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Home My WebLink AboutXR2023-1485 - PermitsCity of Newport Beach D��gwaoRr A Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 z Permit Counter Phone: (949) 71B-1888 >� newportbeachca.gov/civic C9C/Fp0.H'P Combination Type -SFP Work Class -Alteration iiR iiiii ii�i iiiii iiii iiiii iiiii 5i9 COMB Permit : XR2023-1485 Plan Check No: PC2023-1339 Issued Date: 0611412023 Inspection Area: 6 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: 2 SUGAR PINE RD Description: SFR INTERIOR REMODEL 1004 SF Owner: ANDREW AND ANNIE GARCIA Address: 2 SUGAR PINE RD NEWPORT BEACH, CA 92657 Phone : Applicant : Rafael Castillo Address: 100 W. Foothill Blvd. Claremont, CA 91711 Phone : (909) 721-7597 Owner/Builder! Address : Legal Desc : TRACT 14103, LOT 18 OF PROJECT 935-90 LOCATED ON AP 473-021- 65 TOGETHERWITH AN UND. 1113 INT. IN PARS. 2,3 & 4 OF LLA 96 Contractor: HARTMAN BALDWIN INC Address : 100 W FOOTHILL BLVD CLAREMONT, CA 91711 Phone: (909)621-6296 Con State Lie : 653340 Lie Expire: 09/30/2024 Bus Lie: BT30078034 Bus Lie Expire: 02/28/2024 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WVE5057368 W. C. Expire: 10/1/2023 Architect: TY K OTJEN Address: 523 THIRD ST REDLANDS, CA 92374 Phone: (909)721-6963 State Lie : CO22126 Engineer: MUTKA JASON RICHARD Address: PO BOX 77144 CORONA, CA 92877 Phone: (951)235-0276 Designer Address : Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $230,000.00 Type of Construction : V-B Fire Hazard Zone : YES Added/Newrrl sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 1,004 Bldg Height: No of Stories: 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks : - Flood Zone: X Use Zone: PC - Newport Coast - PROCESSED BY: SPECIAL CONDITIONS: IRWD; FIRE FUEL MOD/HAZ ZONE; LANDSLIDE I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate 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, altar, improve, demolish, or repair any structure, prior to Its Issuance, also requires the appiicanl for is pe onR 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 licensure 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). 7 h 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, lusiness and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the properly, provided that the nprovemants are not Intended or offered for sale. If, however, the building or Improvement Is sold within one yearof completion, the Owner -Builder will have the burden of proving that R was not built or n roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' Slate License Law does not 5ply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Lew). 1 am exempt from licensors, under the Contractors' Slate License Law for the following reason: ly 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 entirely 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 appliceton Is submitted or at the following Web site:httpJlwww.leginfo.ce.govfcalaw.html. Rgnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000)mf givison 3 of the Business and ProfessionsE .' Ind y Ilc s is In full io e Intl effect. License Class License No Dale � L 20 Contractor Signature - VORKERS' COMPENSATION DECLARATION rARNINGe FAILURE TO SECURE WORKER$' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S10a0001, IN ADDITION TO THE CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 4704 OF THE LABOR CODE. INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one or 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 the erfoanance 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' compensalio nsurance carrier and policy number are: Caller Policy Number Expiration Date Name of Agent Phone # certify that. in the perform t work f r`- ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compenselio laws of California, and agre Ihot. if I should become sub to he or rs' c mpensetion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dale_ T 2� DECLARATION REGARD NG STTRUOTIPN LENDING AGENCY 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 (Section 3097, Civil Code). Lenders 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 rrect. I agree to comply with all applicable city and county o 9nos slate laws relating to building construction. I authorize representatives of this city or county to a- -Identified property for Inspection purposes. Si nature of Prorert-1 Ovner or Authorized Agent - Print Properly Owner's or Authorized Agent's Name-i�,)`f faC'(' ��5 y l-� Date AC -ION DATE BY TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY AC -ION MREG CATIONS PART 61 OF TITLE 40 AND AOMO RULE 1403 P<R7v11r xPIRED I I I SUBMITTED ASBESTOS NOTIFICATION TO CPR77FICATEOF OCfUPANCYISSUEO SIGNATURE: APPLICABLE TO