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Home My WebLink AboutXR2023-2008 - Permits�'Ew Rr COMB Permit : XR2U23-2UU8 City of Newport Beach p� ,I Community Development Department - Building Division X R 2 0 2 3 2 0 0 8 I'.)� 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1761 G s Permit Counter Phone: (949) 718-1888 Issued Date c. newportbeachca.gov/civic c9(/F00.N\P Final Date: Combination Type - SFP ELEC MECH PLUM Permit Status: Applied Work Class - Alteration Inspection Area : 4 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: 1966 PORT NELSON PL Legal Desc : N TR 7028 BLK LOT 32 Description : SFR REMODEL TO KITCHEN AND BATHROOMS 701 SF Owner: GANDHI RAVI R TR GANDHI 2011 FAMILY TR Address : 1966 PORT NELSON PL NEWPORT BEACH, CA 92660 Phone: (949)616-2185 Applicant: LYNN PRIES Address : 2050 VISTA CAJON NEWPORT BEACH, CA 92660 Phone: (949)280-0893 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone PROCESSED BY: 2022 V-B U,R-3 Front: 18, Side: 5, Side: 5, Rear: 10 X P€ --Tar8or \%iew Milts Contractor : David Scott McDonald Address : 14252 Culver Dr, A-709 Irvine, CA 92604 Phone: (714)941-9496 Con State Lic : 1024297 Lic Expire : 03/31/2025 Bus Lic : BT30060675 Bus Lic Expire : 09/30/2023 Workers' Compensation Insurance Carrier: CALIFORNIA+INSURANCE+COMPANY Policy No: 460091230307 W. C. Expire: 6/1/2024 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories : 2 Architect Address Phone: State Lic Engineer: XIAO QIANG Address: 1520 BROOKHOLLOW DR #45 SANTA ANA, CA 92705 Phone : (714) 662-0510 Designer: LYNN PRIES Address: 2050 VISTA CAJON NEWPORT BEACH, CA 92660 Phone: (949)280-0893 Construction Valuation : $60,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 701 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 SPECIAL CONW-IONS: �.sTic '? I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 pemlit to construct. alter, improve, demolish, Or repair any structure, prior to its issuance, also requires the applicant for .he permit to file a signed statement that lie or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (eommmTcing with Section 7000) of Division 3 of the Business and Crofessions Code) or that he or she is exempt from 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 Tot more than five hundred dollars (S500). 1, as owner of the property, or my employees with Wages as their sole compensation, will do U 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' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the niprovements 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 'reproved for the purpose of sale) El I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Coda: 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 am exempt from llcensure under the Contractors' Stale License Law for the following reason -_.. . ......... .. ..__ _...___.._ .._.____._._ ._..._.....-.. --- By 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 legalll sell a structure that I have built as an ownor-builder if it has not been constructed in its antiroty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following ''Neb site: hdp:hi wrvi.leti nfo.ca.govIcalaw.1-tml. Signature of Property Owner or Authorized Agent.____.__.Date,____ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 _ of tlsjnl the Business and Pro ions C a a my license Is ulI force and effect. License Class License No Date Contractor Signature 6 rx» g WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS 4100,000l, IN ADDITION To THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: El I have and will maintain a certificate of consent (a self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th p fomtance 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' compensetioi insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I certify that, in the performance of the work for which this per it Is issued, I shall not employ any person in any manner so as to become subject to the workers' Compensation laws of California, and agre that, if I should become so act to the /w,00rk�pr.�ccoompensallon p isiuns Of Section 3700 of the Labor Code, I shall forthwith comply m4lh those provisions. Signature of Applicant WZ_Iz%�?. .._.____ .._.—.�--__�.�� _ _ Data DECLARATION REGARDING CONSTRUCTION LENDING AGENCY '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), L.endiif's Name _ � Lenders Address IBy 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 city and county ordinances and state laws ating to building construction. I authorize representatives of this city or county;to-�nt ab�entified p rty for inspection purposes. Signature of Property Owner or Authorized F ant ((b, Pont Property Owner's Or Authorized Agent's Name 01 ��` X l<<f" Dais ACTION DATE By DECLARATIONS. OF COMPLIANCE WITht CODE OF FEDERAL FOR OFFICE USE ONLY RFGUt AI'IONS PART 61 OF TITLE 40 AND ACLMD RULE 1403 _ PERMIT EXPIRED I SURMITTED ASRFSTOS NOTI FICATION TO PERMIT CAM1 CELLED L�IEPA PERM'7T fXTENDED � OeOMD PERNOT PINAt �ASaE5i05 �nN��Or75Tt��I�F�ICA I ION � I<S N�OI" APPLICAet OCCOPCERT(FICATC OE I IVI i SIGNATURE: f2soM//6E, = OCCUPANCY VSSUED �� VI v(/�