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Home My WebLink AboutX2022-1649 - Permits"ewvo? City of Newport Beach pa Community Development Department - Building Division ,y 100 Civic Center Drive, Newport Beach, CA 92660 � .D _ Permit Counter Phone: (949) 644-3288 >•,.. " Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration III I I II II COMB Permit : X2O22-1649 Issued Date Plan Check 0913012022 01-2022 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 : 226 PEARL AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 8 LOT 37 Description: SFR - (2) W/D CHANGED TO LARGER WITH NE HEADERS, REMODEL KITCHEN/DINING RM(390SF) Owner: DAVID BRUMLEY Address : 226 PEARL AVE NEWPORT BEACH, CA 92662 Phone Applicant: R 3 BUILDERS Address: 119 CAMINO LEON CAMARILLO, CA 93012, CA 93012 Phone: (714)330-2240 Owner/Builder : Address : Contractor : R 3 BUILDERS Address : 119 CAMINO LEON CAMARILLO, CA 93012, CA 93012 Phone: (714)330-2240 Con State Lic : 936205 Lic Expire : 08/31/2023 Bus Lic : BT30077463 Bus Lic Expire : 12/31/2022 Workers' Compensation Insurance Carrier : Policy No : EXEMPT W. C, Expire: Architect Address Phone: State Lic Engineer: BURKE LED Address: 34167 PACIFIC COAST HWY #D DANA POINT, CA 92629 Phone: (949)226-7130 Designer Address Phone: Phone: Code Edition : 2019 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 Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone: R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS $95,000.00 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty 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 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' Stale 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 rive hundred dollars ($500). 0 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 notintended 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. 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 Improved for the purpose of sale). 0 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 licensure under 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 forat least one year prior to completion of the improvements covered by this permit, I cannot legall, 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 theapplicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:hifp:flwvnv.leginio.ca,govlcalavr.html. Signature of Property Owner or Authorized Agent _ , Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 f Division 3 of the Business and Pro starts )de, d m icense is In full force and effect. License Class License No Date Contractor Signature WORKERS' COM.PEN.SATION DECLARATION AARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, 0.N0 SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OuSANO DOLLARS 8100,000), IN ADDITION TOTHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm underpenally of perjury one of the following declarations: -1 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 th oerformance of the work for which this permit is issued. Policy No. JI 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' compensatiol nsurance carrier and policy number are: farrier Policy Number Expiration Date `1�a[�na of Agent Phone ff Ify that, in the porter anee or the work for 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 California, and agre fat 1f lit I should become �ect to the � orkers' compensation provisions of S e Labor Code shall forthwith comply With those provisions. 311, >Ignalure of Apo 'nont I_ _ ___ Dato )ECLARATION REGA INGSTRUCTIQN L iNG AGENCY hereby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for which this permit is issued (Sectlon 3097, Civil Code). _endar's Name. Lenders Address 3y 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 c y ordinances and state laws relatil building construction. I authorize representatives of this city or county enter v -I ntifie perty for I purposes. �j., ry �/�' �i �J � Signature of Prope, Ly J.vner or Authorized Agent erty Owner's or Authorized Agent's Name ! �/ ` Date ACTION DATE BY V11 DkIARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE GULATION4 PART lit OF TITLE 40 AND AQMD RULE 1403 P,9.RMT EXPIRED 0 1 SUBMITTED ASBESTOS NOT] FICATION TO PEvMtT CANCELLPD --py � _ , f'ERiv T EXTENOEU TL—JrEPA UQMO CE.7 r 7 FINAL CE7 f i�AIEOf 2� �' I I ` ___ �p$1 5 NOTIFIC I 15 NOT ARpLICARLE TO �^ R POS. OEM nCCURANCYISSUEA' 1 SIGNATUR