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Home My WebLink AboutXR2024-6685 - PermitsCity of Newport Beach - Building Division III�I�IIII�III��III�II0�I��II�III�I 6 6 8 5 COMB Permit : XR2024-6685 Community Development Department 100 Civic Center Drive, Newport Beach, CA 92660 Phan ('hark hit% - Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - SFP Work Class - ADDITION/ALTERATION Issued Date: 10/2512024 Final Date: 12/17/2024 Permit Status: Final Inspection Area: 1 ILI [OX061 MIS 100011111 Lei LIN IW41:1 WTAI I q li 0 Lei Rine] 0 IRY-111 IN :4 By -AM] MM-11 Diff-Ayd 1011 ml Lei w 101 alil6ill wo-Al :49-ANIT-11 0 1 pi 01 LOAT001 :4141161011111101111011 "WIVE-11 I I Pj m Lei 411 RYKM ILI VIA Job Address : 13045THST Legal Desc : A TR RIVER SECTION BLK 44 LOT 14 Description: SFR ALT -REMOVE (E) TILES AND APPLY DECK COATING TO (E) STAIRS (ICC ESR-2701 -LIFE SPECIALTY) Owner: ROBERT & KAREN BUCKLAND Contractor: CRANK WATERPROOFING Architect Address : 130 45TH ST Address 134 COMMERCIAL WY Address: NEWPORT BEACH, CA 92663 COSTA MESA, CA 92627 Phone Phone (949) 646-9356 Phone Con State Lic : 1038420 State Lic Lic Expire 04/30/2026 Applicant: MICAH FRANCISCO Bus Lic: BT30063958 Engineer: Address : 268 E 16TH STREET Bus Lic Expire: 06/30/2025 Address: COSTA MESA, CA 92627 Phone: (949) 412-0595 Workers' Compensation Insurance Phone: Carrier: ENDURANCE ASSURANCE Owner/Builder: Policy No: EAW0000035400 Designer: Address W. C. Expire: 1/26/2025 Address Phone: Phone: Code Edition 2022 Fire Sprinklers NO Construction Valuation $6,000.00 Type of Construction V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg: 0 Occupancy Groups: U No of Units : 1 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories 2 Add/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-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: 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 chockmark(s) I have placed next to the applicable Item(s) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor to Its Issuance, also requires the applicant for ressions, Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031,6 by any applicant for a permit subjects the applicant to a civil periatty of more than five hundred dollars ($500). LJ 1, as owner of the property, or my employees with wages as their sale compensation, Will do (_) 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 Civiner-Solider will have. the burden of proving that It was not built or ffI roved for the purpose of sate). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business acid Professions Code: The Contractors' State License Law does not apply toan 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). 111 am exempt from ficensure 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 t000rnpletion of the improvements covered by this permit, I cannot legalb sell a structure that I have built as an owner�buflder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable low, Section 7044 of tine Business and Professions Code, is available upon request when this application is submitted or at the following Web site;http.1/wwv,teginfo,cs.govlcalaw.htrni, Signature of Property Omer or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (,commencing with Section 70,00) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS* COMPENSATION DECLARATION WARNING6 FAILURE TO SECURE WORKERS'COMPERSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIIINNAL PENALTIES AND OWL PINES UP TID ONE HUNDRED THOUSAND DOLLARS ($10k400), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COUS, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued :by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for birmance of the work for which this permit is issued, Policy No. have and will maintain workers' compensation insurance,: as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers' compense Fence carrier and policy number are. Tier Policy Number Expiration Date of Agent Phone # JI certify that, In the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and afire rat, If I Should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions 3grature of Applicant gate — NIA CLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ($action 3097, Civil Code). anders Name Lender's Address Iy my signature below, t certify to each of the following: I am the property owner or authorized to act on the property owners 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 taws relating to building construction. I authorize representatives of this city or county to enter the above-ldientified property for Inspection purposes. 212nature of Property Owner or Authorized Agent Pont Pro err Owner's or Authorized Agent 5 Name Date ACTION DATE ply DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULAVONS PART61 Of TITLE40AND AQMD RULE 1403 Pawrexpim Eli U� FTTEit ASBESTOS NOTIFICATION TO PERMITCANCIELLEO O—EPA— PERMIT 0MINDED OAQMD, PrRMITFINAL ESTICIS NOTIFICATION IS NOT APPLICABLE TO CERrIFICATE OF,% �� L PROPO'SED DEMOLMON