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HomeMy WebLinkAboutXR2023-2044 - Permits�6Wpo"T City of Newport Beach 111 IIIpIII 1111111111111111111111111111111111111111111 111� 11 I' A Community Development Department- Building Division X R 2 0 2 3 2 0 4 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 u ems, S newponbeachca.gov/civic C9G/repN�P Combination Type - Work Class - Alteration COMB Permit : XR2023-2044 Plan Check No : PC2023-1788 Issued Date : 07/25/2023 Final Date: Permit Status: Issued Inspection Area : 5 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 : 700 BEGONIA AVE, 1/2 Legal Desc : P BK 260 PG 9 PAR 1 UN 1 P.M. 260-09, PAR. 1 OF PR Description: DUPLEX - R/R INSULATION OF DRYWALL 70 SF Owner: JACQUELINE PETERS Contractor : DRYMASTER Architect Address : 700 BEGONIA AVE #B Address : 26021 PALA #150 Address CORONA DEL MAR, CA 92625 MISSION VIEJO, CA 92691 Phone: (714) 290-5100 Phone: .(949) 492-1100 Phone: Con State Lie : 959916 State Lie Lie Expire : 04/30/2025 Applicant: RON STANGE Bus Lie: BT30063173 Engineer Address : 24310 MOULTON, #0-137 Bus Lie Expire : 05/31/202.y Address LAGUNA HILLS, CA 92637 Phone: (949) 207-3468 Workers' Compensation Insurance Phone: Carrier: STATE+COMPENSATION+INSURANCE+FUN D Owner/Builder : Policy No: 9217814 Designer: DRYMASTER Address : W. C. Expire: 9/24/20,'Z 4 Address : 26021 PALA #150 MISSION VIEJO, CA 92691 Phone: Phone: (949) 492-1100 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $2,200.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : 70 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 18, Side: 3, Side: 4, Rear: 5 Flood Zone: X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: CONDITIONS: NO CONSTRUCTION WORK SPECIAL 0NNor-ar-CTO i 0N SATURC?AyS OWNER -BUILDER DECLARATION 1 hereby affirm under penalty 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, demolish, or repair any structure, prior to its issuance, also requires the applicant for the 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 703L5 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 U 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 improvements 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 improved for the purpose of sale). I, 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 atply to an owner of property who builds or improves thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' Slate License Law). LA I am exempt from licensure under the Contractors' Stale License l_aw for the follownng reason By 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 legally !sell 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 !.Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.teginfc.ca.gov)calow.html, Signature of Property Owner or Authorized Agent _ _____.___._..,...__......______-......_..._....._..._._______ Date !.. LICENSED CONTRACTOR'S DECLARATION _ I hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 70 f Division 3 of the Business and Profe5' s Co anSJ jny Is In full farce and effect. License Class License No Date %a1,20a Contractor Signature ? WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORILERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1500,0001., IN ADon10N TO THE !!COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 370E OF THE LABOR CODE, INTEREST, Me ATTORNEY's FEES. iI hereby affirm under penalty of perjury one of the following declarations: ![ 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 thl performance of the 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' ranee carrier and policy number are! Policy Number Expiration Date of Agent Phone # _ certify that, in the performance of the work for which thispermit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation taws of California, and ogre it I should become subjaii 1ne orkeq' Compensation provlsions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions. EC Onalure of AN REGt _ CONSTRUCTIO tj LENt31 1 AGENCY 10 Date_ of i hereby affirm under penaltyof perjury that there is Been ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address By 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 county ter e a v = property for inspection purposes. Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ACTION DATE. BY DECLARATION OF COM ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY LREGULATIONS PART 61 OF TITLE 40 AND AQMD RULE .. TT2�44r0F3 PERMIT EXPIRED 'f LJI SJRMITTED ACRESTOS NOTI FICATI ON TO PERMIT CANCELLED tJEP , ............ PEFLfIT EhTENDED OMD PERMITFINAL 1 11( 7��j n,r LJASBESTOSNOTIFICA'TION ISNOT CERTIFICATE OF l��J✓,�7 `V `PROPOSED OFM(1L ITI� OCCUPANCYISSUED ,IG JAIURE: J Date 7,