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Home My WebLink AboutXR2023-1888 - PermitsPO/1'T City of Newport Beach ��EW Community Development Department- Building Division r' y 100 Civic Center Drive, Newport Beach, CA 92660 = Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic cg4ronN�r Combination Type - PLUM Work Class - Other III��I111111111111��1111111� jjCOMB Permit : XR2023-1888 Plan Check No : 0773-2022 Issued Date � ' Final Date: �'IZ Permit Status-Apptie4—I'MkI4 Inspection Area : 8 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 : 1307 SUSSEX LN Legal Desc : N TR 1896 BLK LOT 65 Description: SFR `ADDITIONAL SCOPE* B' HIGH FREESTANDING FIREPLACE Owner: Michael & EDEN Manning Address : 20151 SW BIRCH ST, #105 NEWPORT BEACH, CA 92660-0773 Phone: (949)250-4200 Applicant: WATER MILL HOMES INC Address : 20151 SW BIRCH ST #105 NEWPORT BEACH, CA 92660 Phone: (949)250-4200 Owner/Builder : Address : Phone Contractor: WATER MILL HOMES INC Address : 20151 SW BIRCH ST #105 NEWPORT BEACH, CA 92660 Phone: (949)250-4200 Con State Lic : 941819 Lie Expire : 01 /31 /2024 Bus Lie: BT30034736 Bus Lie Expire : 08/31/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9330449 W. C. Expire : 1/1/2024 Architect: WILLIAMHEZMALHALCH Address : 600 NEWPORT CENTER DR NEWPORT BEACH, CA Phone: (949)250-0607 State Lie : C012920 Engineer: RUIZ THOMAS Address: 11 THORNBIRD ALISO VIEJO, CA 92656 Phone: Designer: Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $5,000.00 Type of Construction : V-B Fire Hazard Zone : NO 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: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: R-1 - Single -Unit Residential 2—rf��F, PROCESSED BY: a ��'a`� i t v - SPECIAL CONDITIONS: REV2023-1308 I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmarki(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 is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessionsCode) 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 of more than Ave hundred dollars IS500). 3 I, as owner of the property, or my employees with wegas 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, lusiness 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 nproveme ils are not Intended or offered for sale. Ir, 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 nproved 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 poly 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). '.. 1 am exempt from Acensure under the Contractors' State License Law for the following reason: ______T__,.____^ —o------------------ fy 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 legally all 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 taw, Section 7044 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.gov)calaw.html, tignature of Property Owner or Authorized Agent _ �_.__,•, Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Sectio%ALSNALTI�S *AND f the Business and Prof on or1� rid lice e n full force ad effect. License Class License No DaContractor Signature VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFVL, AND SHALL SUBJECT AN EMPLOYER TO Ca1Ml CIVIL FINES UP TO ONE HUNDRED TH USAN COLLARS (S100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 the erjarmance of the work for which this permit is issued. Policy No, 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' carrier and policy number are: Policy Number Expiration Date of Agent JI Certify that, in the performance of the work to which this Permit is issued, shall net employ any parson in any manner so as to become subject to the works 'compensation laws of California. and ogre iat, if I should become ubect to worke Ipensatlon provls" s f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �7 signature of Applicant Date IECLARATIDN REGA CONST'. CTI LENDING ENCV hereby affirm under p Ity erju that there is a const ion lending agency for the performance of the work for which this permit is issued (Section 30 , Civil Code). ender's Name Lender's Address ly 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 rand this application and the information 1 have pr vitletl g','d.te, et. I agree to comply with all applicable city and �ounrly' r ances laws r ing building construction. 1 I[// I authorize representatives of this city or courlw t� rtha t�ed or inspection purposes.r r(%�� IN/ �'� iionature, of Property Owner or Authorized Agent "'��t Print Property Owner's or Authorized Agent's Nanttf�� ale OF COMPIJNCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 CF TITLE4o AND AOMD RULE 11403 PERM,T EXP?RED I CUBMIT- EP AS14tWO5 NOTIFICATION TO PERMITCANCELtEO II PA FERrvriT fXTENDED / / AOMD CERTiFrCATE OF I / I ' - 17 FVROPSEO t OCCUPANCYP5SUED I i 'SIGNArOR�o