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Home My WebLink AboutXR2023-2581 - Permits�gW PORT City of Newport Beach IIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2U23-2581 D� •� ' @ Community Development Department- Building Division X R 2 0 2 3 2 5 8 1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No r+ ? Permit Counter Phone: (949) 718-1888 Issued Date .o-. newportbeachca.gov/civic Final Date: c9r/F00.N�P Combination Type - SFP Permit Status: Applied 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: 3719 OCEAN BLVD Legal Desc : A TR CORONA DEL MAR BLK A CORONA DEL MAR BLK A POR Description: SFR - WATERPROOF TWO DECKS ER-587 Owner: DWIGHT MANLEY Contractor: KITCHEN ART FLOOR AND BATH Architect Address : 3719 OCEAN BLVD Address : 24231 AVENIDA DE LA CARLOTA, 120 Address NEWPORT BEACH, CA 92625 LAGUNA HILLS, CA 92657 Phone: (949)500-5111 Phone: (714)870-1575 Phone: Con State Lie : 965892 State Lie Lie Expire : 09/30/2025 Applicant : KITCHEN ART FLOOR AND BATH Bus Lie : BT30053966 Engineer Address : 24231 AVENIDA DE LA CARLOTA, 120 Bus Lie Expire : 02/28/2024 Address LAGUNA HILLS, CA 92657 Phone: (714) 870-1575 Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder: Policy No: 9255163 Designer Address : W. C. Expire : 6/4/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $15,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New, sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : VE, 14 FT; X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: je" SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION t 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) Beckon 7031.5. Business and Professions Code: Any city or county that requires a pemrit to Construct, alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for 1e permit to file a signed statement that he of 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 'rofessions Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicantto a civil penalty of of more than five hundred dollars ($500), 1 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 nprovemeri 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 nprovod for the purpose of sale). 11, as owner of the property, am exclusively contracting with licensed Contractors to consUuct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of properly who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ] I am exempt from licensure under the Contractors' State License Law for the following reason ,y 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 legalll oil astructure that I have built as an ownor-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable low, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/iwww.leginfo.ca.govlcalaw.html, signature of Property Owner or Authorized AgentDate, .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Professions Csyla, andmy ficeni n J AI farce nd effect. License Class License No Date -``/7 Contractor Signature T✓✓��- i VORKERS' COMPENSATION DECLARATION ARNING; FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,0001. IN ADD17ION TO THE OST 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 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 erfolrrlance 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: Policy Number of Agent Date certify that, in the performance of 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply w1th those provisions. of Applicant' Data_ �/� 3/ z '� hereby 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). under's Name _ Lender's Address 'y my signature below, -I certify to each of the following: I am the properly 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 state laws relating to building construction. I authorize representatives of this city or county to end the above-identifl for inspection purposes. _ ,ionafure of Pronery Owner or Authorized Aaent—Print Prooertv Owner's or Authorized Aaents Name j�G7� �y� ✓ r 1� -^ ACTION j DATE. BY DECLARATIONS. OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY i I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXP RED i I U I SUBMITTED ASRFST05 PEAMIFCR'VC=LCEc f MEP) ....._. ........_ _'.._._.._1__—._- _. PERMIT FINAL 5, UASBESTOS NOI FICAr10N IS NO] APPLICABLE TO CERTIFICATE OF i PROPOSED DEMOLITION OCCUPANCY15SV71 fi SIGNATURE: