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Home My WebLink AboutXR2022-2224 - PermitsD��EW PORT City of Newport Beach IIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2U22-2224 e Community Development Department- Building Division X R 2 0 2 2 2 2 2 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2073 > = Permit Counter Phone: (949) 644-3288 Issued Date : 02113/2023 .sr Inspection Requests Phone: (949) 644-3255 Inspection Area : 6 �q4 FoaN�P newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - 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 : 15 CAMBRIA DR Legal Desc : N TR 7844 BLK LOT 98 Description: SFR R/R 12 DOORS/WINDOWS, 240 SF DECK REMODEL Owner: SALINGER THOMAS S TR Address : 15 CAMBRIA DR CORONA DEL MAR, CA 92625 Phone: (714)609-2327 Applicant : BILLING MARK Address : 288 BAYWOOD DR NEWPORT BEACH, CA 92660 Phone : (949) 675-1326 Owner/Builder : Address : Phone Contractor: TEKTON GROUP INC Architect : BILLING MARK Address : 2749 SATURN ST Address: 288 BAYWOOD DR NEWPORT BEACH, BREA, CA 92821 CA 92660 Phone : (949) 573-7090 Phone : (949) 675-1326 Con State Lic : 1083703 State Lic: Lic Expire: 11130/2023 Bus Lic : BT30080702 Engineer Bus Lic Expire : 02/29/2024 Address Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9139164 Designer W. C. Expire: 8/4/2023 Address 9 Phone: Code Edition ; 2019 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U,R-3 No of Units : Bldg Height: No of Stories Building Setbacks ; Front: 6, Side: 5, Side: 5, Rear: 45 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: NO Construction Valuation : $100,000.00 NO Added/New/Ti sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 240,,•- 2 Added/New sq. ft. Garage: 0 �- TOTAL sq. ft. 0 d OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that 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 items) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter. improve. dernolish, or repair any structure, prior to its issuance, also requires the applicant for ie permit to file a signed statement that he or she is licensed pursuant to tho provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031 Z by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars 1$500). 1, as owner of the property, or my employees withwages 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, 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 nprovemems are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-l3uilder will have the burden of proving that it was not built. or reproved 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' State License Law does not poly 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: _ ,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 legaiii ell a structure that I have built as an owner -builder if It has not oeen constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, Isavailable upon request when this application is submitted orat the following Web site:http:fiwmv.leginfo.ca.gov/calaw.html, tlgnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION j hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9. (commanding with Section ) of Division 3 of the Business and Pr e/sf/SI'ons�Co e and m Is In full force no effect. License Class License No Date Contractor Signatur PORKERS' COMPENSATION DECLARATION , ARNING: 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 ($10,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 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 self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th erformance of the work for which this permit is issued. Policy No. ve 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 nsurance carrier and policy number are: :arrler Policy Number Expiration Date \lame' of Agent Phone H -1I certify that, in the perforrAnce 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' comp nsation laws of California, and agre hat, 3t I should becomes ct to efiiorkers' compensa' ovisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. �7 Signature of Applicant _ Date 7ECLARATYON REGAR'. �l TRUCTION LENDING AGENCY hereby affirm under penalty of perjury that theca is a ccnstrudlon landing agency for the performance of the work for which this permit is issued (Section 3097, Ci i .ode). _ender's Name Lender's Address 3y 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 vided is correct. 1 I agree to comply with all applicable city and dou y dinancos and state laws relating to building construction. 'S1� f' I authorize representatives of this city or county o nter the a. e-Identified rty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Namei Ile 2'�3 ACTION DATE BY ! DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY - i REGULATIONS PART BSI OFTITLE40 AND AONID RULE 1403 PERMIT EXPIRED I SuamimD ASBESTOS NOTIFCATION TO PERMITCANCELEED _, PERWWJT EAMENDED PEAPFIC i(•2-2'j AS8ESTD NOTIFICATION' 15 NOT"APPLICABLE TO TE CERTlFlCATE OF POSENjulouT OCCUPANCYISSUED SIG T11