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Home My WebLink AboutXR2023-2536 - PermitsC:�PoCity of Newport Beach 111IIIIIIII1111111111111111111111111111111111111111111111 jj COMB Permit: XR2023-2536 Community Development Department- Building Division X R 2 0 2 3 2 5 3 6 �'.100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1516 nPermit Counter Phone: (949) 718-1888 Issued Date : 0911112023newportbeachca.gov/civic Final Date: w Cw Combination Type - MFP 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 : 280 CAGNEY LN, 208 Legal Desc : N TR 8336 BILK LOT 5 UN 101 TR 8336 LOT 5 UNIT 101 Description: MFR *CHANGE OF CONTRACTOR* REMODEL 2 BATHROOMS 253 SF i `y S z �" �a M Ri Owner: RUDYSTERNER Address : 280 CAGNEY LN, 206 NEWPORT BEACH, CA 92663 Phone: (650)793-1626 Applicant : RUDY STERNER Address : 280 CAGNEY LN, 206 NEWPORT BEACH, CA 92663 Phone: (650) 793-1626 Owner/Builder: RUDY STERNER Address : 280 CAGNEY LN, 206 NEWPORT BEACH, CA 92663 Phone: (650)793-1626 Contractor Address : Phone: Con State Lie Lie Expire Bus Lie : Bus Lie Expire Workers' Compensation Insurance Carrier: Policy No W. C. Expire: Architect Address Phone : State Lie Engineer: Address Phone: Designer: Address Phone : Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone : PC - Versailles on the Bluff PROCESSED BY: a 11-1� 1-� SPECIAL CONDITIONS: REPLACE PAT XR2023-1714 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 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 71 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), ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure Is not Intended or offered for sale (Section 7044, Ks 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 ments 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 for the purpose of sale).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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exerrrpt from licensure under the Contractors' Stale 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 coo red by this permit, I cannot legall, n sell a sit ucfum that I have built as an ower-buildor if it has not been constructed in ` antIrety by licensed contractors, I understand that a copy of the applicable law, Sec n 7044 of the Business and Professions Code, is available upon request w1hk,,,, 1 allon is submitt or following Web site:http:liwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agen a / y 26r 7-3 LICENSED CONTRACTOR'S DEGLARATI hereby affirm under penalty of perjury that I a Sed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Dale Contractor Signature COMPENSATION DECLARATION �ARNINO] FAILURE TO SECURE WOR%ENS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO OST OF COMPENSA71('N, ^t )VAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm uncle• ,nlralty of perjury one of the following declarations: 7 I have and will ,T,aintem 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 erformance of the 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' rancP carrier and policy number am: _ _ Policy Number Expiration Date of Agent ...... Phoneq_ Cr fy that, in the performance of the work for which this permit is issued, I shelf not employ any person in any manner so as to become subject to the worke s' compensation laws of California, and agre, it 1 ,�hhw1 bac Ie subject to the workers' compensahon ro talons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �! 6ture of Ap want 1 e;:eTln rxFr:aan . rnnacrallr. nu r u r ercAtr"v I hei a�, iffirm uhtCer 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 Cade). I orner's Name Lender's Address By 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 andthe information I have provided is correct. I agree to comply with all applicable city and county ordinances and at Yaws relating to building construction. I authorize representatives of this city co ty ter a above-i property for inspection purposes. Signature of Property Owner or Authorized A nt " ti Print Property Owner's Or Authorized A em's a ne'1271Le0� ACTION DATE B. DECLAR ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART at OF TITLE 40 AND AQMD RULE 1403 PERNliT EXPIRED 01 SUBMITTFD ASRFS705 NOTIFICATION TO PERMiTCANCELLED IIEPA PERMIT EXTENDED QM PER,bRT FINAL r SBESTOS NOI IFICA'I'ION IS N07 APPLICABLE r0 CE.PPHCATE OF 1 f✓✓' P 0 ED DEE},�. OUTION OCCUPANCY ISSUED INN RE//l"a�