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Home My WebLink AboutXR2023-3390 - PermitsaEVVP0�r City of Newport Beach ��i�� IIii�i��i IIIIII IIIII 111111111111111COMB Permit : XR2023-3390 D� .1 d Community Development Department- Building Division X R 2 0 2 3 3 3 9 0 100 Civic Center Drive, Newport Beach, CA 92650 Plan Check No: PC2023-2802 Permit Counter Phone: (949) 718-1888 Issued Date : 1112912023 u newportbeachca.gov/civic Final Date: `q�rFonN'P Combination Type - MFP ELEC 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 : 240 NICE LN, 205 Legal Desc : N TR 8336 BILK LOT 14 UN 101 TR 8336 LOT 14 UNIT 10 Description: MFR -ADD VANITY LIGHTING & (5) CAN LIGHTS AT SOFFIT AREAS Owner: BRIAN & DANA FLOOD Address : 240 NICE LN, 205 NEWPORT BEACH, CA 92663 Phone: (949)510-7199 Applicant: BRIAN & DANA FLOOD Address : 240 NICE LN, 205 NEWPORT BEACH, CA 92663 Phone: (949)510-7199 Owner/Builder : BRIAN & DANA FLOOD Address : 240 NICE LN, 205 NEWPORT BEACH, CA 92663 Phone : (949) 510-7199 Code Edition : Type of Construction Occupancy Groups Bldg Height: Building Setbacks Flood Zone Use Zone : 2022 V-B U,R-2 X PC - Versailles on the Bluff Contractor Address : Phone: Can State Lie Lie Expire Bus Lie : Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories : 1 PROCESSED BY: SPECIAL CONDITIONS:` Architect Address Phone: State Lie Engineer Address Phone Designer: BRIAN & DANA FLOOD Address : 240 NICE LN, 205 NEWPORT BEACH, CA 92663 Phone: (949)510-7199 Construction Valuation : $1,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 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 balow by the checkmerk(s) I have placed next to the applicable items) Section 7031. 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 To permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor; 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 iicensure and the basks for the alleged exemption. Any violation of Section 7031,5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). ] 1, as owner of the property, or my employees with wages as their sole compensation, will do i all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lushness 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 yearref completion, the Owner -Builder will have the burden of proving that It was not built or nproved for the purpose of sale). 3 L 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 pply 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), I I am exempt from liconsure under the Contractors' State License Law for the following reason iy my signaluTo below I acknowledge that, axe opt for my pars on al r idence In which I must have resided for at least one year prior to completion of the Improvements covered by thi permit, I cannot legal] ell a structure that I have built as an owner- has not bee nstn d in its entirety by I€consad contractors. I understand that a copy of the applicable law, Section 70" o the Bu iness and 'rofessions Code., is available upon request when thi anon s brut d orat the following Web sits:http:/lwww.leginfo.ca.govlcalaw.html, lignature of Property Owner or Authorized Agent _ _ _ Date�2- .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I'am licensed under provisions of Chapter 9 (commenGIng with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force nd 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 THOUSAND DOLLARS 6100A001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TQ6 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm underpenalty of perjury one of the following declarations: Q I have and will maintain B 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 the performance of the work for which this permit is issued. Policy No. Ell have and will maintain workers' compensation insurance, as required by Section 37CO of the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensatior Insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # Ell certify that, in the performance of the work for which this Ipermit fs issued, I shall not employ any person in any manner so as to become subject to the workers' eompensaticn laws of California, and agree [hat, If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature or Applicants _ _ _ _ Date—,— DECLARATION REGARDING CONSTRUCT -ION LENDING AGB.NCY� I 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 (Section 3097, Civil Code), lenders Name Lender's Address By 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 correct. I agree to comply with all applicable ci county, ordinance nd a laws relating to building construction. I authorize representatives of this city or coon Hier the a o e-id n fled property for inspection purposes. -_ Signature of Property Owner or Authorized A I Print Property Owner's or Authorized Agent's Name Data \( (I2 ACTION DATE By I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGMATIONS PART 6.1 OF TITLE 40 AND AQMD RULE n 1e103 PERMIT EXPIRED Ell SLIRMITTF.D A5BESTOS NOTIFICATION TO PERMIT CANCELLED — - PERhItTEXTENDED CJhOMD FERMlT FiNA1 3, OS V00FICA110(li'AP BLE TO CERTIFICATE OF , pAOPO. -0 D LITION OCCUPANCY 15$1 •J € SIGNAIruR 11�