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Home My WebLink AboutXR2022-2116 - Permits�EWPoRT City of Newport Beach M II �II IIIIIII IIIIIIIIIIIIIIIII IIII IIIIIIIIII II COMB Permit : XR2022-2116 @I Community Development Department- Building Division X R 2 0 2 2 2 1 1 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1950949 Permit Counter Phone: ( ) 718-1888 Issued Date : 07/2412023 u 5 S newportbeachca.gov/civic Final Date: cg4rpaN�P Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class -New Inspection Area : 3 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 0 Job Address : 1518 VIVIAN LN Legal Desc : N TR 1806 BLK LOT 18 -..ja-A't 1 �I Description: NEW SFR & GAR 28871495 SF Owner: JUSTIN SHEPPARD Contractor: JENKINS CONSTRUCTION Architect Address : 1518 VIVIAN LN Address : 168 MONTE VISTA AVE Address NEWPORT BEACH, CA 92660 COSTA MESA, CA 92627 - Phone: (310)936-0885 Phone: (714)351-0676 Phone: Con State Lic : 901221 State Lic Lic Expire : 07/31/2025 Applicant: DAWN VAUGHT Bus Lic : BT30035239 Engineer : DEIHIMI AMIR HOSSEIN' - Address : 1041 W 18TH ST, A106 Bus Lic Expire : 04/30/2024 Address : 23172 PLAZA POINTE DR 4,`(E`145 �. v COSTA MESA, CA 92627 LAGUNA HILLS, CA 9265S Phone: (714) 488-8003 Workers' Compensation Insurance Phone: (949) 954-7244 - - Carrier: STATE FUND Owner/Builder : Policy No : 9076367 Designer : JASON RICHART Address : W. C. Expire : 10/20/2023 Address : 1041 18TH W, Al06 COSTA MESA, CA 92627 -' - Phone: Phone: (949)422-9191 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $650,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 2,887 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage : 495 TOTAL sq. ft. 3,382 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: CMSD PERMIT SD22-0348 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkinark(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 its issuance, also requires the applicant for the permit to rile a signed statement that he or she is licensed pursuant to tho provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7001 Division 3 of the Business and Professions Code) or that he or she is exempt from iieensure 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 ($500). ❑ t, as owner of the property, or my employees with wages as their sole 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. IL 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, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 0 I am exempt from iicensure under the Contractors' Stale 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 covered b this permit, 1 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 of the Businoss and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/lwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent ____...._..__.___..r.� ate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that am licensed under provisions of Chapter g (commencing with So on f ivi i f the Business and ofe i s e, my license is In full force rid effert. License Cass License No D,d'�e � Conlractorv$ignat re COMPENSATION DECLARATION INi: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000i, IN ADDITION TO THE OF:.OMPENSA`rn N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE& hereby affirm under reialty of perjury one of the following declarations: id Wit maintam a certificate of consent. to se[Nnsure for workers' compensation, issued by the Director of Industrei Relations as provided for by Section 3700 of the Labor Code, for of 7,a n:ork for which this permit is issued. Policy No. -Fels and will maintain workers' cor -rnnve carrier and policy number are: to cr Agent uedity tltal. it ',heit I should beIature of App; insurance, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. My workers' Policy Number Date for wh1 I5 permit is is shall not employ any person in any manner so as to become subject to the workers' comp_ nsali laws of California, and agre Do anon prov ns of ection 3700 of la Labor Code, I shall forthwith comply With those provisions. ✓//I GAGENCY hereby affirm underre13alty of perjury thaCther Is a construction lending agency for the performance of the work for which this permit is issued (Sectlo 30 7, Civil Code). ender's Name Lenders Address y my signature helow_, I certify to each of IITa following I am the property owner or authorized t0 act on the I have read this application and the information I ha I agree to comply with all applicable city and count I authorize representatives of this city or county of Property Owner or At 1 DATE 1403 PERMIT EXPIRED PERMIT EXTENDED PERMIT rlNAL CERTIFICATE OF OCCUPANCY ISSUED rto lifuilding construction. fork spection purposes. Pon roeertv Owner's or Authorized Ac OF t OM19LIANCE WITH CODE OF FEDEI PART 51 OF TITLE 40 AND AQNID RU IL NOTIHCATION IS NOT APPLICABLE t0 DEMOLITION I FOR OFFICE USE ONLY