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Home My WebLink AboutXR2023-1464 - Permits�EvuaoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-1464 C� 6+ Community Development Department- Building Division X R 2 0 2 3 1 4 6 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1324 U > D ? Permit Counter Phone: (949) 718-1888 Issued Date : 0611512023 newportbeachca.gov/civic Inspection Area : 5 '4con�` Combination Type - ELEC MECH PLUM 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 : 608 BEGONIA AVE Legal Desc : P BK 346 PG 7 PAR 1 UN 1 PM 346-07, PAR 1 OF PROJECT 938-01 LOCATED ON Description: DUPLEX REMODEL KITCHEN, POWDER ROOM, AND BATHROOMS. 300 SF Owner: ROBIN BAKER Address : 17853 SANTIAGO BLVD STE107 VILLA PARK, CA 92861 Phone: (714)692-8598 Applicant: THORNTON ROBERT A Address: P.O. BOX 1512 NEWPORT BEACH, CA 92659 Phone: (949)650-9876 Owner/Builder : Address : Phone Contractor: CUSTOM BUILDERS & DESIGN Address : 22605 LA PALMA AVENUE #512 YORBA LINDA, CA 92887 Phone: (714)692-8598 Con State Lic : 409392 Lic Expire : 07/31/2023 Bus Lic: BT30078781 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9023594 W. C. Expire : 10/1/2023 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3 No of Units : 2 Bldg Height: No of Stories : 3 Building Setbacks : Front: 18, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: 4_� SPECIAL CONDITIONS: HIGH DENSITY ZONE Architect: THORNTON ROBERT A Address: P.O. BOX 1512.NEWPORT BEACH, CA 92659 Phone: (949)650-9876 State Lic : Engineer: BLACK JAN Address : 19401 OLANA LANE HUNTINGTON BEACH, CA 92646 Phone: (714)593-4125 - Designer Address Phone: Construction Valuation : $20,000.00 v Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 300 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 NO CONSTRUCTION NOISE p THE WEEKEND 1e°ti�Ji i ":l R 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 1e permit to file a signed statement that he or she is licensed pursuant to theprovisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions Code) or that he or she is exempt from licarl 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 at more than five hundred dollars ($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, ',usiness 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 nprovements 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 nproved for the purpose of sale). '.. 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 +ptply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Confractor pursuant to the Contractors' State License Law). .A I am exempt from licensors under the Contractors' Stale License Law for the following reason: _ ly 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 ell 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 Irofessions Code., is available upon request when this application is submitted or at the following Web site:http:/hw+w.leginfo.ca.govlcelaw.html, signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 )pf Division 3 of the Business and Profe to "�o>�e,-a Ilcarise is In full force nd effect. License Class License No Date L C �2 Contractor Signature l.(, VORKERS''CUr1.PENSATION DECLARATION DARNING: FAILULE 10 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PRIES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST aF COMPENSA*wry; DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirr i wider penalty of perjury one of the following declarations: I' pave and r: ill maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth( pr:cannance of she work for which this permit Is issued. Policy No. 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' carOe- an(: policy number are: Policy Number Expiration Date of Agent Phone # _ certify that. In th8 performance of the if I should become sV qlo IAf Ire of ADakcant \\YY//JJ�, �L—y for which this 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. 1 ! -9 Date IS -t3 F'M I aMrrnNr. nrnury Neby affirm under penaly of perjury that there is a construction lending agency for the performance of the Work for which this permit Is issued (Section 3097, Civil Code) Ider's Name Lenders 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 applicationand the information I have provided is correct. I agree to comply With all applicable city and county ordinan es d state laws relating to building construction. I authorize representatives of this city or county tp,enter e b v % dentlfied property for Inspection purposes. 1 // nature of Property Owner or Authorized Agent V Print Property Owner's or Authorized Adent's NameYJ 1 C.A �i-r�• ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TrrLE 40AND AQMD RULE 1403 PERMi7EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA_ IS NIUMPPLICABLE TO CERTfFrCATE OF OCCUPANCVISSUED