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Home My WebLink AboutXR2022-2904 - Permits�EWPoR� City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C,4FOPN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other i aka COMB Permit : XR2022-2904 Plan Check No : PC2022-2760 Issued Date : 04/13/2023 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 : 1201 CLIFF DR Description : SFR ROOFTOP DECK 466 SF Owner: DAVID LYON Address: 1201 CLIFF DR NEWPORT BEACH, CA 92663 Phone Applicant: GARYMAXWELL Address : 14 OLD MINE CT WIMBERLY, TX 78676 Phone: (949)632-6018 Owner/Builder : Address : Phone: Legal Desc : N TR 1219 BILK B LOT 2 Contractor: PREMIUM BUILDERS Address : 1701 E EDINGER AVE #C-9 SANTA ANA, CA 92705 Phone: (714)569-1255 Con State Lic : 492049 Lic Expire : 05/31/2024 Bus Lic: BT30068364 Bus Lic Expire : 08/31/2023 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No : CWC0042380 W. C. Expire : 1/14/2024 Architect: GARY MAXWELL Address: 14 OLD MINE CT WIMBERLY. TX 78676 Phone: (949)632-6018 State Lic : Engineer: CHOI DAVID Address: 1327 LOMA AVE LONG BEACH, CA 90804 Phone: (562)961-5600 Designer: Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $50,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U 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 : Front: 20, Side: 4, Side: 4, Rear: 10 - • - Flood Zone : X - Use Zone: R-1 - Single -Unit Residential 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) I have placed next to the applicable items) ;Seclion 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 fife 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 andthe basis for the alleged exemption. Any violation of Section 7031"5 by any applicant forapermit subjects the applicant to a civil penalty of not more than five hundred dollars (950D). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U ail of or U 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 anowner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not Intended cr offered for sale. If, however, the building er improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or Im roved for the purpose of sale). LI 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 ply 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). 5 1 am exempt from licensure under the Contractors' State License Law for the following 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 legally sell 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 Professions Code, Is available upon request when this application is submitted or at the following Web site:httpi/l w .leginfo.ca.govlcaiaw.htmi. Signature of Property Owner or Authorized Agent Dale LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g (Commencing with Section 7000)/DiVision 3 of the Business and Professions Co icense is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU8 D LARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for Ih performance of the work for which this permit is issued. Policy No. �i 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' compensatiol arancs came apu poucy numuer��"nre: p Tier T S ! Policy Number Expiration Date ne of Agent. Phone # certify that, in the performance of the work for which t ' permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre 1, if I should becomubject to the workers' pope ion provisions of Section 3700 of the Labor Code, I shall forthwith comply wrath those provisions. / nature of Applicant DateC �I s CIARATION REGARDING CONSTRU NDING AGENCY areby affirm under penalty of pedu ere is a construction lending agency for the performance of the Work for which this permit is issued (Section 3097, Civil Code). Iders Name Lenders Address my signature below, t certify ach of the following: I am the property owner or authorized to act on the property owner's I have read this application and the information I have provided is co I agree to with all applicable city and county ordinances and I authorize eri esentatives of this city or county to enter t-h9-abdyeyfe of PERIdIT EXPIR£L PERMIT CANCELLED ✓LRMIT EXTEhDEJ ✓LRM1T FINAL GLR T„=ICATE OF CCCL'DANCY ITSUEP laws relating to building construction. ad property for inspection purposes. DATE BY I DECLARA+OfONI COMPLIANCE WITH CODE OF FEDERAL I REGU IONS PART BI OF TITLE 40 AND AQMD RULE NOTIFICATION TO MASBESTOS NOTIFICATION IS t rAPPLICABLE TO PROP05ED DEMOLITION Z FOR OFFICE USE ONLY i-_.rd/'Tlz