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Home My WebLink AboutXR2023-1311 - Permits�_WPORT COMB Permit : XR2023-1311 City of Newport Beach III �� I�� I�� II�II��II� II @ Community Development Department- Building Division O@ X R 2 0 2 3 1 3 1 1 > y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1181 i Permit Counter Phone: (949) 718-1888 Issued Date : 8/2023 >� newportbeachca.gov/civic c r T { C'� -�.ram; 7 /-''- ",ice Inspection Areaa : 8 9�/FORN� Combination Type - ELEC PLUM - � '+ Work Class -Other 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: 301 EVENING STAR LN Legal Desc : N TR 4224 BLK LOT 141 Description: SFR DEMO (E) PREFAB UG SPA PER CITY STANDARD *METHOD B*. INSTALL GAS LINE FOR FIRE PIT. INSTALL EXT OUTLETS Owner: CHRIS DELATORRE Contractor: HQ REMODELING & DESIGN Architect Address : 301 EVENING STAR LN Address : 9114 ADAMS AV STE 574 Address NEWPORT BEACH, CA 92660 HUNTINGTON BEACH, CA 92646 Phone: (949)689-9303 Phone: (415)770-5732 Phone: Con State Lic : 1041842 State Lic Lic Expire : 07/31/2024 Applicant : SOCAL PERMIT SERVICES Bus Lic : BT30081609 Engineer Address : 24344 CRESTLAWN ST Bus Lic Expire : 05/31/2024 Address WOODLAND HILLS, CA 91367 Phone: (818) 309-2823 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No : 9276323 Designer: SOCAL PERMIT SERVICES Address : W. C. Expire : 5/19/2024 Address : 24344 CRESTLAWN ST WOODLAND HILLS, CA 91367 Phone: Phone: (818) 309-2823 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $2,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg: 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone: AE, 8 FT; X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: (g43 - SPECIAL CONDITIONS: AE8 FLOOD ZONE & LIQUEFACTION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the mason(s) Indicated below by the checkmark(s) I have placed next to the applicableilem(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, poor 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 7031.5 by any applicant fora permit subjects the applicant to a Civil penalty of not more than Five hundred dollars ($500). El 1, 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 safe (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). 111, 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 apply to an owner of property who builds or Improvesthereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from licensure under the Contractors' State License Law for the following reason: ,y 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 oil a structure that I have built as an owner-buildor 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 'rofessions Code, is available upon request when this application is submitted orat the following Web siteaittpJ/wwvr:leginfo.ca,govlcalaw.titmi, signature of Property Owner or Authorized Agent _ ,� Dale .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisi n 3 of the Business and Professions and my license is in full force nd effect. License Class License No Date Z Contractor Signature An,. v VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SMALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANO DOLLARS i3100,0001.I11 ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR9N SECTION 3705 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S PEES. hereby affirm under penalty of perjury one of the following declarations: I 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 thf erformance of the work for which this permit Is issued. Policy No. have and will maintain workers' compensation insuranco, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carder and policy number are: Policy Number Date is of Agent rnone s certify that, in the performance of the work for which this permit is issued.., I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and if I ehoulrl hecome subject ta1he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date_ hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lenders 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 have provided Is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. �f Aw ection purposes. ioniature of Property Owner or Authorned Agent y or county to,e eF eve-i n�ified property for inP rint Property Owner's or Authorized Agent's Name i s.o p3fius l -'-ra ACTION P€RrvftT EXTEf4DEJ PFFV 7 MINA! CFRTrPWE OF OCCUPANCY ISSUED DATE. BY DECLARATION OF COMPLIANCE W1714 CODE OF FEDERAL FOR. OFFICE USE ONLY I. i RFGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ISU TO (Q ASBESTOS NOT I HCATION IS NO] APPLICABLE TO PROPOSED DEMOL;7fiQVLa _ Date