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Home My WebLink AboutU2024-5323 - Permits�EWPO,zr City of Newport Beach @ Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 > Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - Work Class - Addition/Alteration II I IIIIIII0 IIIIIII IIIIIII IIIIIIIIIIIII IIII II COMB Permit : U2024-5323 Plan Check No: Issued Date : 10/09/2024 Final Date: Permit Status: Issued Inspection Area : 2 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 : 314 RUBY AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BILK 13 LOT 8 Description: DUPLEX R/R CMU WALL AT FRONT 28' LF BY 2,5' H (MAX) INSIDE P/L *MARKERS ONSITE* Owner: SHERRY M AUSTIN Address : 10096 AMETHYST HILLS ST LAS VEGAS, NV 89148 Phone: (702)524-4908 Applicant: VICTOR JOSE CASTELLON Address : 30784 DEBBIE LN NUEVO, CA 92567 Phone: (714)376-2579 Owner/Builder : Address: Phone: Contractor: DECKRETE CONCRETE RESURFACING Architect INC Address : 30784 DEBBIE LN Address NUEVO, CA 92567 Phone: (714)376-2579 Phone: Con State Lic : 857457 State Lic Lic Expire : 02/28/2025 Bus Lic: BT30085380 Engineer: Bus Lic Expire : 09/30/2025 Address : Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9089515 -W.-C. Expire : - 5/l/2025 — - — - - - Code Edition : 2022 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks: Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone: X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island 501 PROCESSED BY: SPECIAL CONDITIONS: STANDARD PLAN Phone: Designer: VICTOR JOSE CASTELLON Address : — 30784 DEBBIE LN NUEVO, CA 92567 Phone: (714)376-2579 NO Construction Valuation : $1,21n0.00 NO Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 0 Add/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 No CONSTRUCTION WORK, ON SATURDAYS OWNER -BUILDER DEGLARAI ION 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 he 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 Tot 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved 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 fcensure 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 legal]) 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:flwww.leginfo.ca.gov(calaw.html. Date Signature of Property Owner or Authorized Agent 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 C , n m ficense In full force and effect. License Class License No Dated}—Gq ^ ZL k Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 (f100,000), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 170E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 lh perfo nce of the work for which this permit is issued. Policy No. 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' compensatio insurance carrier and policy number are: (`arrIP.r _ Policy Number Expiration Date of Agent certify that, in the performance of , if I should become subject to the of Applicant is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 11 Date ��T n � _ Zc_ � DLARATION KttaAKIJINU VVND%muu- Con I�uVII-V ...au , 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). Ides s Name _ I Lenders Address my signature below, I certify to each of the following: ii,1 L'.e proper, Lv-ner or authorized to act on the property owner's behalf. I have read this cpp'ication and the information I have provided is correct. agre^. to campy with all applicable city and count frrdt ces an s relating �Pnnt nstruction. 1 authorize repr=-enratives of this city or cou a o e-ideoffie roperty fopurposes, V na'ure �( Proper`f rT'yner or Authorized Agent ( / erty Owners or Authorized Agent's Name ACTION DATE By, DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PFRrmO FY-IRED I , I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PCRMIT E)TENDfG L�AOMD PERMIT FINAL / ASBESTOS NDTIFICA 0 T PLICABL TO CERTIFICATE OF /rJ'/��' .0� PROPOSEDD OCCUPANCYOSSUED SIGNATURE: