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Home My WebLink AboutXR2023-1076 - PermitsCity of Newport Beach p 6+ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 t Permit Counter Phone: (949) 644-3288 .e.. Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - Other 111I��III��III 1111111111111111111111111111111111111111111COMB Permit : XR2023-1076 Plan Check No : 2895-2021 Issued Date : 04/26/2023 Inspection Area : 2 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 : 1702 S BAY FRONT Legal Desc : A TR BALBOA ISLAND SEC 5 BLK 3 LOT 2 BALBOA ISLAND SEC 5 LOT 2 BLK 3(AND WLY 17.3 FT Description: SFR ELEVATE FRONT PATIO FOR ACCESSIBILITY, ADD ELEVATOR 16 SF. REMODEL PRIMARY BATHROOM 150 SF (RENEW EXPIRED PERMIT) Owner: JAMES ROBERT HURLEY JR. Address : 1702 BAY FRONT S NEWPORT BEACH, CA 92662 Phone Applicant: SHIELDS CONSTRUCTION INC Address: 368 CANYON ACRES DR LAGUNA BEACH, CA 92651 Phone: (714)501-6600 Owner/Builder : Address : Contractor: SHIELDS CONSTRUCTION INC Address : 368 CANYON ACRES DR LAGUNA BEACH, CA 92651 Phone: (714)501-6600 Con State Lie : 690756 Lie Expire : 02/28/2025 Bus Lie: BT30056419 Bus Lie Expire : 04/30/2023 Workers' Compensation Insurance Carrier: STATE COMP Policy No: 9165951 W. C. Expire: 11/312023 Architect Address: Phone: State Lie Engineer Address Phone: Designer: Address D'ARCY CHARLES 18 TECHNOLOGY DR #158 IRVINE, CA 92618 (949)407-7760 HAKIM FADY 124 PEONY IRVINE, CA 92618 (310)422-1536 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 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. : Building Setbacks : Front: 0, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY SPECIAL CONDITIONS: 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat 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 item(s) 4ection 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 in permit to file a signed statement that lie or she is licensed pursuant to theprovisions 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 ficensure 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 at more than five hundred dollars 1$500). 11, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 nprovemeri s are not intended or offered for sole. 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 bunt or nproved for the purpose of sate). 1 I, 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 p€y 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 ficensure under the Contractors' State License Law for the fallowing reason! y 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 legaily oil a structure that I have built as an owner -builder if ithas not boon Constructed in its entirety by licensed contractors. T Understand that a copy of theapplicable law, Section 70" or the Business and professions Code, is available upon request when this application is submitted orat the following Web site;http.liw .leginfo.ca.govlcaiaw.html. Iignature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATIONhereby affirm under penalty of g nd effect. License Class License No Da G' e, and ii ensa s to full force t+ORKER5'COMPENSAT14Nnury that I am DEC1}1RATIONyadunderprovisionsnfCitaptar9(commencingwiihSaciio 70 f IVEs' olthe CanBusiness S�natund Pro ieRa.t'O ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED OUSAND DOLLARS (1100,000), IN In TD THE DST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following doclandUons: I 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, for th, rormance of the work for which this permit is issued. Policy No.. .`lava and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit. is issued. My workers' compensatior hence carrier and policy number are'. Tier Policy Number Expiration Date ne of Agent Phone p certify that, in the 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 workers' compensation laws of California, and agrer i, if I should becom u e Orkers' Ip satio rovlsians 4f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant { Date.. n.. 2�—z-�. CLARATION REGA W UCTION LNG AGENCY !reby affirm under penalty of penury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). Ider's Name Lenders Address my signature Ualnw. I certify to each of tine following; I am .he property owner or authorized to act on the property owner's behalf. I have read this a„plication and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I P honze representatives of this city or county ar tcwe---, i"'f1Od pir party for inspection purposes. ietu; a at Pro�any Owener or Authorized A ent L �e Pont Property Owner's or Authorized Agent's Namevm3f e, TION I DATE: mi . DE RATION of COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACtMU RULE PFPRrI""PfRED PEA&d PEAL ,h ONAL CERNFICATEOF OCCUPANCY ISSUED fS NOT APP,LICAW TO