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HomeMy WebLinkAboutXR2024-0700 - Permits"EWPoRCity of Newport Beach 111IIIIIIIIIII IIIII IIIII IIIII IIII 111111111111111111111 1111111COMB Permit: XR2024-0700 p� d Community Development Department - Building Division X R 2 0 2 4 0 7 0 0 100 Civic Center Drive, Newport Beach, CA 92680 Plan Check No : 1370-2021 Permit Counter Phone: (949) 718-1888 Issued Date : 03/20/2024 newportbeachca.gov/civic Final Date: Combination Type - Permit Status: Issued Work Class - Other 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 : 1401 SANTIAGO DR Legal Desc : N TR 3851 BLK LOT 52 Description: SFR ADD (2) PILASTERS AT FRONT YARD INSIDE P/L Owner : JULIE WHITE Address : 1401 SANTIAGO DR NEWPORT BEACH, CA 92663 Phone Applicant: ERIC AUST Address : 62 BALBOA COVES NEWPORT BEACH, CA 92663 Phone: (949)637-5220 Owner/Builder: Address : Contractor: MATT WHITE CUSTOM HOMES INC Address : 3090 PULLMAN ST COSTA MESA, CA 92626 Phone : (714) 557-1325 Con State Lic : 940163 Lic Expire : 11/30/2025 Bus Lic: BT30030932 Bus Lic Expire : 02/28/2025 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No: WVE506121802 W. C. Expire : 7/1/2024 Architect Address Phone: State Lic Engineer Address Phone: Designer Address ERIC AUST 62 BALBOA COVES NEWPORT BEACH, CA 92663 (949)637-5220 d F Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 0 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: REV2024-0462 $3,500.00 0 0 0 NaTI, I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I 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, dernollsh, 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' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of [he Business and Professions Code) or that he or she is exempt from llcensure 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 ($500). El 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of of L) 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, bullds 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 the purpose of sale). © I, as owner o1 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 Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).. ❑ I ram exempt from licensure under the Contractors' State License Law for the following reason By my signalum below I acknowledge that. except for my personal residence in which I must have resided forat least ono year prior to completion of the improvements covered by this permit, I cannot legal], loll a structure that 1 have built as an Gwmor-builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of lho Business and Professions Code, is available upon request when this application is submitted or at the following 'Web site:httpLYrvvly.leginfo.ca.gov/calaw.html, Signature of Property Owner or Authorized Agent _T__ ......... Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0).of ivision 3 of the Business and Prof ens j;yd rd my license is In full force and effect. License Class License No Date ' 0 2 v Contractor Signature /�� NORKERS' COMPENSATION DECLARATION MANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUM0 THOUSAND DOLLARS pi 000), IN AODRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYB FEES. hereby affirm under penallae of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers compensation, Issuad by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th Nhrmance of the 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` carrier and policy number arcs Policy Number of Agent Date certify that, in the performance of the work 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 Califomia, and agre t, if I should becon s fact to the workers compeeg. [Stan provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / nature of Applicant /��� `i Date 7 2''2 Lf CLARATtGN REGA I �UCTIGN LENDING AGENCY areby 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, C vil Code). vier'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 ow ier's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or coin -nrT to enter ttl wbdggJe-/Ire Ifi properly for inspection purposes. �� ! nature of Property Owner or Authorized pyent �! i/ `. "' "" X Print Property Owner's or Authorized Aoent's Name k/ A4 f f'`/R t : �V Date 31Zo I Z� ACTION i, DATE By V 1 TECLARATION OF COMPLIANCE wi -H CODE OF FEDERAL 1 RFGULATIONS PART fit. BF TITLE 40 ANn AQNID RLII.E I 1403 POR OFFICE USE ONLY Y PERMIT EXPIRED I Sri ENdhTFD Ai RFSTOS NOTIFICATION TO _......_.. ,. ___.._._..._ FERM7T CANCELLED _.__..___ ._ I __ __.... _ _ . ........._._.... L oA PERMIT Ea7ENDED PCRNirr FINAL CERTIFICATE OF 11A LI N,I BES105 I FICA[ IO'N IS NOT APE LE '10 I PROPOSED DE LITION .i%.// OCCUPANCY ISSUED __`SICNA7 Urfa: �•�jl� ��