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Home My WebLink AboutXR2023-0312 - PermitsCity of Newport Beach IIIIIIIII II �IIIII IIII IIII IIII II III I II COMB Permit: XR2023-0312 Community Development Department- Building Division X R 2 0 2 3 0 3 1 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: ! Z Permit Counter Phone: (949) 644-3288 Issued Date : 02/02/2023 Inspection Requests Phone: (949) 644-3255 Inspection Area : 4 eqG/FQ 0.N�P newportbeachca.gov/inspections Combination Type - SFP 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 : 1800 PORT ASHLEY PL Date: 8 ec�af Ds : I�65 BLK COT 53 If applicable: Description: SFR REMOVE AND RE ACE 7 WINDOWS * O HEADER CHANGE* ❑ 80% or ❑ 100% refund e.,� Owner: HAMILTON PATRICK T TR 96"—%a : T & S CONA RRUCT Uf N _. Architect Address : 1800 PORT ASHLEY PL Addresgf` 30802 S COAST HWY #B4 Address NEWPORT BEACH, CA 92 0 ` LAGUNA BEACH, CA 92651 n to WfIOrI I. Phone : (949) 836-1836 6maPhone : (714) 350-8019 Phone: Con State Lie : 724472 State Lic Lie Expire : 06/30/2024 F �� Applicant : T & S CONSTRUCTION Buss,Lic : BT30075960 Engineer: Address : 30802 S COAST HWY #B4 Expire : 01/31/2024 ( Address LAGUNA BEACH, CA 9265114 I' Phone: (714) 350-8019 Workers' Compensation Insurance Phone: carrier: Owner/Builder : Policy NO Rol f5h ®® i s C plan Address : .l��sT��l vri {�.•.11 (, t7lj, Phone: (work Started) (no work *tart&d) Code Edition : 2022 Fire Sprinklers : NO Construction Valuation $7,590.00 Type of Construction : V-B Note., Fire Hazard 7nnp Occupancy Groups : R-3 No of Units : 1 iAA'QtltsCiFf��Y d 0- Bldg Height : No of Storig . ....�..-.0 Building Setbacks : Front: 20, Side: 5, i e: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State license Law for the reasen(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 chat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for :he 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 professions 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 to a civil penalty of not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contmc t a.. to an own r of property who, through employees' or personal effort, builds or improves theproperty, provided that the improvements are not Intended or offered Ior le. If, however, the buildin r rov klwi#diR-oawyear of completion_, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). n O/� ___ _. --- I, as owner of the property, am exclusivel. contt�ih ct6,to C strutt�projecl (Section 7044, Business and Professions Co a: The Contractors' Stai License law does not apply to an owner of property who builds or I roves thereon, and who con cte or e r ctor pursuarjIftl ej".6�tra State License Law). 13 1 am exempt from licensure under the Co tract ense Law for the fq,,(.lowing reason:NN By my signature below I acknowledge that, a apt r my per al residents in w11ILfi mu Ihavd`re r n ear prio�tq p�p�goon of,fhe improvements covered b this permit, I cannot legall) sell a structure that 1 have built as an owner- Ilde f It has not. been constructed in its entirety by llceflsad n c ors., I derstand-tBr Akdpa^ 9jfh+�fpaiWAv�; �04 of the Business and Professions Code., is available upon request hen , p,phcation is submitted or at the following �A ell site:htt le fo.ca,govicalaw.html. Signature of Property Owner or Authorized Get i_ _ v __-,_ _.��,_, ..._„___ µ' _Date LICENSED CONTRACTOR'S DECLA.. TION - ,ma tom: ' I hereby affirm under penalty, of perjury the m -'- Fund Lrovislais of r_hapter rcon,mencinq with Section 00 f Dy(isiory 3�o#the Business and Pro e BIG ; any ` rise is' full force and effect. License Class icense No �C'47 Contractor Signature WORKERS' COMPENSATION DEC. r,y I' NARNINO: FAILURE TO SECURE WORKERS' COMPE T11 IS UN L Nip SHALL SUBJECT AN EMPLOY Eft The l PEep_LTi ND GNL FINES UP' TO ONE HUNDRED T OUSAND DOLLARS (E100,OW), IN AODRIO TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED RIN CTI 06 OF THE LAS COCE, INTERE54, AND RUE 5FEE5 hereby affirm under penalty of perjury one f the fallowing declarations: -11 have and will maintain a certificate c If -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th aerformance, of the work for which this pe it is i Pol 'o b �I have and will maintain workers compfn n I S ii f ie Labor CD .for e -erf raxice,pf the, work,.fof which2 i permit is issued. My workers` compensatiol nsurance carrier and policy number are: +'tea �t �� _ Carrier Policy `WWk Started 1 € Expiration Dale an N gem (no a Uo become s r+ I certify that in the performance of the ®�¢h t s permit is issued. I shall not employ any person in any manner so as to become subject to fhe workers' compensation laws of California, and ogre a d I should become sect to t we is' compenl a Ior naaeF3a^rI^^ 't700 of the Labor Code, I shall forthwith comply with those provisions. Shwalure of Applicant aneby affirm under pal tyrfurY that there s Lendpe ersformance of the wow R'itq*bedt Sadkai9p ider's Name _ my signature below, I certify to each of Hie following: - x� I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information Ahave provided is correct. I agree to comply with all applicable city and c u sty ordinances and late laws�g to building construction. I authorize representatives of this city or county i ntar the ve dentified p for' spection purposes. ^may Z �Z3 nature of Property Owner or Authorized Agent riot Property Owner's or Authorized A ent's Nam �r'L U� 1 ✓t �— Oa TION GATE BY CLARATION OF COMPLIANCE WITH CO OF FEDERAL FOR OFFICE USE ONLY ftEG ATIONS PART 61 OF TETLE 4U 0 AQMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBFSTOS NOTIFICATION TO PERMITCANCELLED V LIEVA PERNITEXTENDED QMO -- PERMITFINAL 5BEST 71FI 'r Ni5 NOT PP41 B4E T CERTIFICATE OF 'PROPOSED O OCCUPANCY ISSUED SIGNATURE, i