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Home My WebLink AboutXR2023-2110 - Permits�EWPO,4, City of Newport Beach 111 111111111111111111111111111111111111111111111111111 III jj e Community Development Department- Building Division COMB Permit : XR2023-2110 0�.. y X R 2 8 2 3 2 1 1 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1840 6 ? = Permit Counter Phone: (949) 718-1888 Issued Date : 0810112023 newportbeachca.gov/civic Final Date: Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - Alteration Inspection Area : 4 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 : 505 BAY HILL DR Legal Desc : N TR 12105 BLK LOT 1 UN HOLD Description: ATT SFR - INTERIOR ALTERATION OF 3 BATHS, KITCHEN. R/R FIREPLACE SURROUND, DOORS, LIGHT FIXTURES 600 SF Owner: LAUREN ZIELINSKI Address : 505 BAY HILL DR NEWPORT BEACH, CA 92660 Phone: (316)253-3881 Applicant : BARRY WALKER Address : PO BOX 11658 NEWPORT BEACH, CA 92658 Phone: (949)246-4085 Owner/Builder : Address : Phone: Contractor : JENSEN OC REMODELING Architect Address : 1801 TERRY LYNN DR Address SANTA ANA, CA 92705 Phone : (949) 230-7122 Phone Con State Lie : 1093403 State Lie Lie Expire : 06/30/2024 Bus Lie: BT30082041 Engineer: Bus Lie Expire : 06/30/2024 Address Workers' Compensation Insurance Phone: Carrier: NO EMPLOYEES Policy No: EXEMPT Designer W. C. Expire: Address Phone: Code Edition : 2022 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 : Flood Zone : X Use Zone : PC - Big Canyon PROCESSED BY: ngO SPECIAL CONDITIONS: BARRY WALKER PO BOX 11658 NEWPORT BEACH, 92658 (949)246-4085 NO Construction Valuation : NO Added/New/Ti sq. ft. Bldg 1 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage TOTAL sq. ft. : $65,000.00 0 600 0 OWNER -BUILDER DECLARATION I hereby affirei 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 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 file a signed statement that he or she is licensed pursuant to the provisions of the ContractorsStale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'Ofess ors Code) or that tie 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 lot more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 at property who, through employees' or personal effort, builds or improves the property, provided that the elprovements are not Intended or offered for sale. 11, however, the building orimprovement Is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or reproved for the purpose of sale). 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 sooty 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). y' 7 p g. p y p , _.. _....----�-- I am axem. d from licensure untler the Contractors' Steve License Law or me following llowing reason 3 m ' si nature below I acknowled a that, exce t form ersonal residence ur 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-buildar it 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 suerhttp:/iw .leginfo.ca.gov/calaw.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 Sectio 00) [jMe on 3 of the Business and Prase ons ode, d y license is in full force and effect. License Class License No Dat (( Z Contractor Signatur 1MORKERS' COMPENSATION DECLARATION NARNINGi 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 1E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY FEES. hereby affirm under penalty of perjury one of the following declarations: I have and wilt 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 ormanco 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' compensa ranee carrier and policy number are: Policy Number of Agent Date kcartify that, in the performance 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' compensation laws of Calfforrtla, and agre Iat, if I should becorn bjectle w kerscompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. ��)) I� /� �7 ignature of Applicant ,_.._._..__ _._..,._....._.._ Da _.,._..___.___,r._._. ECLARATtON REG Of CTION LENDING AGENCY hereby affirm under natty o that there is a construction lending agency for the performance of the work for which this permit is issued' (Section 309 ivil Code). ender's Name Lender's Address y 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 ha a provided is correct. I agree to camply with all applicable city and co rt ordinances and state laws relating to building construction. I authorize representatives of this city or county to enterlh ve- miffed property for inspection purposes. ianature of Property Owner or Authorized Aaenl Print Property Owner's or Authorized Agent's Nan e �' �T"ey 5 q Uate j ZJ ACTION DATE. BY / i DECLARATIO RorALIANAND DEOFCDRAL FOR OFFICE USE ONLY v AS PALE 40 RLF1403 PERMIT EXPIRED I t.J I SVRM TTFD ASRFSTOS NOTIFICATION TO -_-- PERMIT CANCELLED t \ L JCPA ... PERMlT EXTENDED _ � L'1RMG PCRfvfIT FINAL I'O ASBESTOS INCAII NO APPLICABLCERTIF)CATE OFE OCCUPANCY ISSUED /��i SIGNgTiE0�D171O