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Home My WebLink AboutXR2022-2117 - Permits�EWPORT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u Permit Counter Phone: (949) 644-3288 ate.. Inspection Requests Phone: (949) 644-3255 cgpFopN�F newponbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM 1 Work Class - Addition/Alteration 111I��III��111111111111111111111111111111111111111111111111COMB Permit: XR2022-2117 Plan Check No : PC2022-1951 Issued Date: I10/)$/Zo11 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 : 1618 HIGHLAND DR Legal Desc : N TR13800 BILK LOT 7 Description: SFR -ADD 588 SF, REMODEL 2908 SF INCLUDES DRAINAGE Owner: JUSTINMOREHEAD Address : Phone : (949) 394-4515 Applicant: DAWN VAUGHT Address : 1841 W 18TH ST, A106 COSTA MESA, CA 92627 Phone : (714) 488-8003 Owner/Builder : Address : Phone: Contractor: MATTHEW MARSTON CONSTRUCTION Address : 3510 SECOND AVE NEWPORT BEACH, CA Phone : (949) 233-3280 Con State Lic : 942845 Lic Expire : 01/31/2024 Bus Lic : BT30079887 Bus Lic Expire : 10/31/2023 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Code Edition : 2019 Fire Sprinklers ; NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3 No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS HT QUARTEPS TO HAUL DEBRIS Architect Address : C R'] Phone State Lic : Engineer : GHAZLANI ANDY Address : 4202 ATLANTIC AVE #204 LONG BEACH, CA 90807 Phone : (562) 253-2385 Designer: JASON RICHART Address : 1041 18TH W, A106 COSTA MESA, CA 92627 Phone : (949) 422-9191 Construction Valuation : $338,640.00 Added/New/TI sq. ft. Bldg : 588 Alteration sq. ft. Bldg : 2,908 Added/New sq. ft. Garage : 0 TOTAL sq. ft. Bldg : 588 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) (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 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 i 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 persona( effort, builds or improves the property, provided '..hat 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' Stale License Law does not apply 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), ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below f acknowledge that, except for my personal residence in which I most have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legal], sell a structure that I have built as an ownor-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 Businoss and Professions Code„ is available upon request when this application is submitted orat the following Web site:http:liwvrvaleginto.ca.govlcalaw.html, 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 7000) of Division 3 of the Business and Pr, ofegsiog � de, a y license is In full force and effect. License Class License No. _ _ Dates[ k/ Contractor Signal re :RS' COMPENSATION DECLARATION FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9709 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a cediEcate 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 of mance 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' compensa Ir nce carrier and policy number are: Policy Number of Agent nify that, in the performance of the work for which this permit is issued, I shall not. employ I should become subject tG orkers' co esalion provisions of Section 3700 of the I Date person in any manner so as to become subject to the workers' compensation laws of California, and r Code, I shall forthwith comply With those provisions. 999�� nature of Applicant _ Da CLARATION REGAR CONS lJCT10:N LENDING AGENCY =_reby affirm under penalty of perjury that there is a construction lending agency font a performance of the work for which this permit is issued' (Section 3097, Ci Lc ado). )der'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 comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county,lo enter the above -identified property for inspection purposes. of Property Owner or AL GATE PERMIT EXPIRED P€KNIT CANCFLEED PERMIT EXTENDED PERNHT FINAL CERTIFiCATEOF OCCUPANCYISSUED DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE SUBMITTED ASBESTOS NOT] FI CATION TO PROPOSED NOTIFICATION 15 NOT: APPLICABLE TO FOR OFFICE USE ONLY