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Home My WebLink AboutXR2023-1370 - Permits04"a.,- City of Newport Beach 111111p11111111111111111111111111111111p111111111111ll jj COMB Permit: XR2023-1370 Community Development Department- Building Division100 Civic Center Drive, Newport Beach, CA 92660Plan Check No: PC2023-1237 Permit Counter Phone: (949) 718-1888 Issued Date : 1010512023 newportbeachca.gov/civic Final Date: Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - Addition Inspection Area : 1 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 : 5409 LIDO SANDS DR Legal Desc : Description: NEW ADU ABOVE (E) GARAGE 465 SF, CTY STD DRAINAGE Owner: HAROLD GUBERNICK Address : 5409 LIDO SANDS DR NEWPORT BEACH, CA 92663 Phone: (714)401-4132 Applicant: ROLANDO SERRANO Address : 1041 W 18TH ST, A-208 COSTA MESA, CA 92627 Phone : (323) 508-6127 Owner/Builder : Address : Contractor : J M C BUILDERS Address : 222 LAUELWOOD CT LAKE ELSINORE, CA 92530 Phone: (951)226-6853 Con State Lie : 837391 Lie Expire : 05/31/2025 Bus Lie: BT30082749 Bus Lie Expire : 10/31/2024 Workers' Compensation Insurance Carrier : Policy No : EXEMPT W. C. Expire: Architect Address Phone: State Lie Engineer: YAGHI SHUCRI I Address : 112 E. CHAPMAN #D ORANGE, CA 92866 Phone : (714) 997-9120 Designer Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $120,500.4)0; Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 465 Occupancy Groups : U,R-4 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 465 Building Setbacks Flood Zone Use Zone : PROCESSED BY . NO CONSTRUCTION V1/e,JRK SPECIAL CONDITIONS: HIGH DENSITY ZON ON SATURDAYS OWNER -BUILDER 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 fern(s) ution 7031.5, Business end Professions Code: Any city or county that requires a permit to construct, allef, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that lie 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 Passions Code) or that he or she is exempt from ficensure 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 more than five hundred dollars ($500) 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or Offered for sale (Section 7044, 'iness 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 rovements 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 roved for the purpose of sale). L, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coda: The Contractors' State License Law does not ty 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 I em exempt front licensure under the Contractors' State License Law for the following reason ry 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 ell a structure that I have built as an ownenbuilder if it has not been constructed in its entirety by licensed Contractors. I undorstand that a copy of the applicable law, Section 7044 oft 'rofessions Code, is available upon request when this application is submitted or at the following Web site:mtp.liwwvv.leginfo.ca.govlcalaw.html, signature of Property Owner or Authorized Agent ....... Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section Q0) of Division 3 of the B s s and Professiga�5t0 , an y I nd effect. License Class License No D ( 0/ gym /7 Contr cto nature � 4 COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OST OF COMPENEATki TAMAGES AS PROVIDED FOR IN SECTION 3TO6 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: mail, I cannot Business and full force IN AUCTION TO THE havd and wall main,ain 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 rWnce of the work for which this permit is issued. Policy No. 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' carrier -and pol:ay number are Agent - _ _ 7 y that, in the g- ff3 hereby a, 51F un'1,,r Nara Name _ my signature below. I certify l5 I am the property owner or ad I have read this application-7r I agree to comply with all app I authorize representatives of nature of Prooenv Owner or A Policy Number Date which this permd issued, I shall not employ any person in any manner so as to become subject to npensallon pr liens of Wction 3700 of the Labor Code I shall forthwith comply with those proi lending agency for the performance of the work for which this permit is issued' Lenders Address prized to act on the property o ner's behalf. the information I have provi ad €s car aplepfy and count or Gas st la t9 building construction. iiss�Ity or county t n r e e-i Ilfl p perry for inspection purposes. o ed Agent Print Property Owner's Or Authorized BY FiL AT&ON OF CON-0PLIANCE WI'Tdi COD€OF FEDERAL FOR OFFICE USE QJ REGL LATIONS PART 5t OF TITLE 40 AND AQMD RULE. PERMIT EXPiRED LI i SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCEIlEO CIEPA PERMIT EXTENDED QM U PEBNAL VliT FIAsa OS NO] IFICANON IS N T A UC E CERTiFICA EOF r ¢ 2 P EO DEMOLITION OCCUPANCY15SUED G 11RE: 17 Al 1111,14 3rkers' compensation laws of California, and agre Dale 1 3 _. 97. Civil Cede). I