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Home My WebLink AboutXR2023-3360 - PermitsgWPO City of Newport Beach ¢� p Community Development Department Building Division COMB Permit : XR2023-3360 O_ Y P P 9 X R 2 0 2 3 3 3 6 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1565 Permit Counter Phone: (949) 718-1888 Issued Date : 1112712023 a newportbeachca.gov/civic Final Date: C9C/F00.N\P Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - Addition Inspection Area : 3 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 : 1829 COMMODORE RD Description: SFR DETACHED ADU 571 SF (XR2023-1776) Owner: MICHAEL & KIRSTEN BURY Address : 1829 COMMODORE RD NEWPORT BEACH, CA 92660 Phone: (650)575-3678 Applicant: JULIE ANN CHAMBERLAIN Address: 1950 COAST HWY W NEWPORT BEACH, CA 92663 Phone: (949)274-1985 Owner/Builder : Address: Phone Legal Desc : N TR 3763 BLK LOT 7 Contractor: CAMRON ENTERPRISES INC Address : PO BOX 15523 NEWPORT BEACH, CA 92659 Phone: (949)262-2912 Con State Lic : 935955 Lic Expire: 04/30/2026 Bus Lic: BT30083082 Bus Lic Expire: 11/30/2025 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 1868772 W. C. Expire: 5/1/2026 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups: R-3 Fire Alarms: NO Bldg Height: No of Units : 1 No of Stories: 1 No of Basement: Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone: X Use Zone; R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: Architect : JULIE ANN CHAMBERLAIN Address : 1950 COAST HWY W NEWPORT BEACH, CA 92663 Phone : (949) 274-1985 State Lic : CO22332 Engineer: PAUL DUANE ROHRER Address : 1527 E AUTUMNRIDGE CT ORANGE, CA 92866 Phone: (714)272-9579 Designer: Address Phone: Construction Valuation : $110,000.00 Added/NewlTI sq. ft. Bldg : 571 Alteration sq. ft. Bldg : 0 Add/New sq. ft. Garage: 0 TOTAL sq. ft. : 571 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(! (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 (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, Business 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 properly, 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). 111. as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate 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), '0 1 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 1 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://www.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I 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 Professions Code, and my license is In full farce and effect. License Class License No Date 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 PIl D0,DD01, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 of the Labor Code, for ormance 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' compensa vane carrier and policy number are: Policy Number Date le of Agent Phone # 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. signature of Applicant _ _ _ _ _ Dale_ IECLARATION 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). enders Name Lenders Address ly my signature below, I certify to each of the following: I am the property owner or authorized ID act on the properly 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 stale laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. of Property Owner or Authorized Aqent _ _ Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF C 61 LI TITLE 40 AND DE OF RULE AL FOR OFFICE USE ONLY E 1403 PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL // f LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF `b !r � PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: