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HomeMy WebLinkAboutXR2023-1357 - PermitsWPo City of Newport Beach IIII��IIII�II���I�I����III���III��II��II�� II XR2023-1357 CommunityDevelopment Department Division P P 9 X R 2 0 2 3 1 3 5 7 COMB Permit : 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: N'S S Permit Counter Phone: (949) 718-1888 Issued Date : 0512312023 c r newportbeachca.gov/civic Inspection Area : 2 9</F00.P` Combination Type- SFP ELEC MECH PLUM• Work Class - Alteration 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 : 729 VIA LIDO SOUD Legal Desc : N TR 907 BLK LOT 27 Description: SFR REMODEL KITCHEN AND BATHROOMS ONLY. 400 SF *CITY STANDARD PLAN* aii favor� 123-(6ZO Owner: SUNSETS FOR LIFE TRUST Contractor: EAGLE DEVELOPMENT & Architect: CONSTRUCTION INC Address : 729 VIA LIDO SOLD Address : 23679 CALABASAS ROAD #724 Address NEWPORT BEACH, CA 92663 CALABASAS, CA 91302 Phone: (310)819-3250 Phone: (818)597-1326 Phone: Con State Lie : 800756 State Lie Lie Expire : 10/31/2023 Applicant: MIKE JOHNSON Bus Lie : BT30073754 Engineer Address : 31352 VIA COLINAS STE 101 Bus Lie Expire : 12/31/2023 Address WESTLAKE VILLAGE, CA 91362 Phone: (949) 662-4443 Workers' Compensation Insurance Phone: Carrier: EXEMPT -NO EMPLOYEES Owner/Builder : Policy No: EXEMPT Designer : EAGLE DEVELOPMENT & CONSTRUCTION INC Address : W. C. Expire: Address : 23679 CALABASAS ROAD #724 CALABASAS, CA 91302 Phone: Phone: (818)597-1326 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $40,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : 400 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Front: 4, Side: 3, Side: 3 Flood Zone : X Use Zone : R-1 - Single -Unit Residential :5 PROCESSED BY: NO CONSTRUC TION NOISE ,,• SPECIAL CONDITIONS: HIGH DENSITY ZONE & LIQUEFACTION ON THE WEEKEND 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 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, dernoltsh, or repair any structure, prior to its issuance, also requires the applicant for 1s permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Yofessions 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). 1 I, 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, rosiness 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 nprovements 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)- 3 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 poly 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). J I am exempt from licensure 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 forat 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-buildor if It has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable low, Section 7044 of the Business and 'rofossions Code, is available upon request when this application is submitted or at the following Web site:http:/1w, ,w.leginfo.ca,gov)calaw.html, signature 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 Profession ode, and my ices Is n u force nd effect. License Class License No Date e.S=23 '23 Contractor Signature VORKERS' COMPENSATION DECLARATION rARNING: 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 (6100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE I 011 CODE, INTEREST, AND ATTORNEYS FEES_ hereby affirm underpenally of perjury one of the following declarations: I 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, forth, orformance 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' ranee carder and policy number are: Policy Number 1a of Agent codify that, in the performance , if I should become subject ty/ Iature of Applicant._.. Date ued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date.____, o T `2-3 - '7-3 Ireby 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) Nees Name Lender's 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 ordin rites a ws r ire to building construction. I authorize representatives of this city or county to Ent the eve-identifi operty f r in purposes. nature of PlODarty Owner or Authorized Adent _ _ Print Property Owner's or Authorized Agent's Name NIL K�F_. 3v,tq ACTION I DATE BY DECLARATION OF CON7PLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY f REGULATIONS PART 61 OF TITLE AO AND AQMD RULE PERMITEXPIRED LI I SUBMITTED CEAI-017A.DE OF - 41-8 �•� flh•��" PROPOSEDD OCCUPANCYISSUEO I SIGNATURE; Dale