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Home My WebLink AboutX2022-1069 - Permits"EWPoRT COMB Permit : X2022-1069 City of Newport Beach II II I II I III I I II I I II 11 @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0980-2022 Permit Counter Phone: (949) 644-3288 Issued Date : 09/19/2022 u»� x Inspection Requests Phone: (949) 644-3255 Inspection Area : 3 Cq</FeµN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Addition/Alteration PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DA NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL(P Job Address: 337 HOLMWOOD DR Legal Desc : N TR 1136 BLK LOT,14 Description : SFR INTERIOR REMODEL 966 SF & ADD 732 SF 121-2365 Owner: KEVIN EMERSON Contractor: CLAYTON BUILDERS INC Address: 337 HOLMWOOD DR Address : 393 LA PERLE PLACE NEWPORT BEACH, CA COSTA MESA, CA 92627 Phone Applicant: CLAYTON BUILDERS INC Address : 393 LA PERLE PLACE COSTA MESA, CA 92627 Phone: (949) 279-5910 Owner/Builder : Address : Phone Phone : (949) 279-5910 Con State Lic : 846631 Lic Expire : 09/30/2022 Bus Lic : BT30043010 Bus Lic Expire : 04/30/2023 Workers' Compensation Insurance Carrier: ACE AMERICAN INS CO Policy No: C69972147 W. C. Expire: 8/1/2023 Architect Address Phone: State Lic Engineer: ROSS SCOTT WILLIAM Address : 1800 E 16TH STREET #B SANTA ANA, CA 92701 Phone: (714)835-2800 Designer: GUILLERMOVALENZUELA Address : 14816 PARAMOUNT BLVD PARAMOUNT, CA 90723 Phone: (562)529-5503 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $250,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 732 Occupancy Groups : U.R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage: 0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 0 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION f 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 is 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 l censure 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 at more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law doe.; not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the eprovements 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 Dproved for the purpose of sale). 3 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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 I am exempt from licensure under the Contractors' State License Law for the following reason ......... ly 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 legail} ell 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 copyof the applicable law, Section 7044 of the Business and 'rofessions Coda, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.govJcalaw.hlml Ilgnature of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seelio OQ'�yO �}s1 3 of the Business and Basle d Ipy�lic�ense is In full force ,nd effect License Class License No Da� "G Y--Z-Contractor Signal / P�IJ VORKERS' COMPENSATION DECLARATION rARNING: 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 ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES_ 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 th erffefmance of the work for which this permit is issued. Policy No. Y'-1111ye 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' compensatior nsurance carrier and policy number are: ;artier Policy Number Expiration Date Jame of Agent Phone # :1I certify that, in the p d rmaOr work for which this permit is issued, shall not employ any person in any manner so as to become subject to the work Compensation laws of California, and agre hat, if I should become b4CN—STR or compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. nce Signature of Applicant DatKvi ° ! )ECLARATION RE G D9ION LENDING AGENCY 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 (Section3097, ode). _endor's Name Lender's Address 3y 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 c un ordinances and state laws relating to building construction. I authorize representatives of this city or count . e t a e-idan'fied rly for inspection purposes. Signature of Propertyy Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY v I, D 1 ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i. RF.GllI. IONS PART 6I OF TITLE 40 AND AO,MD RULE 1403 PERMITEXPIRED _�'ZS'Z`t I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED CIEPA FERMiT EXTENDED � __ PCRMI7 FINAL Y�T 'BE5TO N TIFICAi'EO/y ISN TSPPL::ARlEWTU� CERTIFICATE OF PROA SEODE OLRfON OCCUPANCY ISSUED SIGNATURE: