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Home My WebLink AboutXR2023-0359 - PermitsCity of Newport Beach p d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 .m< Cq[(F�0.N�P Inspection Requests Phone: (949) 644-3255 newportbeachce.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration ��III��I�IIII��III�III��111 II COMB Permit : XR2023-0359 Plan Check No: PC2023-0284 Issued Date : 02/15/2023 Inspection Area : 3 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: 1621 INDUS ST Legal Desc : N TR 4307 BLK LOT 18 Description: SFR REMODEL OF KITCHEN, AND FAMILY RM, CREATE UTILITY RM AND EXTERIOR FACADE CHANGES 655 SF Owner: MERRELL JOSHUA TR Contractor: LESLIE JAMES MERRELL Architect : MASSARO ANTHONY P, Address : 2182 MESA DR Address : 2182 MESA DR. Address : 2533 GREENBRIAR LN STE A COSTA newport beach, CA 92660 NEWPORT BEACH, CA 92660 MESA, CA 92626 Phone: Phone: (714)904-7142 Phone: (714)556-8299 Con State Lic : 630447 State Lic Lic Expire: 03/31/2024 . , , , Applicant: MASSARO ANTHONY P Bus Lic : BT Engineer Address : 2533 GREENBRIAR LN STE A Bus Lic Expire : 02/29/2024 Address COSTA MESA, CA 92626 • - - Phone : (714) 556-8299 Workers' Compensation Insurance Phone Carrier: EXEMPT Owner/Builder: Policy No : EXEMPT Designer Address : W. C. Expire: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $91,700.00 Type Of Construction : V-B Fire Hazard Zone : NO Added/New/Tl sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 655 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25 Flood Zone : X Use Zone : SP/-7 -� Santa Ana Heights Specific Plan PROCESSED BY: !/"— SPECIAL CONDITIONS: m.. w 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 checkmark(s) I have placed next to the applicable item(s) 'section 7031.5. Business and Professions Code: Any city or county (hat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for le 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 rofl ions 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 of more than five hundred dollars ($500j. I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portionsofthe work; and the structure is notintended 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 nprovements 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 nproved for the purpose of sale). 1 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 .poly 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:— ly my signature below I acknowledge that, except for my personal residence in which I must havo resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally 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 copy of the applicable law, Ssction 7044 of the Business and 'roiessions Code, is available upon request when this application is submitted orat the following Web site.hitp:/lwwwaeginfo.ca.govfcalaw.htrnl. flgnature Of Property Owner or Authorized Agent Cate ACENSED CONTRACTOR'S DECLARATION hereby affirm Liter pe:ially of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 000) Hof ision of the Business and Professi Ide, and my license is In full farce nd effect. License Class C— 3(s — Cb License No Date 2 i '?Oontrador Signature�r �-�t/ �� V0R KFRS' Cf)MPEtISATION DECLARATION rARNINC: 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 t$100,000j, IN ADDITION TO THE '.1ST OF CCMPERSATICN, DAMAGE$ AS PROVIDED FOR IN SECTION 311 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penally of perjury one of the following declarations: I I Haub 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 fhi orformance of tl,s work for which this permit is issued. Policy No. -11 hevq 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" compensation isurance carrier and policy number are: ;drriar _ _ Policy Number Expiration Date 3 mR of Agent Phone t# "y that, ir, the oerFormance 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 agree 1a , f I should become subject is he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant _ )ECLARATION REGA DING CONSTRUCTION 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, Civil Code). .enders Name Lenders Address Iy 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 laces relating to building construction. I authorize representatives of this city Or count to en he above -identified property for inspection purposes. �.I c signature of Property Owner or Authorized Agsitt .v- EzQ Print Property Owners or Authorized Agent's Name, — f�< 5 ACTION DATE By DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY � REGULATIONS PART 61 OF TITLE 40 AND AOMO RULE PERMIT EXPIRED PERMITCANEELLEe PER,UMTF1NAt /' CERTIRCATE OF �( OCCUPANCY1ZLIED V NOTIFICATION TO ISNOTAPPLICABLF TO