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Home My WebLink AboutXR2024-0702 - Permits"EWPORT COMB PermIt:XR2024-0702 City of Newport Beach O� Community Development Department- Building Division X R 2 0 2 4 0-7 0 2 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0981-2018 i Permit Counter Phone: (949) 718-1888 Issued Date : 03/20/2024 a. newportbeachca.gov/civic Final Date: C9�/FURN�P Combination Type - Permit Status: Issued Work Class - Other 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 : 6 INVERNESS LN Legal Desc : N TR 7638 BLK LOT 58 Description : SFR - SOUTH SIDE WALL HEIGHT INCREASE RANGING FROM 2' 6`- 4% 6' H MAX, INSIDE THE P/L Owner: SMITH WILBUR H III TR WPBS TR Address : 6 INVERNESS LN NEWPORT BEACH, CA 92660 Phone Applicant: UPRITE CONSTRUCTION Address : 2211 MICHELSON DR STE 500 IRVINE, CA 92612 Phone : (909) 837-7813 Owner/Builder : Address : Phone Contractor: UPRITE CONSTRUCTION Address : 2211 MICHELSON DR STE 500 IRVINE, CA 92612 Phone : (909) 837-7813 Con State Lic : 932018 Lic Expire : 06/30/2024 Bus Lic : BT30062515 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier: HARTFORD ACCIDENT AND INDEMNITY COMPANY Policy No : 37WEAAJ3ZHY W. C. Expire : 12/1/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U No of Units : 0 Bldg Height: No of Stories : 0 Building Setbacks : Front: 10, Side: 5, Rear: 15 Flood Zone : X Use Zone : - Big Canyon PROCESSED BY: SPECIAL CONDITIONS: REV2024-0343 Architect : MOSSMAN ERIC Address : 2025 W BALBOA BLVD STE ENEWPURI BEACH, CA 92663 Phone: (949)500-7212 State Lid Engineer Address Phone: Designer: Address Phone: Construction Valuation : $15,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt Irom the Contractors' State License Law for the reason(s) 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 permit 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 ne 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 ($500). 0 1, as ownerof the property, or my employees with wages as their sole compensation, will do L) all of or L) portion$ of the work; and the structure is not intended or offered for sale (Section 7044, Business and Professions Coda: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, huilds or improves the property, provided that the Improvements are not Intended or offered for sale. If, however, fhe building or linpravement 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). ❑ 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 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 licensure 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 iagally sell a structure that I have built as an Ommar-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 Professions Code, is available upon request when this application is submitted or at the following Web site;http:liwvrrv.leginf0.ca.govlcalaw.html. Signature of Properly Owner or Authorized Agent -_.__..._.__._ ____ Date.___— LICENSED CCNTRAJTOR'S DECLARATION I hereby ffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing withTSectinOf Division 3 of the Bu ' ss and Profe de, and. my license is In full force a¢a pres'. Lice^se Clar.s License No �z0/ZoZ4 Contrac Signature WORK'_RS' COMPENSATION DECLARATION wrRNIN,' FAILURE TO SECUREWORKERS' COMPENSATION COVERAGEIS UNLAWFUL,AND SHALLSUBJECTAN EMPLOYERTALTIES AND CIVIL FINES UP CONE UNORSO THOUSAND DOLLARS ($100,000), IN ADDRION TOTHE COST OF COMPENSAT,ON, LAMAGES AS PROVIDED FOR IN SECTION Sloe OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES - I furchv affirm tinder penalty of perjury one of the following declarations: I hai,e and w91 mah'i'aln 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 pclrformance of the work for which [his permit is issued. Policy No. ind 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 rnd poll^y number are; Policy Number Date lame ci 4gent T_ Phone tf 31 cenify 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' mpensation laws of California, and agre rat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applic _ _ _ _ _ __.___..�._. a.-- IECLARATLON R RDING CONSTRUCTION LENDING AGENCY hereby affirm and r pe atty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, twit Code). ender's Name Lender's Address _ ,y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's bei i have read this application and the information I have provided is correct. I agree to comph will) all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or countbove Identified property for inspection purposes. t,,t ,, `` r., ,,,1 _ tianature of Prooertv Owner or Authorized Aaei __. Print Property Owner's or Authorized A en ' Name G "' \tom \ D e ��Z4 ACTION DATE j )IYY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY /\ TI/ \I j REGULATI ONS PART 61 OF TITI.E 40 AND ArrAD RII L F r l 1403 £XPHI PERMIT EXTENDED _....._.._. .._..__ __..... PCRIrAIi ffNA! CES FI DATE OF OCCUPANCY f55tAED / I SUBMITTED A5BFSTOS 1iASBESTOS N01 IFICATIO'N 15 NOTAPPLICABLE TO PROPOSED DEMOLITION SIGNATURE;