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HomeMy WebLinkAboutX2021-1480 - Permits�gWPpRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XZOZ1-1480 p� A Community Development Department- Building Division X 2 0 2 1 1 4 9 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 1295-2021 Permit Counter Phone: (949) 718-1888 Issued Date: 06/10/2021 a S newportbeachca.gov/civic Final Date: Combination Type - SFP Permit Status;, Expired Work Class - Alteration Inspection'11rea: 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATERAN 3 YEARS F M < NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS SA�NLt{Y AAI� NO WORK ON� Job Address: 2024 NAUTILUS LN Legal Desc : N TR 3763 BLK L 5 Gr�`� O�0 Description: SFR CREATE DOOR OPENING AT LIVING ROOM 25 LF "CR�� O{ Owner: Address Phone Applicant Address Phone: Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height : Building Setbacks Flood Zone Use Zone : PROCESSED BY: t� Contractor: M T R ONSTRUON Jj�° / Architect: Address : 17 20TH ST 'U' ,r^• Address: NAL HIL CA 90 �O Phone : (714) 57 861 Phone Con S Lic : 9 02 �O State Lic Lic I pire : 3/31/2025 Bus Lic : BT30050473 Bus Lic pire : 0/31/2023 ers' Compensation Insurance arrier :`'SEVEREST PREMIER INSURANCE COMPANY Policy No: 7600023206231 W. Expire; 8/5/2024 <y Mp `Tr l• V� S Fire Si NO Fire tozard Zone•; ,' NO No of units � 1 ti No of Stones : 2 16 / Front: 20, Side: 6, Sid X R-1-6000 - Single -Unit SPECIAL CONDITIONS: 6, : 6t c en 0 indicates i lot N" t.07 NALISSUANCE DATE HOLIDAYS IN ALL AREAS Engineer: CHIANVTZUU PIEN Address . 1311LNE AVE SAN GABRIEL, CA 9 6 Phho�` ` (666 831-0818 1 `+ deaNgne r} fi Addr� �� .tiav r Rhone : •yh'+` `' �y�• Cons ctro� @uation A d/New I s, Bldg : 0 Iterab sW4 Bldg Add New sq. ft. Garage: 0 T AL sq. ft. : 0 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 items) ction 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 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 fessions 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 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 U portions of the work, and the structure is not intended or offered for sale (Section 70", liness 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 �rovements 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 roved 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 C a Contractors State License Law does not ily to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Cor It, ' fate cerise Law). J 1 am exempt from licensure under the Contractors' State License Law for the following reason; sy my signature below I acknowledge that, except for my personal residence in which I must have resided ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed 'rofessions Code, is available upon request when this application is submitted or at the following Web SIM signature of Property Owner or Authorized Agent a 1:: .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of r 9 (commencing wit nd effect. License Class Licens / VORKERS' COMPENSATION E rARNING: FAILURE TO SECURE WORKERS' DST OF COMPENSATION, DAMAGES AS PR hereby affirm under penalty of - Tie rju 7 I have and will maintain a, certif erformance of the work for which thl JI have and will maintain workers' isurance carrier and policy number one of the lame of Agent 3 certify that, in the performance of the 1aL if I should become subject to the wor signature of Applicant IECLARATION REGARDING CONSTRU hereby affirm under penalty of perjury Sh+ ender's Name % y my signature below. I certify to each '- I I am the property owner or authorized I have read this application and the in I agree to comply with all applicable c I authorize representatives of this city ionature of Prooertv Owner or Authorize( ACTION I DATE PERMIT EXPIRED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED consWt to self -insure Is Issued. P o msu ce as rr a 4 er Po> her k for which s co ON N S following: act on the f AN that a copy of the 11 ur • ,`Uv . :fion 7000) of vi"V0,et the Business and Profes Date�^f11a Contractor Sign _ UMINA}LL PPENNAALLTIT46 sl ES UP TO ONE HUNDRED T Director of Industrial Relations as provided for by this permit, I cannot of the Business and Code, and my license is in full force i3i1 3700 of the L o f&%I a performance of the work for which this permit is Expiration Date a Phone # not any person in any manner so as to be °� j t tr workers compe 3700 o the Labor Code, I shall to I ON IS ons. '�.,i j'te 1� Date_ _ lending agency for the p ante of °^e dress �d`bo ftidiifffiices and �sts, Ve`h� ielatmg to building cc lu ' ' to enter the{a 46.entified property for inspe ant %'print Prop DECLARATION OF CO CE WITH CODE OF E ,RE,GULATI T61 OF TITLE 40 MD 403 i✓u 15UBMI E5T0$�1,�TION TO A s° ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: USE ONLY is issued (Section Name DOLLARS ($100,000), IN ADDITION TO THE 3700 of the Labor Code, for My workers' laws of Califomia, and