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Home My WebLink AboutXR2023-0557 - Permitsa�W PORT City of Newport Beach F p Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 G >+•► = Permit Counter Phone: (949) 644-3288 .s. Inspection Requests Phone: (949) 644-3255 C9</FOR�`P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other jji11111111111111111111111111111111111111111111111111111111 COMB Permit : XR2023-0557 Plan Check No; PC2023-0327 Issued Date : 02/28/2023 Inspection Area : 5 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: 552 SEAWARD RD Legal Desc : N TR 1237 BILK LOT 178 TRACT NO 1237 LOT 178 AND TRACT NO 147 95 LOT 4 , Description: SFR 4' HIGH WATER FEATURE ^s - • - Owner: BRYAN ROGERS CALIFORNIA RESIDENCE Contractor: POOLHAUS DESIGN & BUILD Architect TRUST Address : 552 SEAWARD RD Address : PO BOX 4092 Address: CORONA DEL MAR, CA 92625 NEWPORT BEACH, CA 92661 Phone: Phone: Phone: Con State Lie : 1067062 State Lie Lie Expire : 07/31/2024 Applicant: POOLHAUS DESIGN & BUILD Bus Lie: BT30080695 Engineer Address : PO BOX 4092 Bus Lie Expire : 02129/2024 Address: NEWPORT BEACH, CA 92661 Phone: Workers' Compensation Insurance Phone: Carrier : Owner/Builder : Policy No: EXEMPT Designer Address : W. C. Expire: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $5,000.00 Type of Construction : V-B Fire Hazard Zone : YES Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg: Bldg Height: No of Stories : 0 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks: Front: 5, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: '�'d-�./14", SPECIAL CONDITIONS: ' } :r t t hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable itai iection 7031.5, Business and Professions Code: Any city or county that requires a permit to conduct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for Ie permit to flip 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 Tofessions Code) or that he or she is exempt from Iicensure 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 (_) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, usiness 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 theburden of proving that it was not built or nproved for the purpose of sale). 3 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 pay to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). a I am exempt from Iicensure 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 have resided for at least one year prior to completion of the improvements covered by this permit, I.cannot legall) 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 copy of the applicable law, Section 7044 of the Business and 'Tofessions Code., is ava'table upon request when this application is submitted orat the following Web site:http:li A .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date,+ .!CENS-:D CONTRACTOR'S DECLARATION hereby affirm unoe penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section ) of Divi ion. 3 of the Business and FIT SIOjAF�ca� my license is In full force tad Lffec:. License Class License No Date . 2 Contractor Signatur.,j 7W( \'�j[ VORKF_RS' COIAPEN SATION DECLARATION rbRN,NG: FAILURE TL ..ECU:E WORMERS' COMPENSATION COVERAGE IS UNLAWFUL: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE DST OF COMPENSATION hAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under nPoaky of perjury one of the following declarations: I have and wilt :nalntain 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 'crmance of the work for which this permit is issued. Policy No haveand will a,aintLin 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` compenss Trance carrier and policy number are: Policy Number of Agent Date 'Eanlfy 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 agre t, it-t should becom s bject tD wor compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �f nature of Applicant l�yy��. Dat CLARATIQN REG UKR INGL RUCTION 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, Civil Code). ides s Name Lender's 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 1 have provided is correct. I agree to Damply with all applicable city and coup ordi as a late Paws relating to building construction. i authorize representatives of this city or tour i e r th ve-id t Fied pro arty for inspection purposes. '(�\ /��7J (p� [�,�" �7 '7 naNua of Pronorrv, nwner fir Aulhndzad Anent \ Print Pronertir Owner's or Authorized Anent's Name X 'I7F� F-"' I r "tJ Dal L - Z,' 4 DATE BY " DECLAQA,PION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED CERTIION 15 NOT APPLICABLE TO FICATE OF ` K PROPOSED DEMOLITION OCCUPANCY(SSUEO SIGNATURE: