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Home My WebLink AboutXR2025-0085 - PermitsaEWPo City of Newport Beach IIIII�II��I�III�III�IIIII�I��IIIIIIIII COMB Permit : XR2U25-0085 F Community Development Departrnent- Building Division X R 2 0 2 5 0 0 8 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 6 } T Permit Counter Phone: (949) 718-1888 Issued Date: 01/1312025 (a+ newportbeachca.govldvic Final Date: y�/FpAH�P Combination Type - MFP Permit Status: Issued Work Class - ADDITION/ALTERATION 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 : 17 STARFISH CT Legal Desc : N TR8635 BILKLOT 4 UN 1 TR 8835 LOT 4 UNIT 1, CP- Description : MFR - R/R WINDOWS (6) & PATIO DOOR (1) Owner: SIMONE ELVIRETTI Contractor: OWNER/BUILDER Architect: Address : 17 STARFISH CT UNIT33 Address : Address NEWPORT BEACH, CA 92663 _ Phone: Phone: - - Phone: Con State Lic: OWNER/BUILDER State Lic Uo Expire: Applicant: SIMONEELVIRETfI Bus Lic: Engineer: Address: 17 STARFISH CT UNIT33 Bus Lic Expire: ..Address NEWPORT BEACH, CA 92663 Phone: Workers' Compensation Insurance - Phone: - Carrier: EXEMPT - Owner/Builder: SIMONE ELVIRETTI -- - Policy No : 0000 Designer: Address: 17 STARFISH CT UNIT33 W. C. Expire: Address NEWPORT BEACH, CA 92663 Phone: _ - .- -' Phone: Code Edition : 2022 Fire Sprinklers.; NO - - Construction Valuation : $9,300.00 Type of Construction : V-B Fire Hazard Zone: NO .- Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units: 4 Alteration sq. ft. Bldg : 0 Bldg Height : No of Stories: 2 - Add/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks Flood Zone: X Use Zone : PC - Newport Terrace - UP 1621 PROCESSED BY: SPECIAL CONDITIONS: �G OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale 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 ContractorsSlate 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). ❑ 1, 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, Business and Professions Code: The Contractom' 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). ❑ erty 1, as owner of the prop. am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State Li ri�e:ILaw 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). ! J I am exempt from licensure under the Contractors' Stale License Law for the following reason: ,y 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 bl ell 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 704, 'rofessions Code, is available upon request when this ap licetion i ubmifted or at the following Web site:hhp:lfwww.leginfo.ce.govicalaw.htmi. :ignature of Property Owner or Authorized Agent% Date I ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and nd effect. License Class License No Date Contractor Signature ZKERS' COMPENSATION DECLARATION ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. 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 formance 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. Trance carder and policy number are: Policy Number Date is of Agent Phone K 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 , If I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ;ignature of Applicant Date_ )ECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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). .ender's Name Lenders Address Iv my signature below. I certify to each of the following: I am the property owner or authorized to act on the property owners 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. ;idnature of Prooertv Owner or Authorized Agent -> —{ L Lam" _ _ Pnnt Property Owners or Authorized Agent s Name S'.: r� c Ll� I .c i7 1 Loess and is in full force ADDITION TO THE or Code, for th s' compensator fomia, and agree ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED I I suamiTTEDASBESTOS NOTIFICATION TO _ _ _ PERMIT CANCEEZEL DEPA PERMIT EXTENDED _ �_ ❑AOMO PERMIT FINAL / ESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF S�$'/� aC�/�—i PROPOSED DEMOLIT OCCUPANCY ISSUED _ ; SIGNATURE: