cgCico pN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration III I IIII II II COMB Permit : XR2022-2730 Plan Check No : PC2022-2573 Issued Date : 10/14/2022 Inspection Area : 3 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 : 1936 GALAXY DR Legal Desc : N TR 4224 BLK LOT 19 Description: SFR INTERIOR ALTERATION RMV 1 WALL, ADD BEAM & 2 POSTS Owner: HOLIDAY FAMILY REVOCABLE TRUST Address : 1700 E OCEAN BLVD NEWPORT BEACH, CA 92661 Phone: Applicant: ADAM HOLIDAY /JULIE HOLIDAY Address : 1700 E OCEAN BLVD NEWPORT BEACH, CA 92661 Phone: Owner/Builder : ADAM HOLIDAY / JULIE HOLIDAY Address : 1700 E OCEAN BLVD NEWPORT BEACH, CA 92661 Phone: Contractor Address : Phone : Con State Lic Lic Expire Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier: Policy No W. C. Expire: Architect: t Address Phone: State Lic Engineer:C,HEN ypw"4j1N17 '1eg3'0 Address : Phone : Designer Address Phone : Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $1,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 100 Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. Bldg: 0 Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) 1. PROCESSED BY: - . - - . — _ SPECIAL CONDITION'S 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 oheckmark(s) I have placed next to the applicable ftem(s) Ilion 7031.5, Business and Professions Code: Any city or county that requires a permit to conslfocL. Etter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for 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 fessions Code) or that he or she is exempt from )!censure 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 ($500). 1, 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, iness and Professions Code: The Contraclora' 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 it was not built or roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors 1D construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly to an owner of property who builds or improves thereon, and who contracts fol thg-krDjeets with a licensed Contractor pursuant to the Contractors' State License Law). a am exempt from hcensure, under the Contractors' State Lonoo , y signature below I acknowledge that, except for my pers o t a structure that I have built as an owner -builder If it has not rofessions Code, is available upon request whe applica ignature of Property Owner or Authorized Agent _ .ICENSED CONTRACTOR'S DECLARATIOW hereby affirm under penalty of perjury that I am licensed under provisions of nd effect. License Class License No I m st have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legal firety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and e following Web site:http:t/ww .leginfo.ca.govicalaw.ntml. to 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, nd iry license is In full force Date Contractor Signature NORKERS' COMPENSATION DECLARATION DARNING: 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 fSiD0,000i, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 sell -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. :1I 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' compensatiol isurance carrier and policy number are: iarler Policy Number Expiration Date Ia a of Agent Phone fA rtify that, in the performance of th war o which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compens on law ffo i4 a, and agra rat, I I should become object to the rker ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply win those provisions. ifgnalure of Applicant _ p e rEGLARATiON REG PING CONS LENDING AGENCY hereby affirm under penalty of perjury the ere is a construction lending agency for the performance of the work for which this permit Is issued (Section 30 vfl Code). ender's Name Lenders Address. ly my signature below, I certify to each of the ollowing: I am the property owner or authorized to act on the property owner's behalf. I have read this application and'.. the information I have prTivided is correct. I agree to comply with all applicable city and county ordi anc a d slate Paws relating to building construction. I authorize representatives of this city or coo ly to Ent e-�aaiified property for inspection purposes. ;i nature of Pro e Owner cr Authorzed A Print PropertypOwner's or Authorized Agent's Name. Date >CTION DATE B. DECL RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY VN REGll ATIONS PART 51 of TITLE 40 AND AQMD RULE plNl vie�tiy 1403 PERMIT EXPIRED PERMIT EXTENDED PERAWT FINAL CERTIFICATE OF II//n/ /,�•�� OCCUPANCYISSUED v I SUBMITTED A58ESTOS NOTIFICATION TO TO