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Home My WebLink AboutX2021-2083 - Permits�atiWPoRr City of Newport Beach o @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C'9{rFe R�`P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Addition/Alteration III 1111111111111111111111111111111111111111111111111111IIIII jj COMB Permit: X2021-2083 Plan Check No : 1805-2021 Issued Date : 07/25/2022 Inspection Area : 1 PERMITS EXPIRE '17SF R T NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION f2CIS Dq.Y S N YIN HIGH DENSITY - OLIDAYS IN ALL"AREAS l Z, ------ If applicable: Job Address : 250 COLTON STigal c N LO L EX NELY T ND NELY 19 FT LOT 1 8 BLK 6 SURFA�4n E AND 500 FT Sub AAli 0=111111 � (�b or ❑ 100% refund Description: SFRADD747SF.Owner: SCOTTDEFREITASContractor: t0 WhQF�iii BROWNKENNETHAddress : 250 COLTON ST -re Address : 25401 CA #207 LAGUNA HILLS, NEWPORT BEACH,„ r{f , CA 92653 Phone:FPh '� ? Phone; (949)981-5106 ; _-�� is ; State Lie _ Lie Expire . Applicant: BROWN KENNETH Bus Lie: Engineer: Address : 25401 CABOT RD #2 7 �s Bus Lie Expire : Address LAGUNA HILLS, CA 65 _ Phone: (949) 981-5106 r' ( I. Workers' Compensation Insurance Phone. 'a Carrier: s? „•' - a :.-• E - Owner/Builder: SCOTT DEFREI AS �',,^.,;; Policy No: Designer: Address : 250 COLTON ST t W. C. Expire: Address NEWPORT BEACH, �A926@gi�IE'`-- - Phone : q`14- %-511$4i• �' I°• _ Phone Code Edition : 2019 Fire Sprinklers : YES _-construction ton : $227445.00 Type of Construction : V-B _ - Fire Hazard Zone - -NO -Added/NeWITI sq. . Idg : 747 . Occupancy Groups : U,R-3 No of -Units : ,1 Alteration sq..ft.. Bldg Bldg Height : No of Stories : 3 Added/New sq. ft. Garage: 0 .. TOTAL sq. ft. 747 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 _ Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: HAULER; [Rk� LIQUEFACTION 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 Rent 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 is permit to file 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 'rofessions Code) or that he or she is exempt from licensure andthe bests for the alleged exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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. IL 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). 94, 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 �rply to an owner of property who builds or improves thereon. and who contracts for the projectswith a licensed Contractor pursuant to the Contractors' Slate Qiense.Lagy . J I am exempt from licensors under the Contractors' State License Lim for the following reason: ly my signature blorh rserlakiesl mu3 have resided for at least one year prior to completion of the improve enT� offered bq this permit, I cannot IegalP, ell a structure that s an owner -boil r if ha n t tad its ant rely by lice'rofesslons Code, isf or the followingignature of Propert.ICENSED CONThereby affirm undernd effect. Licensesrm3 Lrcense No _Date Contractor Signature � p� ARNING: FAILURE TO SEC E W NERS' COL. NSATIONwxCICRAGE IS UNI-AWrUL, ANo SHALL SUBJECT AN EMPLOYER HYCI:IMI}Q PTO ONE HUNOREO TH SAikl [ OLLARS ($10o,aao), IN ADORION TO THE COST OFCOMPENSATION. 0 MAGEASPROYIO FOR IN SECTION17af OF THE LABOR COOS. INTEREST, AND ATTORNEYS FEES. _ I hereby affirm under peha!ty df perjury A of the following declarations ❑ 1 have and will maintain a certdmate f consapt-Lo sglf-instr$e for w krrm' raptpensativp Issued by Director of Industrial Relations as provided for by ectrdr7 3700 of the Labor Code, for th, performance of the work or Wit 1 11 pr Intl Is Issufid' PD*y No. ❑I have and will maintfn "r,,r .o perzvllon Insu anga, as requited by Section 3700 of the labor Cotle, for the performance of the work for which this Be It Is &sued. My workers' compensatior insurance carrier and policy nurnuJI; are: Carder Policy Number Expiration Date of Agent Phone if rtN44a11'm'e vxcartify that, m the pe r. rmance o the work for which this permit is issued, I shall not emplo o any manner sgas t�baaRme tlNy t4dVi uporkers' compensation if " blip laws of California, and agree that, i should become r 9 A Hp pro r� n 3700 of the abor od I she}I forth comyly witt)11hojfl'vi'loirs, _ £ Signature of Applicant 3 _ a z �I Date,TJ -' - R DECLARATION REGAR IN UCTdON LE DING AG C ECLaffirm under It of erju hereby q y p rythat t etabari n agency for the performance of the work for which this permit Is issued (Section 3097, p de). Lenders Name Lenders Address By my signature below, I rtify to each of the following. I am the property ow r pflEed to act on the propertyowner's --- -- - ' - I have read this add it tibn dhdihe orma Con have provided is Correct. I. agree tc c rrpP, wit Il applicable city and county ordinances and state laws relating to building construction. I authorize represents v Gve-I an I led property for inspection purposes. C `Owl " 71 �iLt�� SI nature of Pro en — Print Property Owner's or Authorized A ent's Nam¢ J(A Date (b'2-� AC -ION DATE BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY { REGULATIONS PART 61 OF TITLE AO AND AGMD RULE I r 14U3 RERMITCANCELLcD ` ` UEPA sERAr IT FXTENI7ED _ tJAglytp PTRMIT FINALMASBESTOS N 'CATION 15 TAPPLICABLE TO CERTFICATEV i PROPOSEDDE LI 10 OCCUPANCY 05S f,) SIGNATURE: