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Home My WebLink AboutXR2024-0645 - Permits�EWPORT City of Newport Beach IIIIIiIIIIIIIIIIIIIIIIIIIiIIIIIi II COMB Permit XR2U24-0645 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0524 >+ z Permit Counter Phone: (949) 718-1888 Issued Date : 03/19/2024 .ram newportbeachca.gov/civic Final Date: Combination Type - Permit Status: Issued Work Class - Alteration Inspection Area : 5 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 : 439 FERNLEAF AVE Legal Desc : P BK 207 PG 29 PAR 1 UN 1 P M 207-29 PAR 1 UNIT 1 Description : DUPLEX REMODEL BATHROOM 90 SF Owner: BOHN ANNE L TR Contractor: STUDIO AZULE Architect Address : 439 FERNLEAF AVE APTA Address : 995 BAJA STREET Address CORONA DEL MAR, CA 92625 LAGUNA BEACH, CA 92651 Phone : Phone : (949) 715-5658 Phone Con State Lic : 947960 State Lic Lic Expire : 05/31/2024 Applicant : STUDIO AZULE Bus Lic : BT30083848 Engineer Address : 995 BAJA STREET Bus Lic Expire : 03/31/2025 Address LAGUNA BEACH, CA 92651 Phone: (949) 715-5658 Workers' Compensation Insurance Phone: Carrier: EXEMPT -NO EMPLOYEES - Owner/Builder : Policy No: EXEMPT Designer: STUDIO AZULE Address : W. C. Expire: Address : 995 BAJA STREET LAGUNA BEACH, CA 92651 Phone: Phone: (949) 715-5658 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $40,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : 90 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential .., f r, Rill PROCESSED BY: SPECIAL CONDITIONS: HIGH DENSITY ZONE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reRson(s) 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 tho 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 licensors 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). ❑ I, as owner of the property, or my employees with wages 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, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' ar 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 7D44, Business and Professions Code: The Contractors' State License Law does not epp€y to an owner of property who builds or Improvesthereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law), ❑ I am exempt from licensure under the Contractors' State License Law for the following reasorv: 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 Iogally sell 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 ✓v'eb site:http:li- w .leginfo.ca,govlcalaw.html, Signature of Property Owner or Authorized Agent .__ ie_.�.____._�_ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) f I ision 3 of the Business and Pro 5aiumi:C d nd y license is in full force and effect. License Class License No Date All Contractor Signature WORKERS' COMPENSATION DECLARATION ✓YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CRAL FINES UP TO ONE HUNDRED THOUS D OLLARS ( 00,000), 3N AODn'ION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 certificate of consent to self -insure for workers' Compensation, issued by the Director of Industrial Relations as provided for by Sectlbh-3-710 of the Labor Code, for ormanca 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: I Policy Number Agent Date certify that, in the performan of the k for which this permit is issued., I shall not employ any person in any manner so as to become subject to the workers' comps sati n laws of California, and Eire Ia, if Lshould became subject t the work c RTp soften provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. Ignature of Applicant i _ Date AIK ECLARATIGN REGARDINGCONSFR C .}N LE NG AGENCY hereby affirm under penalty of perjury t t here is a c struction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cod j. order's Name Lenders Address _ y my signature below, I certify to each of e fe ll " I ant the property owner of authtlNZed l e arty owners behalf. I have read this application and the info �mation I ve p ed is correct. I agree to comply with ail applicable city and co niy ordi es and state laws relating to building construction. I authorize representatives of this city or county to enter t a e-identi oparty for inspection purposes.. r�e� ttAN _ 7 UIa 1-1 U ACTION DATE BY DEC TION. F COMPLIANCE WITH CODE OF FEDERAL RF. ION. ART 61 OF TITLE 40 AND AOMD RULE 403 FOR OFFICE USE ONLY PERMIT EXPIRED LJ ,5 b RMITTED ASBESTOS NOTI FI CATION TO - ( CPA PERMITCAN'CELLED — PERIM, EXTENDED ❑ADM PER141YT FINAL rt ❑AyaESi 'NDiIPIC i ND1"APPLICAaLE Q' CERTIFICATE QF MV � .PRO°05EOD MOlITlOJ OCCUPAhlCY ISSUED i^NATURE+ Ln C? 0 x w ( x Z �a, U o O W m� 00 QOa0) mF— W�°3'� aU z C LL p-I p A C m Q GUr� Q� W Fj A LLI m°O 9 V Wabr O A�a3 UW C) '-c �N 0 c LU U o > O U U o Q 0 mL o•c °o a) a) L` �o Y wo f6 (D N oECL 7 r a) o_ ' � 00 C En N a) O ti coi CU a)7 O a3 L L m Ca ° N mYU C m mom-. 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