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Home My WebLink AboutXR2022-3233 - Permits4 ��WPORT City of Newport Beach - @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U S Inspection Requests Phone: (949) 644-3255 cq<iFonN`P newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration COMB Permit Plan Check No: Issued Date : Inspection Area : 1 XR2022-3233 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM OR] N L ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND 9 I,DAYS IN ALL AREAS VVt�}'4 �.J Job Address : 207 EDGEWATER AVE E Legal Desc : A TR NEWPORT BAY TR SUB OF BLK C BLK LOT 4 Description: MFR - R/R RETRO-FIT WINDOWS (19) & FRENCH DOORS (2) 1 NEW CONSTRUCTION (CHANGE FROM OVAL TO RI<CLE) Owner: KRISTINE TIDWELL Contractor : CARPETS-4-1_1 INC Architect : Address : 207 EDGEWATER AVE E Address : 4304 E LA PALMA AV Address NEWPORT BEACH, CA ANAHEIM, CA 92807 T Phone: Phone: Phone: Con State Lie : 534685 State Lie : Lie Expire : 07/31/2024 Applicant: CARPETS-4-U INC Bus Lie : BT30078652 Engineer Address : 4304 E LA PALMA AV Bus Lie Expire : 04/30/2023 Address ANAHEIM, CA 92B07 Phone: Workers' Compensation Insurance Phone: Carrier : Owner/Builder : Policy No : 25601201 Designer Address: W. C. Expire : 8/1/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $30,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height : No of Stories: 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 5 Flood Zone : AO 1; X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: k'17mI_\1111111591i1"D 11116MI103 I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 Cade: Any city or county that requires a permit to conslruct, 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 licensors 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 (_) all of or U 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). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors t0 construct the project (Section 7044, Business and Professions Coda: The Contractors' State License Law does not apply 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). El I am exempt from licensers under the Contractors' State 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 I have built as on owner -builder if It has not boon 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 sitehttp:/lwavr.leginfo.ca.govlcalaw.hFml. 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 Cc , and my licens s 1 II force and effect. License Class License.No DatePFIN ctor Signatur IMORJCERS' COMPENSATION DECLARATION NARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL HA 5 AN CTO ONE HUNDRED THOUSAND DOL t ;010 IIN ADDmON TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3109 OF THE naOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm underpenalty of perjury one of the following declarations: I have and will maintain a certificate of consent to sell -Insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN AiNvmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are! Policy Number is of Agent certify that, in thep erformalI�JCO�Qf the work for which if I should becon� subierX1{itfie workers' compeni latest of Applicant Date Led, I shall not employ any person in any manner so as to become subject to the workers' compens n laws of of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. naby affirm under perla4 of perjury Kat therLlda construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ness 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 iCity and c I have pro ides a d tat I agree to comply with all applicable city and county ord' a sand state Paws al' to building construction. I authorize representatives of this city or county to ent above-Identlfi op or inspection purposes. ! nature of Prooertv Owner or Authorized Aaehta./t Print Predertv Owner's or Authorized Aaent's Nan r ACTION DATE BY W Y I CLARATi0?, F I'b�INIPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY r REGULATIONSPA 61 OFTiTLE40ANDAQMD RULE 1403 PERMIT EXPIRED t ISUBMITTEDASBESTOS NOTIFICATION TO PERMITCANCELLED I DEPA PC-RMITFINAL L,J ASBESTOS NOTIFICATION IS NOT APPLICABLE IO CERTIFICATE OF l V Z V ( PROPOSED DEMOLITION OCCUPANCYI5SUED SIGNATURE: