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Home My WebLink AboutXR2022-1958 - PermitsatiW'oRT City of Newport Beach III IIIIIII I IIII IIIIIIIIIIIIIIIIlII III II COMB Permit: XR2022-1958 p� @m Community Development Department- Building Division X R 2 0 2 2 1 9 5 8 n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1807 Permit Counter Phone: (949) 644-3288 Issued Date : 11/02/2022 l Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Addition/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 : 435 COLTON ST Legal Desc : TR 772 LOT 11 BLK 25 ALL (EX SWLY 19 FT) AND SWLY 22 FT LOT 12 BLK 25 SURFA CE AND 500 FT SUBSURFACE Description: SFR INTERIOR REMODEL 500 SF & ADD 498 SF TO SECOND STORY Owner: BRYAN RIBLETT Address : 435 COLTON NEWPORT BEACH, CA 92663 Phone Applicant: KASEY O'KEEFE Address : 414 EMERALD BAY LAGUNA BEACH, CA 92651 Phone : (949) 484-5075 Owner/Builder : Address : Phone Contractor: RWA BUILDERS INC Address : 1000 N COAST HWY #9 LAGUNA BEACH, CA 92651 Phone: (949)244-4310 Con State Lie : 971070 Lie Expire : 10/31/2023 Bus Lie: BT30070555 Bus Lie Expire : 01/31/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9314309 W. C. Expire : 3/11/2023 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : 1 Bldg Height : No of Stories : 2 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: ROBERT'S WASTE TO HAUL DEBRIS Architect Address Phone: State Lie: Engineer: WICKSTROM ERIC Address: 26581 VIA PRIMAVERA SAN JUAN CAPISTRANO, CA 92675 Phone: (949)454-8045 Designer: KASEY O'KEEFE Address: 414 EMERALD BAY LAGUNA BEACH, CA 92651 Phone: (949)484-5075 Construction Valuation : $525,000.00 Added/New/TI sq. ft. Bldg : 498 Alteration sq. ft. Bldg : 500 Added/New sq. ft. Garage : 0 TOTAr.sR..tE-Bldg 998 1 �� 16 �'� N OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ftem(s:) 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 iD permit to filo 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 Tofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant io a civil penalty of of more than five hundred dollars ($500)., 1 1, as owner of the property, or my employees with wages as their sole compensation, will do C_) ail 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 nprovements 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 nproved for the purpose of sale). 3 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not pply 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), 3 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legall! oil 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 'rofessions Code„ is available upon request when this application is Submitted or at the follewing'Neb site:http:/iwww.leginfo.ca,govlcalaw.btml, llgnature of Property Owner or Authorized Agent Date _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business and Professions Coda, and my license is In full force no effect. License Class License No Date Contractor Signatur VORKERS' 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 HUNORE THOUSAND DOLLARS IE100A001.7N 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 fallowing declarations: and will maintain a certificate of Conseil to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ce 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 issued. My workers' compensa. carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued.. I shall notemploy any person in any manner so as to become subject to the workers' compensation taws of California, and agre t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant gattY CI_ARATION REG CONSTRUCTION LENDING AGENCY (/� Heby 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, Civil Code). ider's Name Lender's Address 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 I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building. construction. I authorize representatives of this city or crn.,ry�y to enter the above -identified property for inspection purposes. \ ' �7 /t nature of Property Owner or Authorized Agent\_-�, —� Print Property Owner's or Authorized Agfi Name v !`e A 4odef-&- / Date l 112 /7 7 ACTION PERMIT EXPIRED PERMIT CANCELLED PERNUT EXTENDED PERMIT FINAL CER T(FICATE OF OCCUPANCyf55UE0 DATE BY 'i DECLARATIONS. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGULATIONS PART 61 OF TITLE 40 AND AQMD RULE colrs(P J I SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION 15 NOT APPLICABLE TO