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Home My WebLink AboutXR2023-3245 - PermitsCity of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2O23-3245 Ck ,rx ,e Community Development Department- Building Division X R 2 0 2 3 3 2 4 5 y !, y, 100 Civic Center Drive Newport Beach, CA 92660 Plan Check No : PC2022-3170 ii. Permit Counter Phone' (949) 718 1 B88 Issued Date : 11130/2023 may.. newportbeachea.gov/civic Final Date: Combination Type - SFP ELEC Permit Status: Issued Work Class - Addition/Alteration Inspection Area : 3 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: 1915 SANTIAGO DR Legal Desc : N TR 4709 BLK LOT 6 Description: SFR ADD ADD'L 19 SF TO NEW OFFICE, (4) NEW SKYLIGHTS @ THE KITCHEN Owner Address Phone : KANE CHRISTOPHER MICHAEL TR KANE Contractor: LEWIS CARL CO FAMILY TR--- 1915 SANTIAGO DR NEWPORT BEACH, CA 92660 (949) 246-4817 Applicant: RYAN OLDHAM Address : 680 LANGSDORF DR, 202B FULLERTON, CA 92831 Phone: (714)482-8296 Owner/Builder : Address : Address : ' 738 N JANSS ST ANAHEIM, CA 92805 Phone: (714)774-3844 Con State Lic : 487135 Lic Expire : 02/29/2024 Bus Lic : BT30022339 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No : WSD505748902 W. C. Expire: 10/1/2024 Architect: RYAN OLDHAM Address : 680 LANGSDORF DR, 202B FULLERTON, CA 92831 Phone: (714)482-8296 State Lic : Engineer: DAVID LAYNE Address : 27369 VIA INDUSTRIA TEMECULA, CA 92590 Phone: (951)600-0032 Designer: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Added/New/TI sq. ft. Bldg Type of Construction : V-B Fire Hazard Zone : NO 1 Alteration sq. ft. Bldg : Occupancy Groups : U,R-3 No of Units : 1 Added/New sq. ft. Garage Bldg Height : No of Stories : TOTAL sq. ft. Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : Use Zone : X R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: �//S �' ' J - *�r•,: y , _- SPECIAL CONDITIONS: REV2023-2282 $7,420.00 19 19 TION 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 theapplicable items) (Section 703L5, Business and Professions Code: Any city or county that requires a peril to construct, alter, improve, demolish, 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 the Business and Professions 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 not more than five hundred dollars ($500). El 1, as owner of the properly, or my employees with wages as their sole compensation, will do L) 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' 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 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). ❑ 1, 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 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 front licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except far my personal residence In which I must have resided fcr a2least one year prfnr to completion of the improvements covered by this permit, 1 Sorrel legall; soil a structure that I have built as an ownor-builder if it has not been constructed in Its entirety by licensed contractors. I understandthat a copy of the applicable law, Section 7044 of the Business and Professions Code„ is available upon request when this application is submitted orat the following Web site:http:liwww.leglnfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent,_T Date LICENSED CONTRACTOR'S DECLARATION � �- ��-�.._.__.-��---._._.__ I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Div sion 3 of the Business and Prof Rss� Code, and. my tic tt'foroa and effect. License Class License No Date Contractor Signaturpd/l�. tNORKERS' COMPENSATION DECLARATION MASHING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TOONE HUNDRED THOUSAND DOLLARS 01100.000), IN AGDmON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5TD60F THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: -1 1 have and will maintain a certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th tplrformanco 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 are: Policy Number Expiration Date of Agent I 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 ogre L if I should become subject to th orkers' compensation provisions of Section3700 of the Labor Code, I shall forthwith comply with those provisions. ,nature of Appilsanl,Date. CLARATION REGARD]N CO TRUCTION LLENDING AOF:NCY =_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 Cod�C�IL� )der's Name Lenders Address my signature below, I certify to each of the following: I am Ilia property owner or authorized Ie act on the property Gwner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable ciit}, and county ordinances and state laws relating to building construction. I authorize representatives of this city or county t/� nter�F/v7, above -identified property for inspection purposes,1 , r1 nature of Property Owner or Authorized Atlen1 / L� KL prim pr.,.,;sn,, n, n...I.,..,,..a n,.,...,•,. ,.,_..._ N /i..�. 'V� _ - _ _ .. It AA I ACTION DATE By f DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED _ _ ` I SUBMITTED ASBESTOS NOTIFICATION TO PERMITC IVCELLED ®EPA P€RM1TEhTENOEO �IgQMD PCRRDFtCATAL �-L 1,,,.,I ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIHCATE OF ( 1 ' PROPOSED DEMOLITION OCCUPANCYISSUEO _}_ € DIGNATURE: