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Home My WebLink AboutXR2024-0534 - Permits�eWPogT City of Newport Beach IIIII IIIIIII I II I II II IIII III IIII II II II COMB Permit : XR2024-0534 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: S Permit Counter Phone: (949) 718-1888 Issued Date : 03/06/2024 newportbeachca.gov/civic Final Date: CqG/FORN�P Combination Type - SFP Permit Status: Issued Work Class - Other 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 : 339 VIA LIDO NORD Legal Dose : N TR 907 BLK LOT 952 TR 907 LOTS 952/953/954 INC A Description: SFR REROOF- T/O ROOF TILE, R/R SHEATHING AS NEEDED, INSTL UNDERLAYMENT, INSTL DURALITE TILES 38 SQ. (ESR-412 5.7 PSF) Owner: GEOFFREY MORRIS Address: 339 VIA LIDO NORD NEWPORT BEACH, CA 92663 Phone: Applicant: AUSTIN FIETSAM Address : 220 PROGRESS, 150 IRVINE, CA 92618 Phone: (949)256-7643 Owner/Builder : Address : Contractor: ORANGE COUNTY SVCS Address : 220 PROGRESS, STE 150 IRVINE, CA 92618 Phone : (949) 427-8817 Con State Lie : 1023627 Lie Expire : 02/28/2025 Bus Lie: BT30061755 Bus Lie Expire : 01/31/2025 Workers' Compensation Insurance Carrier: STARNET INS CO Policy No: BNUWC0159546 W. C. Expire : 4/8/2024 CONTRACTING Architect: Address Phone: State Lie: Engineer: Address Phone : Designer: Address : Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New[TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 0, Front: 4, Side: 4, Side: 4 Flood Zone : X Use Zone : R-1 - Single-UnitResidential M PROCESSED BY: Y ` SPECIAL CONDITIONS: $45,000.00 0 0 0 I hereby affirm under penally 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 items) (Section 7031.5. Business and Professions Code: Any city or county that requires a pemlit 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 licensors 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 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 improvements are not intended or offered for sale. If, however, the building orimprovemen€ 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). El 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 with a licensed Contractor pursuant to the Contractors' State License Law). El I am exempt from licensureunder 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 to completion of the improvements covered by this permit, I cannot iegaily (sell a structure that I have built as an owner-buildar if it has not been constructed in its entirory by licensed contractors. I understand that a copyof 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 siteihttp:/A ww.leginfo.ca..govicalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penaltyof perjury that 1 am licensed under provisions of Chapter 9 (commencing with S �Ctjon 7Q Q) of Divisfan 3 of the Business and Professions Code, and my license is In full farce and effect. License Class License No'Date 5 oG %" Contractor Signature (WORKERS' COMPENSATION DECLARATION (WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 13100,000), IN ADDITION 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: 111 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 lh� �Iperforma.nce of the work for which this permit is issued. Policy No. 01,4ave 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' compensatior ,insurance carrier and policy number are: Policy Number Expiration Date of Agent Phone #_ I certify that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and t, if I should become subject to the workers' compensation provisions of Section 3700of the Labor Code, I shall forthwith comply with those provisions. ...nature of Applicant _-_._____�------.. _._...._.____....._--.-- Date— CLARATION REGARDING CONSTRUCTION LENDING AGENCY >reby 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, Civil Code). roars Name Lenders 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 laws relating to building construction. I authorize representatives of this city or county to a terthe above -identified property for inspection purposes. '} ,naN,rw of Prnonrtd nwner'or Au horizon Anent Print`Prorrarty owner's or Authorized Anent's Noma ZyL'k" " Data `, N'. ACTION DATE. BY DECLARAT€ON. OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 fOR OFFICE USE ONLY PERMIT EYPtRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT Con-FCL `CJ �� =CPA .._... PER,Y7iT ET E,VCEJ I ,nQMD PCRMlTFINA! �a CERTIFICATE OFea ASBESTOS NOT HCAI ION 15 NOT APPLICABLE IQ P POSED DEMOLITION OCCUPANCY iSSUEO ( ; SIGNATURE:-7yrlt� m N m 0 N O (Q '� L .� co CD CD O TJ x. N 3 n CD O N O O m DOj d O0 �Q\ ? n �. O N 7 CD O C m, r CD O 3 '.2 CD `J \ 6 S N �� NCO 7 {01 1 O 'G Z rt o n D �' .. 7 CD CD d CD CD CD k P_., Q d (p 0 C f1 CD 0 7 m �'O O 3 0 CL CL 0 CL CD H O CCDD .A d O c O_ 0. co a 3 `< 7 CL (n p 0 -' O = CD — 7 7 CD CD CD ci d C N CD CD (n o CL] (7 �_ Z1 7 N -. 0 � CD � N 7 CCD j. CD 0 -p. 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