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Home My WebLink AboutXR2023-2014 - PermitsaEwpoRr City of Newport Beach pad Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 ua� newportbeachca.gov/civic c9�rFOr+N�P Combination Type - Work Class - Alteration III��I1111111111111111111111111111111111111111111111 jj COMB Permit : XR2023-2014 Plan Check No : 1222-2021 Issued Date : 07/21/2023 Final Date: Permit Status: Issued 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 : 1806 BERYL LN Legal Desc : N TR 1806 BLK LOT 24 Description: DELTA 6 REVISION & ADD'L SCOPE TO R/R WINDOWS, DOOR, SIDING AND DOOR FOR (E) STORAGE BUILDING. (REV2023-1402) Owner: BERNICE DEVRIES Address : 1815 HIGHLAND DR NEWPORT BEACH, CA 92660 Phone: (714)673-9005 Applicant: LEO HEYDORFF Address : 20761 CHAUCER LANE HUNTINGTON BEACH, CA 92646 Phone: (714)673-9005 Owner/Builder: BERNICEDEVRIES Address : 1815 HIGHLAND DR NEWPORT BEACH, CA 92660 Phone: (714)673-9005 Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY. Contractor Address : Phone: Con State Lic Lic Expire: Bus Lic : Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No W. C. Expire: 2019 Fire Sprinklers : V-B Fire Hazard Zone U,R-3 No of Units : No of Stories Architect Address Phone: State Lic Engineer: YAGHI SHUCRI I Address: 112 E. CHAPMAN #D ORANGE, CA 92866 Phone: (714)997-9120 Designer: Address : Phone: NO Construction Valuation : NO Added/New/TI sq. ft. Bldg 1 Alteration sq. ft. Bldg : 1 Added/New sq. ft. Garage: TOTAL sq, ft. : Front: 20, Side: 6, Side: 6, Rear: 6 X R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) MS SPECIAL CONDITIONS: REV2023-1402 $15,000.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirmunder 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) Bection 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 thathe 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 rofessions Code) or that he or she is exempt from licensors 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 t more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do i_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usmess 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 properly, 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 roved for the purpose of sale). 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 poly 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). M I am exempt from licensors 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 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, Section 7044 of the Business and 'rofesslons Code, Is available upon request when this pplic n is submitted or at the fallowing Web site:http:tiwww.leginfo.ca.govlcalaw.html. o3/Y.i$2 Ignature of Property Owner or Authorized Agent s ,_,_ Date .ICENSED CONTRACTOR'S DECLARATIO hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION ARNING: 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 (f100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. affirm under penalty 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 ormence of the work for which this permit is issued. Policy No, have 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' compense Trance carrier and policy number are: Policy Number Expiratic of Agent Phone # Date certify that, in the performance of he work for which this permit is issued, I shalt not employ any person in any manner so as to become subject to the workers' compensation laws of California, and , if I should become sAject to thitworkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date 02-74- «29 �reby 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). Iders Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to acton 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. I authorize rep, esentalives of this city or county to enter the above -identified property for inspection purposes. A,7, ON I DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL ( FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPiRE0 L I SURMITTED ASBESTOS NOTIFICATION TO "ENv1IT ANCE2.LEJ EPq PERMITEXTENDEO LiAOMD PERMfThINAL .�. .(-�� ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF I to-i-Z3 J.. iPROPO5E0 DEMOL_ IJJION C17C'JP4CCY lSSUEiI SIGNATURE::