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Home My WebLink AboutXR2023-1428 - Permits�EWPOR� City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2023-1428 Community Development Department- Building Division X R 2 0 2 3 1 4 2 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 1558-2022 > = sarmit Counter Phone: (949) 718-1888 Issued Date: 05/30/2023 « newportbeachca.gov/civic Inspection Area : 4 °gcicoar`' Combination Type - Work Class - Other 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 : 408 VISTA FLORA Legal Desc : N TR 5740 BLK LOT 73 TR 5740 (L.L.84-214028) PAR 73 Description: MFR ENCLOSE BOTTOM LEVEL TO ADD 403 SF (LIVABLE) 8, 205 (NON LIVABLE) SF 'CHANGE OF CONTRACTOR' Owner: JOHN PAPWORTH Contractor : Architect Address : 408 VISTA FLORA Address: Address NEWPORT BEACH, CA 92660 Phone : 7(4 — Z7y Phone : Phone Con State Lie : State Lie Lie Expire Applicant: JOHN MARTINDALE Bus Lie: Engineer : R MESSIH Address : 24881 Alicia Pkwy E536 Bus Lie Expire : 881 ALI Address : LAGU ALI IL S, CA LAGUNA HILLS, CA 92653 LAGUNA HILLS, CA 92653 Phone : (949) 916-7555 Workers' Compensation Insurance Phone: (714) 386-0802 Carrier : ; Owner/Builder : JOHN PAPWORTH Policy No: Designer: Address : 408 VISTA FLORA W. C. Expire: Address NEWPORT BEACH, CA 92660 Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Pa-� l Bldg Height: No of Stories : 2,019 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0� Building Setbacks Flood Zone : X Use Zone: R-1 - Single -Unit Residential y .. PROCESSED BY: C;. 3 SPECIAL CONDITIONS: O/B FORM ATTACHED a .„ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law Tor the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(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 he permit to fife 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 fie Business and ?rofesslons Code) or that he or she is exempt from ffeensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicantio a civil penalty of I more than five hundred dollars ($500). ' owner of the property, or my employees with wages as their sole compensation, will do U all of or ns of She work; and the structure is not intended or offered for sale (Section 7044, slness and Professions Code: The Contractors' State License Law does not apply to an owner of propert wh orti(rough employees' or personal effort, builds or improves theproperty, provided that the mprovements 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 bulk or mproved for the purpose of sale). 1 1, as owner of the property, am exclusively contracting with Ilcansed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not 1pply 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 licensure under the Contractors' State License Law for the following reason: _ 3y my signature below I acknowledge that, except for my personal residence in which I must have residedforat least one year prior to completion of the Improvements covered by this permit, I Cannot logall, sell a structure that I have built as an owner -build it itklas not been Constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 44 of t e Su iness and 'rofessions Code., is available upon request wfiten ap II aii0 is submitted orat the following Web site;http:flwww.leginfo.ca.gov/calaw.htmi, p �7 signature of Property Owner or Authorized Agent.- Dat I G Z > ,ICENSED CONTRACTOR'S DECLA.RATIO `— hereby affirm undo- penalty of perjury that I am licensed u der provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, nit my license is In full force Ind effect. License Class License. No Date Contractor Signature VCRKERS' C'OM?ENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS t6100A00), IN ADDITION TO THE OS r nF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 37U6 OF THE LASOR CODE, INTEREST, AND ATTORNEY'S FEES. ha,eby affirn under penalty of perjury one of the following declarations: I 1 Cave and wit maintain a Certificate of consent toself-insurefor workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th erformance of C Ie 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' rance Carrier and policy number are: Policy Number Expiration Date of Agent _ Phone 4 I nAr ify that, inL he porfor once of th I work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' 0mpensation laws of California, and agre t, if I should' become ub' c t the workers' compensatloe provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Applica Date S J CLARATION RE ARDINGJ<,),NSTRUC TION LENDING AGENCY areby affirm under penalty jury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode). lders 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, /1 AA (I I have read this application and the information I have provided is correct. J wt H /AaaIL 1'�- LvtrJ L I agree to comply with all applicable city and county dinancesand slate Paws relating to building construction, I authorize representatives of this city or coumKt"ntk)hs above:�Iehfified property for inspection purposes ` I I II n EXPIRED PERMIT DATE I BY RATION OF / I RE¢y1LA7 ON5 PARTO51 FATIi E 0NCE ANpCODE AQMD RU EFEDERAL I FOR OFFICE USE ONLY OCLTIPANCyOSU£0 1O////V-3j a I P*,RDP0LURp' p�1IF' IS NO7 APPLICABLE TO