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Home My WebLink AboutXR2023-0092 - Permits�.EwIPOR e Cirty of Nmunity Dewport Beevelopment ach COMB Permit : XR2O23-0092 nt- Building Division �� p F X R 2 0 2 3 0 0 9 2 1a( 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : �.. (_) Permit Counter Phone: (949) 644-3288 _ Issued Date : 02/17/2022 v, Inspection Requests Phone: (949) 644-3255 - - - Inspection Area : fi v4"owl newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration 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: 15 BORDEAUX Legal Desc : TR 9858 LOT 11 UNIT 75 OF PROJECT LOCATED ON AP 461-131-39 T OGETHER WITH AN UND 1/291NT IN LOTS 10, 11, 12 & 13 Description: SFR INSTALL RESIDENTIAL ELEVATOR ***CHANGE OF CONTRACTOR: MASTER BUILDERS(498547)**** Owner: ROBERT THOMPSON Contractor: MASTER BUILDERS Architect : Address : 15 BORDEAUX Address : P O BOX 882 Address : NEWPORT BEACH, CA LOS ALAMITOS, CA 90720 Phone: Phone: (562) 438-4895 Phone: Con State Lic : 498547 State Lic : Lic Expire : 01/31/2025 Applicant: MASTER BUILDERS Bus Lic : BT30080430 Engineer: Address : P O BOX 882 Bus Lic Expire : 01/31/2024 Address : LOS ALAMITOS, CA 90720 Phone: (562) 438-4895 Workers' Compensation Insurance Phone: Carrier : Owner/Builder: Policy No : EXEMPT Designer: Address : W. C. Expire : Address : Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Hldq ; 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 : Front: 5, Side: 5, Rear: 5 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: C 5 SPECIAL CONDITIONS: CHANGE OF CONTRACTOR FOR PERMIT X2022-0430 I hereby afB.ml 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 toits issuance, also requires the applicant for :he permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Lew (Chapter 9 (commencing with Section 700D) of Division 3 of the Business and professions Code) or that he or she is exempt from licensure and the basis forthe alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages 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, 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 forsale. 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 improved 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 Contractors' State License Law does not apply 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), 0 1 am exempt from Ilcensure 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 legail, 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:http:/Iwww.leginfo.ca.gov)calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penally of perjury, that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivis" n of the Business and Profession , and I' ense is In full force and effect. License Class License. No Data Contractor Signature WORKERS' COMPENSATION DECLARATION �. MARRING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TOONE HUNDRED THOU T00,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 3 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, for th performance 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` rance carder and policy number are: pm- M C =--Ma- Number Expiration Date Phone tf P certify that, in the performs a f the work for which this permit is issuod, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre Iat. if I should became subje a e. compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date/ 2 ECLARATION REG N N LENDING AGENCY hereby affirm under penalty =jury th t there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address y my signature below, I certify to rEah of following: I am the property owner or authorized to act on the property owner's behalf. I have read this aPPbCdlil-n and lne 11110 SLID o I have pro ided is correct. I agree to comply with all applicable city and ceunty o " aces d ate laws relating to building. construction. I authorize representatives of thh city or county toe t lifted -property for inspection purposes. / iionature of Prooertv Owner 7r AUWhonzsd Auen Print Procertv Owner's or Authorized AGent's Name fiZ'�-- r F�/L�m�A Date ACTION I DATE. BY QECEARATQN OF COMPLIANCE WITH CODE OF FEDERAL FOR. OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED A5BESTOS NOT] FICATION TO PERMITCAN,CELLED 13EPA PERMti EXTENDED j qMO CERTIFICATE FINAL r�, /J'j S ASBESTOS NOT( v,C_ ION IS (CABLE TO CERRFICATE OF � PROPOSED OEMO OCCUPANCYISSUED SIGNATURE: /O1/ M N 0 N N 0 rn It 0 N N ryOry i� a s. O N N O N M W M O O z a