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Home My WebLink AboutXR2024-0638 - Permits.�,EwPoRT City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 yn. ' Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic `9crFoaa`P Combination Type - Work Class - Alteration iiiiiiiiiiii II COMB Permit : XR2024-0638 Plan Check No: Issued Date : 03/14/2024 Final Date: Permit Status: Issued Inspection Area : 6 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 4-2-Lo2y �P`"` c{rq.rst�� Inc K��t Job Address: 701 JASMINEAA Legal Desc : A TR CORONA DEL MAR BLK 736 LOT 1 Description: DUPLEX REPAID R DRYWALL AT LIVING ROOM. T/O (E) SHINGLE ROOF. REROOF WITH COMPOSITION SHINGLES WITH FELT UNDERLAY. 19 SQUARES. Owner: TARAS MARION JUDITH Address: 504 E CULVER AVE ORANGE, CA 92866 Phone: (714)496-7205 Applicant: C & S CONSTRUCTION Address : 14818 HELWIG AVENUE NORWALK, CA 90650 Phone : (562) 305-1733 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: 20, Side: 3, Side: 3, Rear: 5 X R-2 - Two -Unit Residential Contractor: C & S CONSTRUCTION Architect Address : 14818 HELWIG AVENUE Address NORWALK, CA 90650 Phone : (562) 305-1733 Phone Con State Lic : 995130 State Lic Lic Expire : 07/31/2024 Bus Lic : BT30083844 Engineer Bus Lic Expire : 03/31/2025 Address Workers' Compensation Insurance Phone: Carrier: EXEMPT- NO EMPLOYEES Policy No: EXEMPT Designer: W. C. Expire: Address Phone: Fire Sprinklers : NO Construction Valuation Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg No of Units : 2 Alteration sq. ft. Bldg : No of Stories : 2 Added/New sq. ft. Garage: TOTAL sq. ft. : SPECIAL CONDITIONS: HIGH DENSITY ZONE, PAINTING APPLIED FOR UNRELATED TRADE/CRAFT. $15,000.00 0 0 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 below by the checkmark(s) I have placed next to the applicable item(s) ieclion 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 ie 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 the Business and 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole Compensation, will do U 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). 7 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 Coriftac%rs 916te License Law). I am exempt from licensure 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 improvem is covered by this permit, I cannot Iegailyl, 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 co . -the-applicabte'Iat, Section 7044 of the Business and 'rofessions Code., Is available upon request when this application is submitted Drat the following Web site:http:/Aw .leginfo.ca.govlcalaw.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 7000) Of Divisi 3 of the Business and Profe;Si r y license is in full force nd effect. License Class License No Date Contractor Signature / �" VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINES UP TO ONE HUNDRED THOUSAND DOLLARS (SID0,0001. IN ADDRION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 the erformance of the work for which this permit is issued. Policy No. 21 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' compensation isurance carrier and policy number are: Policy Number Date to of Agent rnone e 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 California, and agree . if I should become sub jec o eery compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature of Applicant ... �.,....,...,,�.,,.., Date'` o 7Z f !reby 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). 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 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 county t n e a ve dentified property for inspection purposes. �p l/ —� L mature of Pruperty Owner or Authorized Agent _ - _ _ Print Property Owner's or Authorized Agent's Name I Tl/V %� i t—Jd�( L-,A, Date ACTION I DATE BY DEZ 1bN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 P[A,v,b FINAL CE.77f,—; ATEOF C`CCI ^.r.'CY ISSUED NOTIFICATION TO NOTIFICATION 15 NOT APPLICABLE TO