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HomeMy WebLinkAboutXR2023-1298 - Permits�EWPO�T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2U23-1298 Community Development Department- Building Division X R 2 0 2 3 1 2 9 8 > y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1167 > i Permit Counter Phone: (949) 718-1888 Issued Date : 05/24/2023 newportbeachca.gov/civic Inspection Area : 1 C9��FOPH`p Combination Type - SFP 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: 4719 RIVER AVE, 1/2 Legal Desc : R BK 32 PG 50 PAR 8A Description : SFR REMODEL KITCHEN & BATHROOM 800 SF Owner: SCOTT LAIDLAW Contractor: PREMIER BLDRS & CONSTR MGMNT Architect : SCOTT LAIDLAW Address : 4719 RIVER AVE Address: P 0 BOX 611 Address : 4719 RIVER AVE NEWPORT BEACH, CA NEWPORT BEACH, CA 92663 CORONA DEL MAR, CA 92625 92663 Phone: Phone : (949) 760-4047 Phone: Con State Lie : 895721 State Lie Lie Expire : 05/31/2025 Applicant: SCOTT LAIDLAW Bus Lie: BT30077363 Engineer: Address : 4719 RIVER AVE Bus Lie Expire: 12/31/2023 Address NEWPORT BEACH, CA 92663 Phone: Workers' Compensation Insurance Phone: Carrier: CALIFORNIA INSURANCE COMPANY Owner/Builder : Policy No: 46550811 Designer Address : W. C. Expire : 6/1/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $64,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 , Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 800 _ Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 i TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 10 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: - SPECIAL CONDITIONS: a I hereby Bill" 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 ftem(s) $action 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 io permit to file a signed statement that fie or she is licensed pursuant to the provisions 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 licersura 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 of more than five hundred dollars 1$500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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 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 poly 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 licenswe under the Contractors' State License Law for the following reason: .y my signature below I acknowledge that, except for my personal residence in which I must havo resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legalii oil a structure that I have built as an owror-buildor if ithas not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of tho Business and 'rofessions Code., is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalaw.html, signature of Property Owner or Authorized Agent a ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of pepury that I am licensed under provisions of Chapter 9 (commencing with Section 0 1 31 f the Business and Pr ions y license is In full farce nd effect. License Class License No Dat Contractor Signatur VORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLA S ($100,000). IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS FROVIGED FOR IN SECTION 0T06 Or THE LABOR CODE, INTEREST, Me ATTORNEYS FEES. hereby affirm under penalty of perjury one of the fallowing declarations: 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 Znce of the work for which this permit is issued. Policy No. ve 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 nsurance carder and policy number are: warner Policy Number Expiration Date Jame of Agent Phone # I certify that, in the performance of the work for this ermit'is iss I shall not. employ any person in any manner so as to become subject to the workers' compensation faws f California, and agree hat, if I should become sect to the workers' a sell provlsio of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant DECLARATION REGARDING CONSTRUCTION LENDING : CY hereby affirm under penalty of perjury that there is a constnaDt lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Cede). _ender's Name Lenders Address 3y my signature Salow, ! certify to each of the following: I am 'he property owner or authorized to act on the property owner's behalf. - I have read this app"cation and the information I have provide�i correct I acres to comply with all applicable city and corn y o roan rid state laws rela ` O building construction. I ar tnorize representatives of this city or County i ter the a eve -den red pr arty for inspection purposes. 3io+ialure of Property Uvmer or Authorized A ant Print Property Owner's or Authorized Agent's Name l.CTICI{ I DATE: BY 3 DECLARATION. OF COMPLI J CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 51 Of T TLE 40 AND AQMD RULE YEftrvNT ( 4NCELLPLo ('r4'" T faTENDEO PE irl.'7 CERTIFICATE OF OCCUPANCYYS5UED TO