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Home My WebLink AboutXR2022-3112 - PermitsaeWPoRr City of Newport Beach IIIIIIIIII II IIIIII IIIIII IIIIIIIIII II II I II D� Community Development Department- Building Division X R 2 0 2 2 3 1 1 2 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) B44-3288 U c rT Inspection Requests Phone: (949) 644-3255 9p/FOPH` newportbeachca.gov/inspections Combination Type - Work Class - Other COMB Permit : XR2022-3112 Plan Check No : 1449-2020 Issued Date : 11/29/2022 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: 25 CASTAWAYS NORTH Legal Desc : Description: SFR REPLACE MASTER BEDROOM DECK (210 SF) *REPLACE EXPIRED*, Owner: NOEL PENDERGAST Contractor : Architect Address : 25 CASTAWAYS Address : AddressNEWPO: �` CA 92660 Phone: (714)402-4478 Phone: Phone: Can State Lie : State Lie Lie Expire Applicant : NOEL PENDERGAST Bus Lie: Engineer : CHRISTIAN DALE Address : 25 CASTAWAYS Bus Lie Expire : Address : 1744 W KATELLA AVE #107 NEWPORT BEACH, CA 92660 ORANGE CA 92667, CA 92667 Phone: (714) 402-4478 Workers' Compensation Insurance Phone: (714) 997-1145 Carrier : Owner/Builder: NOEL PENDERGAST Policy No: Designer Address: 25 CASTAWAYS W. C. Expire: Address NEWPORT BEACH, CA 92660 Phone: (714) 402-4478 Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $203.B3 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone Use Zone PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ftem(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 he 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 Suction 7000) of Division 3 of the Business and professions Code) or that he or she is exempt from Iloensure 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 rot more than five hundred dollars 1$500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or [_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, 3usiness 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 Igproved for the purpose of sale). 'I h 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 a rlo,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), El I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except form personal residence in which I must have. resided for at least one year prior to completion of the Improvements covers by this permit, I cannot legal sell a structure that I have built as an owner-buildo 'fit as not boon constructed in its entirety by licensed contractors. understand that a copy of the applicable taw, Sr;ctio 044 of trio Business and Professions Code., is available upon request when I applicaC n's milted or at t following Web site: http:/Avow✓.leginto.ca.gov/calaw.html Signature of Property Owner or Authorized Agent yu`�Z LICENSED CONTRACTOR'S DECLARATI.AV I 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 and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1D0,000j, tN ADDITION TO TH' COST OF COMPENSATION; DAMAGES AS PROVIDED FOR )N SECTION 37050F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 13 1 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, fort) performance of the work for which this permit is issued. Policy No. 131 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 permitis issued. My workers` compensatic insurance carrier and policy number are: Policy Number Date lame Of Agent rnvne It 31 certify that. in the performance of the work for which this ;permit is issued. I shall not employ any person in any manner so as to become subject Co the workers' Chmiderl laws of California, and agre iat, if I should become u ct to the wbr compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,C/!, ignature of Applicant Dat ��'-9/'�"�' IECLARATION REGA ING NSTRUCTIOAGENCY 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 (Section 3097, Civi Cade). under's Name Lender's Address ly 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 MQUIPordinances and state Paws relating to building construction. I authorize representatives Of this city or county entterrlthy�,,�,�,�rb Identdled pro any for inspection purposes. �j(//'i',..;1 iiearaiure of Prooerty Owner or Authorized Agent �'/s.t/✓.uis*� Pnnl Property Owner's or Authorized Agent's Namgr \ o` # fr eacr er /"S Out ACTION L I DATE j By V RECIARAIONS PART COMPLIANCE T E 40 ANC DE OFAQNID RULE AL I FOR OFFICE USE ONLY ____...._.__......... _ ..__, P€RMiT EXTENDED PERMIT FINAL YIASkST 5 TIFICAfION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSfO OLITION A n 9 OCCUPANCY ISSUED SIGNATll.RE W,� 4,