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Home My WebLink AboutXR2023-0880 - Permits (2)�EWPoRr City of Newport Beach 111IIIpIIIIII IIIII11111111p1111111111111111111111111111 jj COMB Permit : XR2023-0$$0 �F @ Community Development Department - Building Division X R 2 0 2 3 e 8 B 0 n100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0773 Permit Counter Phone: (949) 718-1888 Issued Date : 04105/2023 c,. newportbeachca.gov/civic Final Date: 10/2812024 01111.x" \P Combination Type - SFP ELEC MECH PLUM Permit Status: Final Work Class - Alteration Inspection Area : 4 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 : 10 RUE VILLARS Legal Desc : N TR 7800 BILK LOT 7 Description: SFR CONVERT CLOSET TO BATHROOM 200 SF Owner: DAVID BUICH Address : 10 RUE VILLARS NEWPORT BEACH, CA 92625 Phone: (208) 866-0594 Applicant: GOETZANDREW Address: 2855 E COAST HWY #234 CORONA DEL MAR, CA 92625 Phone : (949) 673-3152 Owner/Builder : DAVID BUICH Address : 10 RUE VILLARS NEWPORT BEACH, CA 92625 Phone : (208) 866-0594 Code Edition : 2022 Type of Construction : V-B Occupancy Groups : R-3 Bldg Height: Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone: PC - Big Canyon PROCESSED BY: SPECIAL CONDITIONS: Contractor Address : Phone: Con State Lic Lic Expire: Bus Lic: Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: Architect : GOETZ ANDREW Address : 2855 E COAST HWY #234 CORONA DEL MAR, CA 92625 Phone: (949) 673-3152 State Lic : C018499 Engineer Address Phone: Designer: Address Phone: Fire Sprinklers : NO Construction Valuation : $20,000.00 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 No of Units: 1 Alteration sq. ft. Bldg : 0 No of Stories : 2 Add/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 reason(s) 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 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 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 not more than five hundred dollars ($500). ❑ I, 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, Business and Professions Coda: 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). ❑ I, as owner of the property, am 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). ❑ I am exempt from licensure under the Contractors' Slate 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 by this permit, I cannot legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) 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 NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000f, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th 3erformance 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' rance carrier and policy number are: Policy Number of Agent Date 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. nature of Applicant Dale CLARATION REGARDING CONSTRUCTION LENDING AGENCY Neby 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). Iders Name Lenders Address 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 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 enter the above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Prooertv Owner's or Authorized Aaents Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA PERMIT EXTENDED i LlAQmD PERMITFINAL CERTIFICATEOF OCCUPANCY ISSUED /i��/ I/'r _ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO /// PROPOSED DEMOLITION �G/��l SIGNATURE: