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Home My WebLink AboutXR2024-0820 - PermitsEa Po City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2024-0820 { Community Development Department -Building Division X R 2 0 2 4 9 8 2 0 q�i �r,. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No 4� a+. S Permit Counter Phone: (949) 718-1818 Issued Date : 04I01/2024 y newportbeachca.gov/civic Final Date: :°,FoaN�P Combination Type - SFP ELEC PLUM Permit Status: Issued Work Class - Alteration 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: 1500 DOLPHIN TER Legal Dose : N TR 1701 BLK LOT 53 Description: SFR INTERIOR ALTERATION OF BATHROOM 165 SF *CITY STANDARD* Owner: CANDY WIEDEMANN Address : 1500 DOLPHIN TER CORONA DEL MAR, CA 92625 Phone: (949)378-7221 Applicant : GARY GENE DIAL Address : 18 BELOCURT DR NEWPORT BEACH, CA 92660 Phone : (949) 633-1465 Owner/Builder : Address: Phone Contractor: GARY GENE DIAL Architect Address: 18 BELOCURT DR Address NEWPORT BEACH, CA 92660 Phone: (949)633-1465 Phone: Con State Lie : 254690 State Lie Lie Expire : 02/28/2026 Bus Lie: BT30083924 Engineer: Bus Lie Expire : 03/3112025 Address Workers' Compensation Insurance Phone: Carrier: NO EMPLOYEES Policy No: EXEMPT Designer: W. C. Expire: Address Phone: Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U,R-3 No of Units : Bldg Height: No of Stories Building Setbacks : Front: 15, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: NO Construction Valuation : $30,000.00 NO Added/New/Ti sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 165 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(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' State 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 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 not more than five hundred dollars (5500). I., as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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 improvements 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 improved for the purpose of sale). 1, as owner of the property, ant 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). 11 1 am exempt from licensors 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 for at least one year prior to completion of the Improvements__rcovered by this permit, I cannot legal) sell a structure that I have built as an owner -builder if It has not been constructed in Its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:liwwv^r.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date ____ LICENSED CONTRACTOR'S DECLARATION 71 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section TOO?) of l isio 3 of the Business and Professigins—Codi nd my tie r i force Vie .0 and effect. License Class License No DEL Contractor Signature WORKERS' COMPENSATION DECLARATION t WARNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUMORS T .SAND DOLLARS (Sf00,000), IN ADDITION TO THE I COST oP COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES - I 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 "a e of the work for which this permit Is issued. Policy No- 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' compensatio Insarrier and policy number are: Policy Number Expiration Date rflamof ent Phone# hat. in the performance of the work for which this permit is issued. I shall not. employ any person in any manner sD as to become subjectto the workers' compensation laws OfCalifornia, and agreuld become su eof to the workers' compensation prov�Rs of SectiDry 3700 of the Labor Code, I shall forthwith comply with those provisions.f / of _ // pate,$ DECLARATION REGAR G C13'1 STRU . N LE:NHt G.CYT� ON RE I 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 QSection 3097, Civl Code). Lender's Name Lenders 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 and the information I have provided is correct. agree to comply with all applicable city and county ordinances and state laws relati: to building. construction. LI I authorize representatives of this city or cou o enter t ove-identif' ro for inspection purposes. gnature of Pro2edy Owner or Authorized Agent Print Pro erty Owner's or Authorized Agent's Name Date ACTION DATE -IEW—d INDE&ARATICITOF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY RF.iLATIONS PART 61 OF TITLE 40 AND AODAD RULE 13 3 PERMIT EXPIRED I ISU_RIAITTEL A-'BESTOS NOTI 9CATION fO !— I�rEPi, PERMITCANCEUED PERN7T EXTENDED PER;vnrCATE 1wI/Z9 - _ — -�_ -r QMD nr ,FOY SESTOS NOTIFICATION 15 NOS AP IGABUE TO CERTfF7CATE OF OCCUPANCylSSUED Vhf��pp PR POSEDnEMOLIT �'- ✓n SIGNATURE: ,,t Z -