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Home My WebLink AboutXR2023-1629 - Permits�EWPo"r City of Newport Beach 111 IIIIIIII III 111111111111111111111111111111111111111 111� 11I COMB Permit : XR2O23-1629 CF A Community Development Department- Building Division X R 2 0 2 3 1 6 2 9 > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1452 i Permit Counter Phone: (949) 718-1888 Issued Date : 07/11/2023 newportbeachca.gov/civic Final Date: Cqt/FO PN�P Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - Alteration 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 : 2212 FRANCISCO DR Legal Desc : N TR 3282 BILK LOT 45 1 r r- Description : SFR REMODEL 3 BATHROOMS 450 SF B 1 C i Owner: ANDERSON CLINTON DELMER Contractor: 0 C BUILDERS GROUP INC Architect Address : 2212 FRANCISCO DR Address : 600 W SANTA ANA BLVD #114A-499 Address NEWPORT BEACH, CA 92660 SANTA ANA, CA 92701 , Phone: Phone: (714)417-7771 Phone: Con State Lie : 1052090 State Lie Lie Expire : 06/30/2025 Applicant : EMILIA AGUIRRE Bus Lie : BT30071659 Engineer Address : 600 W SANTA ANA AVE BLVD Bus Lie Expire : 04/30/2024 Address SANTA ANA, CA 92701 ' Phone: (951) 261-6813 Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder : Policy No : 9256608 Designer: EMILIA AGUIRRE 600 W SANTA ANA AVE BLVD Address : W. C. Expire : 6/28/2024 Address: SANTA ANA, CA 92701 Phone: Phone: (951)261-6813 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $75,000.0C Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 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 TOTAL sq. ft. 0 Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10 Flood Zone : X Use Zone : R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area) PROCESSED BY: �-_ SPECIAL CONDITIONS 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 checkmark(s) 1 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, dem011sh, 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 Centro lors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofassions Code) or that he or she is exempt from Ileensure 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 ($500). 3 1, as owner of the property, or my employees with wagas as their sole compensation, will do (`) all of or U 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 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, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsStale License Law does not iply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), J I am exempt from licensors under the Contractors' State License Law for the following reason: h' 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, ell a structure that I have built as an owner-buildor 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 +A'eb site:http://www.leginfo.ca.gov/calaw.html. ilgnatum of Property Owner or Authorized Agent _ Date _ ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of p ury that I am licensed under provisions of Cat of rq commencing with Section 700 ) of 1 iti siq 3 of the Busln s and P cfes io s de. n my a in full force no effect. License Class r License No I11 ]�_ll Vi d Con or Signatur VORKERS' COMPENSATION DECLARATION - IARNING: FAILURE TO SEC' 'RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADOTTION TO THE DST OF ;OMPENSA r,o,l, DAMAGES AS PROVIDED FOR IN SECTION 31106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm nnde, pLnaity of perjury one of the following declarations: 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 ''or, nance, of the work for which this permit is issued. Policy No. and wJl r.)Jitain of Agent 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' compensatiol are-� I : (1 Policy Number ] L,` - EExpiration Date JI certify that. in the performance of the work fo hich 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 agre )al. if I should be,or.ie subjQ�DDto the wgtrker ' ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. igrature of n'7,t):III VV��((((!! /' te, I l 1 1 C a:2� iECLARATI^. FtUARpING11 RUC N N INGAGENCY Hereby affirm a der penalty of perjury that t ere a construction lending agency for the performance of the work for which this permit Is issued' (Section 3097, Civil Code). endar s Name Lender's Address y my signature below, 1- 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 ordinancesand state laws relating to building construction. I authorize representatives of this clt un,R entVr tp"!Laa4e-identified property for inspection purposes. J ACTION DATE. I BY flFCLA" IO /01'COMPLIANCE WITH 40A CODIl O7RDERAL I FOR OFFICE USE ONLY Afr PEWT EXPIRED LJ I SURMITTF D ASBESTOS NOTE FICATION TO _ PEAAR(T CANCEIlED QCPA PERA4IT EXTENDED _ _ PCRMlTFINAL Gr STO /p\TEI��-pgT`l NIS UCABLE ro CCCUPANLYDF f / � I A EDI-i�ITt) � A DCCUPANCVISSUED (� € SiGNAT 11 ///��( 1` n