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Home My WebLink AboutXR2022-2032 - PermitsCity of Newport Beach II IIII I I II IIII I �II� IIII I I II COMB Permit : XR2O22-2o32 @ Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: ' Permit Counter Phone: (949) 644-3288 Issued Date : 07/27/2022 P? Inspection Requests Phone: (949) 644-3255 Inspection Area: 4 newportbeachca.gov/inspections Combination Type - SFP ELEC 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: 2651 VISTA ORNADA Legal Desc : N TR 7082 BLK LOT 38 Description: SFT REPLACE (2) WINDOWS WITH (2) SLIDING DOORS; REWIRE A/C; EXTERIOR LIGHTS Owner: FEICK EDWIN ADAM TR Contractor : Architect : Address : 2651 VISTA ORNADA NEWPORT BEACH, CA Address: Address 92660 Phone: Phone: Phone: Con State Lic : State Lic : Applicant: FEICK EDWIN ADAM TR Lic Expire Address : 2651 VISTA ORNADA NEWPORT BEACH, CA Bus Lic: Engineer: 92660 Phone : Bus Lic Expire: Address: Workers' Compensation Insurance Phone Owner/Builder: FEICK EDWIN ADAM TR Carrier: Address: 2651 VISTA ORNADA NEWPORT BEACH, CA Policy No: Designer: 92660 Phone : W. C. Expire: Address: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone: Y Added/New/Ti sq. ft. Bldg: Occupancy Groups: U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: Building Setbacks Flood Zone: X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: I'r' SPECIAL CONDITIONS: INSPECTOR ° ° ° O OOp3° 00 p $4,eQ0.09 ° 0 ° ° OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie 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 Tofessions Code) or that he or she is exempt from ficensure 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 oyttlore than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, Will do L/aII of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;uslness 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). 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 pply 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 licensure under the Contractors' State 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 by this permit, I cannot legal ell a structure that I have built as an owner -builder if it been co siny� in its entirety by licensed contractors. I understand that a Copy of the applicable law, Section 770444 of the Business and 'r9fessions Code, available upon request hi a tion is ie following Web site:hftp:llwww.leginfo.ca.gov/calaw.html. Dated 7-22' i nature of Property Owner or Authorized A. nt �' /` .ICENSED CONTRACTOR'S DECLARATI N 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 force nd effect. License Class License No Date Contractor Sionature COMPENSATION DECLARATION VARNING: 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 ($104000t, IN ADDITION TO THE .OST OF COMPENSPInIONMAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �«hrrereby affirm undempenalty of perjury one of the following declarations: J f fl6i and 4ill,rhahtain 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 the )erfonnance of the work for which this permit is issued. Policy No. • I fiaye' and will Aaintain 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' compensation nsu range carrie4gnV lcy number are: 1arrRj Policy Number Expiration Date '. Agent dloerrify 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 AjLldWould become subject to the Workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. E-.ARATION R€GASPING CONSTRUCTION LENDING AGENCY ' rroiy�af0rm undo r permit penalty of perjury that there is a Construction lending agency for the performance of the work for which this is issued (Section 3097, Civil Code). ides 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 haveEded'i#a�faws ect I agree to comply with all applicable city and cou ores relatlng to building constnciion. I authorize representatives Of this city or co b r for inspection purposes. /� Fe/ nature of PrODertv Owner or Authorized AGent / Print PmDertv Owner's or Authorized Anentk Nam ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED E3EPA PERMIT EXTENDED QMD PERMITFINAL 1 I % Z3 S AS13EST0OT ON IS T PL CERTIFICATE OF PROPOSED % M OCCUPANCYJSSUED slGNenla W 11 FOR OFFICE USE ONLY All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.