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Home My WebLink AboutX2022-0783 - Permits�EwPO�T City of Newport Beach p`� b Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-�255 o9<iFoa"`P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Addition/Alteration II� X�� II0I��07I3�� II COMB Permit : X2022-0783 Plan Check No : 0700-2022 Issued Date : 12/14/2022 Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WO Job Address : 1600 ANITA LN Description : SFR ADD 232 SF, REMODEL 3,522 SF Owner: Matthew & Danielle Shaw Address: 1600 Anita Ln Newport Beach, CA 92660 Phone: (949)351-9903 Applicant: TODD CUSTOM HOMES INC Address : 23552 VIA PALOMA TRABUCO CANYON, CA 92679 Phone : (949) 279-7535 Owner/Builder : Address : Phone Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: Legal Desc : N TR 3800 BLK LOT 27 E!9 INC r CA 92679 *>to 4N r N S)fik E f p i ai f4{. FireE rii r Y Fire one : U . ,� .0 of Units l of Storie Front: 20, Side: 6, Side: 6, Rear 6 a a X r Contractor: TODD CUSTOM Address: 23552 VIA PALC TRABUCO CAN, Phone : (949) 279-7535' Con State Lic : 635805-' Lic Expire : 04130/2023 Bus Lic: ,*1�3005053¢' Bus Lic Exoic0: 12/31/2023 W. CWplre4% 1 R-1-6000 - Single -Unit Residential (6000 indicate ' inimum lot arear\ SPECIAL CONDITIONS: HAULER: C$MR �v VAL ISSUANCE DATE HOLIDAYS IN ALL AREAS \rchitect kddres ' ne: State Lic Engineer: GHAZLANIAND Address: 4202ATLA ANE yv„. LONG 8 A 90807 Phone : (562 5 ADdesd�igenSesrs4ART 11 `[*fH W,A0 U $ CO A MESA, 92f;27T oree y9) 422-91��';a�' 3 onstLdction Val ton g \ $ ,000.00 Added/New/TI , ft. iil�% : 32 Alteration s . ft. Bld,B' 3,522 Added/ sq. f�:G` e : 0 .TOT sq.ft. 'r 232 UVV NtK-f5U1LUtK UC4t_AKHI Iu1Y I hereby affirm under penalty of perjury that I am exempt from the Contractors' 5tateLicense Law for the reason(s) indicated below by the checkmark{s) I have placed next to the applicableitem(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 :hc 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 Tot more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portlonsof 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 mprovements 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 mproved for the purpose of sale). 71 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 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 am exempt from licensure under the Contractors' State License Law for The fallowing 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 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 site: http:liw w.leginfo.ca.gov)calaw.html. Signature of Property owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I I.ereby effirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio „7000) pf !' 51 n of the Business and Profes Is ens Cod,�and. my license is to full force are ehec License C'I'a�s License No dam— 1 Contractor Signature WCRK-_RS' COMPENSATION DECLARATION W.' RNIN3 FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CI FINES UP TO ONE HUNDRED THOUSAND DOLLARS HIDD,0001, IN AODRION TO THE COST OF COMPENSATION: DA,4AGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. han-by affirm under penalty of perjury one of the following declarations: dare and vdlli mhintain 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 th p�er rmar,ce of the wnrw'ror which this permit is issued. Policy No. ��r0161 irate 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` compensatioi insurance carrier and oet+:y number are: T Policy Number Date I^ o' Agent —1" °, certify that, in the performance of the work for which this permit is!$Sued, I shall notemploy any Person in any manner so as to become subject to the workers' compensation laws of Califomia, and agre if I should become subject to the wo cers' compensation provi of Section 3700 of the Labor Code, I shall forthwith comply with those previsions. Nature of Applicant areby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for vdticb this permit is issued (Section 3097, Civil .ode). Idor's Name Lender's Address 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. w! f �� f zaA y y 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 to ant the e-Identified prope for inspection purposes. A .O ..__._ A,.0,-- v I Aae„r � � Print. Prooertv Owner's or Authorized Agent's Name _ . ACTION DATE By DECLARATION OF COMPLIANCE. WITH CODE OF FEDERAL FOR OFFICE USE ONLY S REGULATIONS. PART 51 OF TITLE 40 AND ADMIT RULE PERMIT EXPIRED L-.I I SUBMITTED ASBFST05 NOTIFICATION TO PERMIT CANCELLED IQ DEPA Pog PERT EXTENDED �.: 4JA. D PERMIT FINAL `BESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF I PROPOSED DEMOLIT`IONJ� OCCUPANCYISSUED SIGNATURE: �/ _J _�