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Home My WebLink AboutXR2023-2622 - PermitsagW PO?T City of Newport Beach X�p�� 11��p�� 111111111111111111111 11111 COMB Permit : XR2O23-2622 p� 4 Community Development Department - Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0246 !+' I Permit Counter Phone: (949) 718-1888 Issued Date : 0911812023 .s. newportbeachca.gov/civic Final Date: CqC/FOQN`P Combination Type - SFP Permit Status: Issued Work Class - Alteration Inspection Area : 2 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 : 222 AMETHYST AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 20 LOT 12 . , j— i Description : DUPLEX ADD'L SCOPE REMOVE AND REPLACE SIDING @ THE SECOND FLR FRONT UNIT Owner: SINNER JOHN R LIVING TR Address : 528 VAQUERO RD ARCADIA, CA 91007 Phone : (626) 445-3558 Applicant: HAWKER CONSTRUCTION Address: 2024 CREST DR ENCINITAS, CA 92024 Phone: (714)743-7110 Owner/Builder : Address : Phone Contractor: HAWKER CONSTRUCTION Address : 2024 CREST DR ENCINITAS, CA 92024 Phone: (714)743-7110 Con State Lie : 930312 Lie Expire : 01/31/2025 Bus Lie: BT30063937 Bus Lie Expire : 07/31/2024 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No: WSA505347802 W. C. Expire: 1/27/2024 Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : R-3 No of Units : Bldg Height : No of Stories: Building Setbacks: Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : AO 1; X Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY SPECIAL CONDITIONS: REV2023-1846 Architect Address Phone: State Lie Engineer : ROSS SCOTT WILLIAM ' Address : 1800 E 16TH STREET #B' "' SANTA ANA, CA 92701 Phone: (714)835-2800 Designer: Address : Phone: NO Construction Valuation : NO Added/New/TI sq. ft. Bldg 1 Alteration sq. ft. Bldg : 1 Added/New sq, ft. Garage TOTAL sq. ft. : $7,0&.00 0„ . 0 0 UWNCK-h1L/ILLI LJCL.LHRRI IVIA 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 lteri ,Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demoPah, 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' Stale License Law (Chapter 9 (commencing with Section 70001 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 ContractorsState 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). © 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 witha licensed Contractor pursuant to the Contractors' State License Law), C] 1 am exempt from licensure order the Contractors' State 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 la completion of the improvements covered by this permit, I cannot legailt Sall 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 Professions Code:, is available Upon request when this application is submitted or at the following Web site:http)iwww.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Divi Ton 3 of the Busln a d Professi a y e e is In full force and effect. License Class License No D 5 Contractor S ature WORKERS' COMPENSATION DECLARATION (WARNING; FAILURE TO SECURE WORI(ERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I£1Oe,SOali ADDITION TO THE 'COST OF COMPENSAT,Gii LAMAGES AS PROVIDED FOR IN SECTION 3TO6 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under NLnally of perjury one of the following declarations: G I nave and will mgln'ain 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 rformance of the aorh for which this permit is issued. Policy No. a•,r' and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work far which this permit is issued. My workers' compansatio ins rice carrier qnd r1oliny number are: ...rrfFir ___ Policy Number Expiration Date ,P M Agent .:�I;i.y, to i^ should Irformare f 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 subject t rke ' ,�^p m ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p/ fl /f // _— Dat [ �� Z _ VI _M1 1Y1I.,1 ,.:v wvv. v..-.,-,, ' .-. ilaJ, affirm unuer penuliy of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode). Ider'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 I have provided is correct I agree to comply with all applicablecity and county o nances and slate laws relating to building. construction. I authorize representatives of this city or oou ty io e b�lv�l-i/d�B lifted property for inspection purposes. nature of Property Owner or Authorized. I nt / 1/ 1/ \�/1 Pnnl Property Owner's or Authorized Agyks Name r �) DATE PERMIT EXPIRED PERMIT FINAL CERTIFICATE OF pI OCCUPANCY ISSUED K Ida DECLARATION OF COMPLIANCE W174 CODE OF FEDERAL I FOR OFFICE USE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ASBESTOS 15 NOT APPLICABLE TO