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Home My WebLink AboutXR2024-0028 - Permitso��EWPORT City of Newport Beach A Community Development Department- Building Division t"y 100 Civic Center Drive, Newport Beach, CA 92660 r s Permit Counter Phone: (949) 718-1888 .� newportbeachca.gov/civic C,C/FORN\P Combination Type - SFP ELEC MECH PLUM Work Class - Alteration II�I!IIIIIII!II11111111111111IIPI1111111111111111111 COMB Permit: XR2024-0028 PI Plan Check No: Issued Date : 0110312024 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 Job Address : 3 CAMBRIA DR Legal Desc : N TR 7844 BLK LOT 93 Description : SFR BATHROOM AND KITCHEN 300 SF *CITY STANDARD* Owner: BRUCE & LAURIE HORN Address : 3 CAMBRIA DR CORONA DEL MAR, CA 92625 Phone: (949)838-4665 Applicant: MONTESANTOS BUILDERS INC Address : 220 NEWPORT CENTER DR, 322 NEWPORT BEACH, CA 92660 Phone: (949)239-2022 Owner/Builder : Address : Phone: Contractor: MONTESANTOS BUILDERS INC Address : 220 NEWPORT CENTER DR, 322 NEWPORT BEACH, CA 92660 Phone: (949)239-2022 Con State Lie : 1077463 Lie Expire : 06/30/2025 Bus Lie: BT30076141 Bus Lie Expire : 08/31/2024 Workers' Compensation Insurance Carrier: EXEMPT Policy No: EXEMPT W. C. Expire: Architect Address Phone: State Lie Engineer: Address Phone Designer: MONTESANTOS BUILDERS INC Address: 220 NEWPORT CENTER DR, 322 NEWPORT BEACH, CA 92660 Phone : (949) 239-2022 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $149,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 300 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 31-28 Flood Zone: X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: INSPECTOR OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Sla'e Llrens^ L`nw fcr the rsasor;s) indicated below by the checkmark(s) I have placed next to the applicable item(s) 'section 70315. Business and Professions Code: Any city or county That requires P pPrmit t� crms,rur•L aRer, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for to permit to file a signed statement that he or she is licensed pursuant to the provislo, Is of too Contractors' Mate L,eense Law (Chapter 9 (commencing with Suction 7000) of Division 3 of the Business and 7ofessions Code) or that he or she is exempt from Ifcensura and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than live hundred dollars ($500). 11, as owner of the property, or my employees with wegas as their sole compensatior, will do L) all of Cr L) pot'Dn-, o` 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 aptly to an owner of prooedy 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 improverne .1 is so;d within one year of conrpletlon, the Owner -Builder will have the burden of proving that it was not builtor nprovod for the purpose of sale). 1 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 pply 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), 3 1 am exempt from Ilcensure 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 legal all a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law. Section 70" of the Business and 'rofessions Code., is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.go%dcalayi.html. ,ignature of Property Owner or Authorized Agent _ Date .ICEN'..SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Ivi ion 3 of the Business and Pro ssl license is In full force Put effect. License Class License No Dat 1 on Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO. ONE HUNDRED THOUSAND DOLLARS I$10Q000}, IN ADDITION TO TH DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one Of the following declarations: I 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 tl erformance of the work for which this permit is issued. Policy No. 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' ranee carrier and policy number are: Policy Number Expiration Date Agent Phone tl _ Iffy that, inthe performance of th work or 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 Califomia, and agre I should become subj ors k mpensatlon provisions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions - ire ire of Appkcarrl. �Zt".:'.. .. _....__. _................._.. ,.,. Date 13 .i''Ll are by 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 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 applicable city and county ordinances and slate [am relating to building construction. I authorize representalives of this city or county to a tert ova -identified property for inspection purposes. GL bR.b� M�tw' Sa>J'(ds oainra of Prnnwrty €lwnFY Or AuthnumPrl Anent t Print Pronertn Owner's or Authorizede ADent's Nam DATE BY REGULATIONS PARTRAIDON OF 461 OF TITLE l4b AND CE WITH OAOrDE Or1D RULE FOR FOR OFFICE USE ONLY PERMITEXPfRED, I Lt I SUBMITTED ASBFST05 NOTIFICATION TO PERMIT CANCELLED—v EPA PERMIT FINAL (� /�� /81 TOS NUl'IFICA('ION IS NOT APPLICABLE 't0 CERPFICATE Of / /Y//1// P SHD DEMOLITION OCCUPANCY ISSUED SIGNATURE:I ? Civil Code). I/ I