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Home My WebLink AboutXR2023-2703 - PermitsaEWPORT City of Newport Beach II II IIIIII II II I IIII IIIII I II II II I II COMB Permit : XR2023-2703 D� @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2368 U > S Permit Counter Phone: (949) 718-1888 Issued Date : 10/04/2D23 a.newportbeachca.gov/civic Final Date: CqG/FOAN�P Combination Type - MFP ELEC MECH PLUM Permit Status: Issued Work Class - Alteration Inspection Area : 2 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 : 10 SERENA CT Legal Desc : N TR 7817 BLK LOT 2 UN 1 TR 7817 LOT 2 UNIT 1 OF P Description: MFR - INTERIOR REMODEL 338 SF Owner: LIGHT STREET PARTNERS 2 Contractor: HOLLIS D CONSTRUCTION INC Architect : . . . . Address : 10 SERENA CT Address : 33051 COMMODORE CT Address: , NEWPORT BEACH, CA 92663 SAN JUAN CAPISTRANO, CA 92675 Phone : (215) 500-4278 Phone : (949) 279-4949 Phone Con State Lie : 367302 State Lie Lie Expire : 0613012025 Applicant : HOLLIS D CONSTRUCTION INC Bus Lie : BT30082740 Engineer: MARK IBRAHIM Address : 33051 COMMODORE CT Bus Lie Expire : 10/31/2024 Address : 3436 E LONGRIDGE DR SAN JUAN CAPISTRANO, CA 92675 ORANGE, CA 92867 Phone: (949) 279-4949 Workers' Compensation Insurance Phone: (949) 669-9065 ' Carrier : Owner/Builder: Policy No: EXEMPT Designer : CRAIG WOOLBERT Address : W. C. Expire: Address : 5622 LITTLER DR HUNTINGTON BEACH, GA V2B49 Phone: Phone: (714) 856-2605 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $80,000.00 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 : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone: PC - Newport Crest - UP1585 PROCESSED B`.:� 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) I have placed next to the applicable item(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 the permit to ITS, 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 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 not more than five hundred dollars ($500). ❑ I, 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, 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 Improvements are not Intended or offered for sale. If however, the holding or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). [11, 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 apply 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). 11 I am exempt from licensors under the Contractors' State License Law for the following reason .--_______.�_--,—_ By 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 legalll sell a structure that I have builtas 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 Professions Code., is available upon request when this application is submitted or at the following Web site:http:(lwww.leginlo.ca..gov/colaw.html, Signature of Property Owner or Authorized Agent_Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm undal penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S on 7000) of Division 3 of the Bu See and Professions fs In full force and effect. License Class License No D e Con C r Signature YlO,ZhERS' r OMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CURT OF COMPERSA, ION, DAMAGES "PROVIDED FORM SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm ur.da penally, of perjury one of the following declarations: ha:e 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 (ocgance of ;hd work for which this permit is issued. Policy No. 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' Aumber are: Policy Number m Date c9rfi'y that, fn tIn normance of the work !or which this. permit Is issued, I shall not employ any person in any manner 5o as to become subject to the warke 'compensation laws of California, and Agra L if I shaud co a subject to the workers' paR' flan provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. //((JJ�� nature or App ` ant CLARATEO R GARDIh1G CONS UGTION LENDI ^� :Y �� Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work far which this permit is issued (Section 3 97, Civil Code). Ider's Name Lender's Address 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 I agree to comply with all applicable city and coup ordinance and slat s-nila ng t-tl o build building construction. q I authorize representatives of this city or, -Fount o enter - ntffie roperty for inspection purposes. L/, %, % � c, �� _ (�, ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT FINAL. CERTIFICATE OF OCCUPANCY ISSUED DATE j BY, i DECi(ARATION OF COMPLIANCE W17H CODE OF FEDE. i REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE I SUBMITTED ASRFSTOS NOTI ✓ner's or Authorized Ac FOR OFFICE USE ONLY Date 6