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Home My WebLink AboutXR2023-0044 - Permits,.2EWP0;4T City of Newport Beach COMB Permit : XR2023-0044 Community Development Department- Building Division III k' R 2 0 2 3 0 0 4 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0045 .� j i % Permit Counter Phone: (949) 718-1888 „ r „� Issued Date : 0711412023 �' '� newportbeachca.gov/civic .., ""�"-"m ""� e^a+ Final Date: Combination Type - SFP ELEC MECH PLUMo �y q Permit Status: Issued Inspection Area : 3 Work Class -New P 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 : 3109 CLAY ST Description: NEW SFR/GARAGE 5704/564 SF Owner: BELL FAMILY TRUST Address : 77 THAYNES CANYON DR PARK CITY, UT 84060 Phone : (562) 436-5200 Applicant: JAN VAN DIJS Address : 380 JUNIPERO AV LONG BEACH CA 90814 Legal Desc : TR 27 LOT 2 BLK 1 NWLY67.5 FT -INC ABAN ALLEY ADJ-(AND NWLY 67.5 FT -IN C ABAN ALLEY ADJ- LOT 3 BLK 1(AND NW LY 67.5 FT Architect Address Phone: State Lie: Engineer: OMAR LEONEL GARZA Address: 600 WILSHIRE BLVD, 860 LA, CA 90017 Phone: (562) 832-2499 Workers' Compensation Insurance Phone : (213) 627-6687 Carrier: EXEMPT Owner/Builder : Policy No: EXEMPT Designer : JAN VAN DIJS Address W. C. txpire: Add, ebb 380 J4fNllE A:' LONG BEACH, CA 90814 Phone: Phone : (562) 832-2499 Contractor: OLSON CONSTRUCTION Address : 6818 EL PROGRESO LONG BEACH, CA 90815 Phone : (562) 619-9109 Con State Lie : 386853 Lie Expire : 04/30/2025 Bus Lie : BT30071170 Bus Lie Expire : 02/28/2024 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $1,140,800.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg: 5,704 Occupancy Groups : U,R-4 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 AddedlNew sq. ft. Garage: 564 TOTAL sq. ft 6,26R Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential ' PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the cheekmark(s) I have placed next to the applicable ilem(s) ieclion 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the appiicanlYm- Ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 Of the Business and rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($w500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044. usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' ar personal effort, builds or Improves the property, provided that the nprevements 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 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 pply 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). 7 I am exempt from licensors under the Contractors' State License Law for the following reason: iy 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 legal) 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hltp:llwww.leginfo.ca.gov)calaw.htmi. llgnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P s n Co my license is in f ull force and effect. License Class License No Date �—j U Z3 Contractor Signatu VORKERS' COMPENSATION DECLARATION IARNING: 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 1$100.000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjuryone of the following declarations: 7 1 have and will maintain a certificate of consent to seifAnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code. for IN arformance of the work for which this permit is issued. Policy No. :1I 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' compensatior Isurance carrier and policy number are: Policy Number wdw is of Agent """" " 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 becom ' lh yyorkem' compensation provisions of Section 3700 of the Labor Code, I shall forthwith complywith those provisions. / Iature of Applicant (?D _. Dale 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). enders Name Lenders Address _. ly my signature below. I certify to each of the following: I am the properly 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 coi>npiy with all applicable city and tour antes and stale laws relating to building construction. I authorize representatives of this city or count. en r th aye —identified property for inspection purposes. ;i.0 r., l,.re of Prndsdl' Owner or Authorized AGenl Print Property Owners or Authorized AgenCs Name r1 %�1� ?n�>•. ``1� %✓ ` Dale —! PERV,IT EXPIRED PERM? F%rENDED PER^41 FWAL CERTIACAI E OF OCCUPANCY ISSUED DAl'E BY ! DECLAAALDN-6F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j REGULATIONS PART 61 OF TITLF 40 AND AOMD RULE ASBESTOS NOTIFICATION NOTAPPUCABLE TO �EWP°Rr City of Newport Beach IIII IIpIII11111111p11111p111111111p1111111111pl1111111111 jj Permit: XR2023-0044 °' 100 Civic Center Drive x R 2 0 2 3 e m a a i3 Newport Beach, CA 92660 Plan Check: PC2023-0045 cqU F00.N�P. Certificate of Occupancy THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING CONSTRUCTION OR USE, Owner: ANDREW BELL Code Year Edition: 2022 Address: 3109 CLAY ST, NEWPORT BEACH, CA Number of Stories: 2 Tenant: Construction Type: V-B Use Zone: R-1 - Single -Unit Residential Occupancy: U,R-3 Description of Work: NEW SFR/GARAGE 5704/564 SF Total Occupant Load: Special Conditions: Fire Sprinklered: YES Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: %ertee Date: 3/25/2025