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Home My WebLink AboutXR2024-1171 - PermitsCity of Newport Beach Community Development Department II�IIIII I IIIIIIIIIIIIIIII IIIII IIIIIIIIIIIII I II COMB Permit : XR2024-1171 0 @m dment-Building Division _ y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: u S Permit Counter Phone: (949) 718-1888 Issued Date : 05/0212024 newportbeachca.gov/civic Final Date: cg4FOP�'�P Combination Type - 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 N, 11 -T Job Address : 123 MARINE AVE Legal Desc : A TR BALBOA ISLAND SEC 4 BILK 1 LOT 14 11 %1 i._C i U j Description: SFR DRAINAGE `CITY STANDARD* KINSTLER CHARL€S JR TR Contractor: PROT€X CONSTRUCTION Architect, Owner: Address : 1001 EMERALD BAY Address : 13505 YORBA AVE #0 Address LAGUNA BEACH, CA 92651 CHINO, CA 91710 Phone: (925)351-4782 Phone: (714)265-7661 Phone: Con State Lic : 943626 State Lic Lic Expire : 02/28/2026 Applicant : MILLER DANIEL J TR Bus Lic : BT30073739 Engineer Address : 25082 PASEO CIPRES Bus Lic Expire: 12/31/2024 Address LAKE FOREST, CA 92630 Phone : Workers' Compensation Insurance Phone: Carrier: STATE FUND Owner/Builder : Policy No: 9015877 Designer: Address : W. C. Expire: 6/22/2024 Address Phone: 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: U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks: Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-BI - Two -Unit Residential, Balboa Island rill PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION t hereby affirm under penally of perjury that I am exempt from the Conh iclors' State License Law for the reasons) 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 As issuance, also requires the applicant for is 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 'rofessions Code) or that he or she is exempt from licensors 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, 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, rosiness 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 properly, provided that the nprovements 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 nproved for the purpose of sale). 1, as owner of the property, are exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not 5ply 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). 1 am exempt from ltcensure under the Contractors State License Law for the following reason: ._..... _..... , ty 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 legally 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 or at the following Web site:htip:l/www.leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjun t I am licensed under provisions of Cha lan 9 (commencing with Sectio 7000) of Division 3 of the Busl ess and Profs few Code, and my license is in full force nd effect. License Class License No �L L, (_ �l ( Da Con,`,.,Jlor Signet e VORFCERS' COMPENSATION DE .LARATION � y—� t, `- 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HU 1 IOuSAND DOLLARS 1S100,000j, IN ADDITION TO THE CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COPE, 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 thf erformance 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' a carrier and policy numbs 0 //� .t,�..P.Vr—D'l Policy Number ��7%rj %'�% Expiration Date 2 /2 Agent Phone N JI 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 became subject to the workers' compensation laws of California, and Dote Tat if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ; tignalure of ADPlica ��' IECI.ARATfON RE'AOING C f.'yT� "t.) N LENDING AGENCY hereby affirm under penalty of that there is a Const..El lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). enders Name Lender's Address ly 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 i 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 an rth bove4dentified property for inspection purposes. Iiunature of Prooertv Owner or Authorized Aodut Print Proeertv Owner's or Authorized ADenfs Name J ' Maw b�l-� \ _ Date PERMIT EXPIRED PERMIT CANCEL LED PERMIT EXTENDED PERMIPFINAL CERTIFICATE OF OCCUPANCY ISSUED REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE 1 SUBMITTED TO /Zy DL�'or CS I UASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSEODEMOUTION SIGNATURE: FOR OFriCE USE ONLY