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Home My WebLink AboutXR2022-2423 - Permits�EWPo�,_ City of Newp6,' - ,tt II I I I I II I II I III I it II II COMB Permit : XR2O22-2423 o� p Community Development Department - BLAding Division �' 100 Civic Center Drive, NewportBeach, CA 92660 Plan Check No : PC2022-2268 ` n Permit Counter Phone: (949) 644-3288 Issued Date : 09/23/2022 u .s„ Inspection Requests Phone: (949) 644-3255 Inspection Area : 2 cgGiFe RN�p newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS NO CONSTRUCTION Job Address : 18 HARBOR ISLAND Legal Desc : P BK 182 PG 43 PAR 1 Description: SFR -REMODEL 1ST FUR KITCHEN, PANTRY DOG STATION. BATHS AND BAR @ BILLIARD ROOM 1076 SF „ Owner: MORFONTAINE HOLDINGS LLC Contractor: DWELL HOME SERVICES Architect Address : 18 HARBOR IS Address : 3857 Birch St, #460 Address: NEWPORT BEACH, CA 92660 Newport Beach, CA 92660 Phone: Phone : (949) 735-2249 Phone Con State Lie : 1031798 State Lie: Lie Expire : 10/31/2023 Applicant : Oscar Almendarez Bus Lie: BT30079762 Engineer : EUGENG Address : 31234 W. Nine Dr 1437LARGL NNEYRHAROL Bus Lie Expire : 09/30/2023 Address : ST A LACNA BEACH, CA 921�51 LAGUNABEACH, Phone: (951) 990-4834 Workers' Compensation Insurance Phone: (949) 497-5203 • . , Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone: Use Zone : PROCESSED BY: Policy No: 9278172 Designer: Oscar Almendarez W. C. Expire : 6/18/2023 Address 31234 W. Nine Dr a./ 2019 Fire Sprinklers : NO V-B Fire Hazard Zone : NO R-3 No of Units : 1 No of Stories : 3 Front: 15, Front: 0, Front: 15, Side: 4 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: HIGH DENSITY ZONE; LIQUEFACTION CONSTRUCTI04Ko O! (951) 990-4834 Construction Valuation : $90,000.00 New/TI sq. ft. Bldg : 0 r r\� THE WEEK Added/INew sq. ft. Garage: 0 '076 °a. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the, chr.ct=mark(s) I have place: nPxl - the applicable items) (Section 7031.5. Business Hnd Professions Code: Any city or county that requires a permlt 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 licensors 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). 71 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 7u,,, 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 properly, 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 or the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply 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 resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legall sail a structure that I have built as an ownor-builder if it has not been constructed in Its entiroty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and -rofessions Code, Is available upon request when this application is submitted or at the following Web site:http:/lwww.leginfo.ca.govfcalavr. hurl. Signature of Prop^rty Owner or Authorized Agent _ _-� _ D to LICENSED CUMR'1CTOR'S DECLARATION --�� ,lerehv affirm under penalty of perjury that I am Ilcensed under provisions of Chapter 9 (commencing with Section 7 rvi '/q/�i33 of the Business and Profe s' �. y 1 erana is In full force a.id effect. Lice.ise .;lags License No Date �r" Contractor Signature NORKERS' COMPENSATION DECLARATION VARNILG. 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 iitD0,OD0), IN ADDITION TO THE 20RT OF,COMPERSPTIOF' Or MAGES AS PROVIDED FOR IN SECTION 11708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: f,3,e and wilt TnalrfaIn a certificate or 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 th of the work for which this permit is issued. Policy No. Cava and will main*e;n 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" compereatior Trance carrier and Nol,cy number are: Iur_ _ _ Policy Number Expiration Date ,L if Agent _ _ _ Phone # certify that, in the perfo tan e o the work for w ' this R erm t is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre if I should become sub ct o t w kers co ery ,ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.-- Ialure of Applicant_ Date / =LARATION REGARiSIN CON RUCTION ENDIN AGENCY I hereby affirm under penalty df peritlry that there 11, etSnstruction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders 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 pip IdeCIis corre- I agree to comply with ail applicable cuty and county orejrnaces and ate laws relating Co building construction. I authorize representatives of this city or county t t T. i C dent! d �operty for inspection purposes. - J /��/ `'�� j�/ Signature of Property Owner Or Authorized Agent ,�i/lip Pont Ptooertv Owner's or Authorized Agent's Name x V nam ACTION DATE BY OtCLARAIll VZSLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ( 34e3 PERMIT EXPIRED I I I LJ I SUBMITTED A5RFSTOS NOTIFICATION TO PERlARTEXTENDED I QMD PER,U7T FINAL CERTIFICATE OF/vJ�/'jy BESTUS NOTIFICA'TIUN IS N01"APPLICABLE 7U J�rc. C�.. OPOSEO DEMO ITtON OCCUPANCY ISSUED SIGNATURE: IS