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Home My WebLink AboutXR2024-0114 - PermitsagWPO�,r City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U24-0114 D4 g Community Development Department - Building Division X R 2 0 2 4 0 1 1 4 F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0080 Permit Counter Phone: (949) 718-1888 Issued Date : 01/11/2024 >� S newportbeachca.gov/civic> r - - Final Date: C9dIF00.��P Combination Type - MFP ELEC MECH PLUM Nn , Permit Status: Issued Work Class - Alteration Inspection Area : 4 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: 9B NORTHAMPTON CT Legal Desc : N TR 10987 BLK LOT 3 UN 111 TR 10987 LOT 3 UNIT 11 Description :. MFR REMODEL MASTER BATHROOM 240 SF Owner: DIORIO EDWARD J TR Contractor: R W LEWIS CONSTRUCTION Architect Address: 29 NO,RTHAMPTON CT #114 Address : 1863 BAYPORT WAY Address NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92660 Phone : (949) 290-4690 Phone : (714) 321-4126 Phone Con State Lie : 597309 State Lie Lie Expire : 06/30/2024 Applicant: RW LEWIS BUILDERS Bus Lie: BT00021581 Engineer: Address: 1863 BAYPORT WY Bus Lie Expire : 03/31/2024 Address NEWPORT BEACH, CA 92660 Phone: (949) 650-4949 Workers' Compensation Insurance Phone: Carrier: CALIFORNIA INSURANCE COMPANY Owner/Builder: Policy No : 46864922 Designer: RW LEWIS BUILDERS Address : W. C. Expire : 12/11/2024 Address: 1863 BAYPORT WY NEWPORT BEACH, CA 92660 Phone: Phone: (949) 650-4949 Code Edition: 2022 Fire Sprinklers : NO Construction Valuation : $10,000:00 - , Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : U,R-2 No of Units : 4 Alteration sq. ft. Bldg: 240 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks; Flood Zone : X Use Zone : PC - Aer/Mo�nutronic Ford " PROCESSED BY: V SPECIAL CONDITIONS: LANDSLIDE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that a am exempt from the Contractors' State License Law for the resson(s) Indicated below by the checkmark(s) I have placed next to the applicable items) 3ecdon 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for io permit to file a signed statement that he or she is diconsed 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 Ifcensure 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 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, useess 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 nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion., Vie Owner -Builder will have the burden of proving that it was not built or riprooved for the purpose of sale). I 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 pply 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). 7 1 am exempt from icensure under the Contractors' Slale License Law for the following reason: Iy 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 legall, ell 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 the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted orat the following Web site:http:ilwww.legfnfo.ca.gov/calaw.html. llgnature of Property Owner or Authorized Agent Date _ .ICENSED CONTRACTOR'S DECLARATION' hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7ED ) of jtisio 3 of the Business and Pro n C e, and my licensee is in full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO OR PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS fb1D0.0001, 0NI ADOTION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'& FEES.. hereby affirm under penalty of perjury one of the following declarations: hav nd will malla 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 tBl ance 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' compensatoor ranee fete � er nd policy number are: // ier IL (�J SIN-L1.� Policy Number G 4 �(, Z2. Expiration Date 12 f 11, Z4 to of Agent _ certify that, In . If I should: be Ice o he Ork 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 agree to the wo rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,ignature of Applicant _ _ Date_j. !1 2 L4 IECLARATION REgAR,DING LOTION LENDING AGENCY hereby affirm u.ider pelTalty of perjury that there is a construction lending agency for the performanceof the work for which this permit Is issued (Section 3097, Civil Code). ender's Name Lender's Address _ y my armature below , certify to each of the following: I am the property owner or authorized to act on the property owner' behalf. here read this application and the information I a pro. d is Fact. 1 agree to can piv wLh all applicable city and cou ordinanc a state laws relating to building construction. aut:wrize representatives of this city or county toe r the identified property for inspection purposes.(/� SLTNture of Prot) Owner or Authorized Agent I Print Property Owner's or Authorized Agent's Name V� r 1 Date t ;_ h ?— ACTION I DATE BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 _ EXPIRfD PERI1 SUBMITTED MIT ASBESTOS NOTIFICATION TO rERMJT CANCEFL,L _ EPA_ _ PERMIT EXTENDED QM D PERMIT FINAL ASBESTOS NCIIFICATION IS O PPLICABLE TO CERTIFICATE OF .fy.`L�J' PROPOSED DEMOL SIGNATURE: OCCUPANCY 15SUED // I