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HomeMy WebLinkAboutXR2022-3075 - Permitst .�EwNo� e olmm nit Development e op0� Beach pDepartment Building Division Illlllll ll11lu llul lull llllll lull lu 75 II P 9 X R 2 0 2 2 3 0 7 5 ny • � h `S,' 100 Civic Center Drive, Newport Beach, CA 92660 f Permit Counter Phone: (949) 644-3288 4C �. Inspection Requests Phone: (949) 644-3255 tiFoW?a newportbeachca.gov/inspections'--'''- Combination Type - SFP Work Class - Alteration C0141B Permi, : XR:7-022-3075 Pla 1 Chepk,No : PC2022-2947 IssazJ Dare: 1 i'/28/2622 Inspection Area:3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID SPECTION, NO LA E"' AN S YEAk5 FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY' HIGH DENSf4i AREA AND N OliiS.4?N SUNDAY AND HOLIDAYS IN ALL AREAS Q�n Job Address : 3016 CLIFF DR Legal D c gg,yc FIRPADD T EWPORT HEIGHTS BILK 1 T 1 Description: SFR ALT (E) WINDOWS TO FOLDING DOORS. R/R IND9VS. O p\O Owner: WINTHROP MARC JOEL TR ntractbl: P vQK 11UM F�ILDERS c itect: Address : 3016 CLIFF DR ddress : 01 E GER AVE #C-9 a' -dress NEWPORT BEACH, CA 92663 SANTAA, CA 92705 Phone : „� Pho e : (714)�$9-1255 Phone 4,92049 '' State Lic : Applicant: PREMIUM BUILDERS Address : 1701 E EDINGER AVE #C-9 SANTA ANA, CA 92705 Phone: (714)569-1255 Owner/Builder : Address : Phone Code Edition : 201 Y Type of Construction : V Occupancy Groups ," Bldg Height: Building Setbacks Frontk22, „, e: 4, Flood Zone : X �V, Use Zone : R-1 - Single-UnN PROCESSED BY: SPECIAL CONDITIONS: Bus,.K Ex re"� -. 05/31/2024 e�� 1 BT34s Lic Expira : 08/31/'2' Workers' Compensation Insurance , ++�,��- Carrier,: CLEAR SPRING PROPE.:,- D GdtSUALTY -' COMPANY ,, W %;• P0ycy No: CWC00423800 W. C. Egpire 1/14/2023 i A J �7 e klers : NO rd Zone �a, nits AP.N f Stones u 4 ear 5� (7;'� i ti I x?�` �o E. I SHUCRI I E. CHAPMAN #D ANGE, CA 92866 4)997-9120 Construction Valuation : $20,000.00 Added/New/TI sq. ft. Bldg: 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 I N%30 CTC R OWNER -BUILDER DECLARATION t hereby affirm under penalty of perjur+ that I im exempt barn the Contractors' State License Law for the reason(s) indr aced below by the checkmark(s) I have placed next to the applicable itemjs) ;Section 7031.'6, Business and Professions � fode. Ariv c,,y .,r couidy (hat; squires a permit to construct, alter, improve, demollSh, otrepair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that hs or.,r.c is IicansoC pursaant'c the provisions of the Contractors' State License Law (Chapter9 (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 alleges! exemption. Any violation of Section 7031.5 by any applicant far a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 I, as owner of the property, or my emp'ayee with wagss es their so,e con,pensation, will do (_} all of or L) portions of the work, and.fhe structure is not intended or offered for sale (Section 7044, Business and Professions Code: 'The Contmcirns State uceose Law dues nc, apply to an owner of property who, through employkas' or' onal'effort, builds or improves the property, provided gunfire Improvsmenis are notintended or offered ;or sat,:. If, f.ov,aver,'lie bui€Cing or improvement is sold within one year of oamplatio the CWHer- 9de(will have the burden DP proving that it was not built or mprovod for the purpose of sate). a� ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construcgtt the project {Section 7044, usiness and Professions do: Tho'Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contra Cis for the profe6tswithe.9iCens@d GanVaG pursuant to the Contractors' e Licanse�Law). El I am exempt from licensure under the Contractors' State License Law for the following Feascn• _ By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least ne year prior to completion of the improve is Gov d by this permit, LGannat legal soil a structure that I have built as an owner -builder If it has not boon constructed in its entirety by licensed contract . I understand that a copy of thhg.gpplieable law, client of the Bu ' ass and Professions Code, is avolable upon request when this application is submitted or at the following Web site http/,+4y".leginfo.ca.govlcalaw.html. $`1`► Signature of Property Owner or Authorized Agent ;,�, _ ate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with. cation 7000)af Div sion 3 of the l� sand Profe C icense is In full force and effecL License Class License No .'n Date%-W rat ton r Signature VORKERS' COMPENSATION DECLARATION MRNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CROUNAL PENALTIES AND Civ :DST OF COMPENSATION, DAMAGES As PROVIDED FOR iN SECTION 3706 OF THE LABOR CODE. INTEREST,. ANn ATTORNEY'S FEES. ^h5ereby affirm under penalty of perjury one of the following declarations: 3 '��''''i 1 have and will maintain a certificate of consent to soifyirmure for workers' compensation, issued by the 1,Ctor o€ Indu llc y arm nee of the work for which this permit is issued. Policy Na. -. e 11 In and Will maintain workers compensation insurance, as regii'ii�l by Section 3700 of the Labor Code, for the pQ0f0WttCe once carrier and policy number are'. (v h Policy Number of Agent l certify that, in the performance of the work for wh his it is issued I shall not e4 t, if I should become subject to the worke ' Go s;tJprGvisiuns of Section 3700„gt- (nature of Applicant, _ �x CLARATION REGARDING CONSTR. ING AGENCY areby affirm undar IT of perjury t ere is a construction lending agency foi:tfle pe? filer's NameRf3 my signature below, I certify to oodch of the following: I am the property owner or authotbUE6 to act or the ptAp6rty owner's be I have read this application and the information I h a proviiS�tl,Js coIra ,� F I agree to comply with all applicable city and cou',ordinan; and st a Eati"i ",{ St to I authorize representatives of this city or county tter tt ' led property for ACTION DATE I BY TITLE40 PERAIMExPIRED PERMIT FINAL CExrErCArEOF / 51GaOSSE� PROPOSED OCCUPANCY ISSUED l in any marftNAill;40 as to I shall forthwith comply Omance of tha,c for which this Address .+ s./ 1 ONLY (6 00,000), IN A009ION TO THE asproyided-V bvkeetion 3700 of the Labor Code, for work (Gr w i th�permit is issued. My workers' €WD - Date , xkers' Compensation laws of California. and agre Date 7- % r (Section 3097, Civil Code), NameJf"'f 1 ' �` '�S DataZ I