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Home My WebLink AboutXR2023-0666 - Permits�EwaoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Community Development Department- Building Division X R 2 0 2 3 0 6 6 6 100 Civic Center Drive, Newport Beach, CA 92660 }r 2 Permit Counter Phone: (949) 644-3288 c •�" �r Inspection Requests Phone: (949) 644-3255 gciFoaN newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Alteration COMB Permit : XR2023-0666 Plan Check No : PC2023-0558 Issued Date : 03/1312023 Inspection Area : 8 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: 535 REDLANDS AVE Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 33 LOT 16 Description : SFR KITCHEN REMODEL 250 SF Owner: TIMOTHY ROBERTSON Contractor: MARIO VAUGHN Architect Address : 535 REDLANDS AVE Address : 1001 W 17TH ST #G Address NEWPORT BEACH, CA 92663 COSTA MESA, CA 92626 Phone : Phone : (949) 295-2782 Phone : "a Con State Lie : 1068871 State Lie : c Lie Expire: 09/30/2024 61) Applicant: MARIO VAUGHN Bus Lie: BT30076249 Engineer : `? Address : 1001 W 17TH ST #G Bus Lie Expire : 08/31/2023 Address : €j COSTA MESA, CA 92626 r 1 Phone: (949) 295-2782 Workers' Compensation Insurance Phone: Carrier: L utirCk- =2 0 Owner/Builder : Policy No : GAWC399637 Designer : 3JK DESIGN " •-� Address : W. C. Expire : 1/28/26P9 Address : 1907 WOODSIDE ST Z fJ Zy ORANGE, CA 92865 Phone: Phone: (714)709-7934 -7 Code Edition : 2022 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 : R-3 No of Units : 1 Alteration sq. ft. Bldg : 250 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: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: >> OWNER -BUILDER DECLARATION I hereby affi'.nn under penalty of perjury that 1 am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) 1 have placed next to the applicable items) (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 file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3.of the Businoss and Professions Code) or that he or she is exemptfrom 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 (a500). 71 I, 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 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 improved for thepurpose of sale). 0 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 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). J I am exempt from licensure under the Contractors` State, License Law for the following reason:iy my 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 ,all 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 theapplicable law, Section 7044 of the Business and 'rofesslons Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.gov)calaw.html. Signature of Property Owner or Authorized Agent T _ICENSED CONTRACTOR'S DECLARATION ' hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 f ` ' ion 3 of the Business and rof Inc and m license is in full force Ind effect. License Class License No Date Contractor Signet e ` -- VORKERS' COMPENSATION DECLARATION YARNING: 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 14100,000),IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 th to Finance 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' Compensatior isur a carrier and policy number are: ;arrler Policy Number Expiration Date dame of Agent Phone # -1I certify that, inthe pe of khe work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' omponsalion laws of California, and agre. hat, if I should bee u )act to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant , Daly 311 ��2 S )ECLARATEON REG IN CWON LENDING AGENCY 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 (Section309 , Civil Code). .enders Name Lender's Address 3y 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 informali provided is correct. I agree to comply with all applicable city al cow or 'hances and state laws relating to building construction. I authorize representatives of this city or ou t to the, a'. ve-i ntifed. Droperty for inspection purposes. nature of Property Owner or Authorized A t Print Property Owner's or Authorized Agent's Name 1 . V Fits ddd ACTION DATE RY � N-OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY 1. REGULATIONS PART 51 OF TITLE 40 AND AQNID RULE PERMIT EXPIRED Li I SJRMITTLD A5dE5TOS NJTIFIC,,TIQN TO --- PEAMIT CANCELLED qq —®rPi, OCCUPANCY ISSUED ry iJ ••L ' tNATd$CD M__ v ---- PEFiYF1T EXTENDED QMPERNH7 FYNAL $aESTrip I5N01'ARPLICAfiLE 'r0 CERTIHCArE Of @ OSEr)