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Home My WebLink AboutXR2022-2451 - Permits�Ew;oRT City of Newport Beach II III I I I II COMB Permit:XR2022-2451 I II I III I III I I I II Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0695-2020 u z Permit Counter Phone: (949) 644-3288 Issued Date : 0911412022 Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 newportbeachca.gov/inspections Combination Type - SFP ELEC MECH 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 CONS] RUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS. Job Address: 910 E BALBOA BLVD Legal Desc : A TR BALBOA TR BILK 13 LOT 5 BALBOA TR LOT 5 BILK 13 ALL -INC FOR ABAN ST Description: SFR ADD SCOPE RJR INT STAIRS AND GUARD RAILS @ (E) BALCONY DECKING. RJR SIDING & TRIM. INSTALL COLUMN COVERS @ CARPORT ENTRY. Owner: MONSON KRISTEN S TR Contractor: JAMES DAVID CUSTOM HOMES Architect Address : 910 E BALBOA BLVD Address : 15375 BARRANCA PKWY G102 Address NEWPORT BEACH, CA 92661 IRVINE, CA 92618 Phone : (949) 500-8451 Phone : (888) 847-0823 Phone Con State Lie : 801389 State Lie : IC) Lie Expire : 10/31/2023 Applicant : MONSON KRISTEN S TR Bus Lie: BT30038095 Engineer : HAKIM FADY Address : 910 E BALBOA BLVD Bus Lie Expire : 01/31/2023 Address : 124 PEONY NEWPORT BEACH, CA 92661 IRVINE, CA 926� Phone: (949) 500-8451 Workers' Compensation Insurance Phone: (310) 422-153 Carrier: INS CO OF THE WEST Owner/Builder : Policy No: WPL506566600 Designer Address : W. C. Expire : 5/15/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $93,230.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 Building Setbacks : Front: 1, Front: 10, Side: 3, Side: 3 Flood Zone : AE, B FT; X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) 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 Lew (Chapter 9 (commencing With Section 7000) of Division 3 of the Businoss and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any vioiat'ion of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundreddollars ($500). El 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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 property, provided that the Improvements 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 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 L€eebso Law). i am exempt from licensure under the Contractors' 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 legail 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 applicable law, Section 7044 of the Business and Professions Coda, is available upon request when this application is submitted or at the following Web site;http•tlwww.leginfo.ce,gov/calaw.html, Signature of Property Owner or Authorized Agent Date LICENSED 'S DECLARATION and of KERB' COMPENSATION TON DECLARATION License No Dato O) of Divisi n 3 of the Business and Pro lion rfe leensa is In full force I hereby affirm under penalty o perjury that I am licensed under provisions of Chapter 9 (commencing with Section Z Z Contractor Signs#ire WOR WARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL„ AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ATIK OF THE LABOR CODE, INTEREST, AND ATTORNEyS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for worker' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for lh performance of the work for which this permit is issued. Policy No. 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' componsatio Insura ce carrier and policy number are, Carrier Policy Number Expiration pate Name of Agent Phone # Eli certify that, in the pe drmaree 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 workers' Compensation laws of California, and agre that, if I should becc object. to to Tar. ' " as of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q Signature of Applicant Date /12 Z DECLARATION REGA Dt CONSTRLiCTION L .NDING I hereby affirm under p nalty a perjury that there is a Construction lending agency for the performance of the work for which this permit Is issued (Section 3G97, 4v Code). Lenders Name Lenders Address By 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 eformatlon I have provided is correct. I agree to comply with all applicable city and unity ordinances and state laws relating to building construction. I authorize representatives of this city or cou ly e a ov for inspection purposes. 5i nature of Property Owner or Authorized A aw Print PrO ert Owner's or Authorized A ent's Name yttrlo v- f�S r papa ACTION GATE I BY DE RATION OF COMPLIANCE WITH CODE OF FFDF.RAL rep, 6FFICE USE ONLY R£GUTA bON5 PART 61 OF TITI.£ 40 AND AQMD RULE 1403 PEAM7T EXPIRED LJ ; SU BMI ;TEt3 A� RE5TG5 NOTI RCAT IQN TO YV P—MAT GANCELLEt? I'- „"4M D PERM]T FINAL _..._.._._—� t,,,I, ASRE5 NtlT1FICpiiON dS N4T APPEICRHLE CEAT(PICATEOFpRQPO5E0 MfnlrTlpN OCCUPANCYi55UED _L_.:1G;]A.UF'e