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Home My WebLink AboutXR2023-1476 - Permits�EWPORr City of Newport Beach 111111111111111111111111111 u 111111111111111111111111 COMB Permit : XR2O23-1476 Community Development Department - Building Division III X R 2 0 2 3 1 4 7 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 06/02/2023 newportbeachca.gov/civic Inspection Area : 2 Combination Type - SFP ELEC MECH PLUM, 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 : 202 ABALONE AVE Legal Desc : A TR BALBOA ISLAND SEC 5 BLK 6 LOT 2 Description: SFR REMODEL MASTER BATHROOM PER CITY STANDARD PLANS 160 SF. R/R WINDOW AT BATH. Owner: CRAIG PESKIND Contractor: V O LAREY Architect Address : 202 ABALONE AVE Address : 1742 PINE ST Address NEWPORT BEACH, CA 92662 HUNTINGTON BEACH, CA 92648 Phone : (949) 675-3104 Phone : (714) 305-4955 Phone: Con State Lic : 514239 State Lic Lic Expire : 07/31/2023 Applicant: victor oran larey Bus Lic: BT30058476 Engineer Address : 1742 Pine St. Bus Lic Expire : 03/31/2024 Address Huntington Beach, CA 92648 Phone: (714) 305-4955 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No : 1868014 Designer: V O LAREY Address : W. C. Expire : 11/23/2023 Address : 1742 PINE ST HUNTINGTON BEACH, CA 92648 Phone: Phone: (714) 305-4955 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $40,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : 160 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 0 Flood Zone : X Use Zone : R-BI - Two -Unit Residential, Balboa Island , PROCESSED BY: J NO '(. ONS I RUCTION N`v�1u ' SPECIAL CONDITIONS: HIGH DENSITY & LIQUEFACTION ZONE ON THE WEEKEND :t 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) 1 have placed next to the applicable items) 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 ie permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 700D) of Division 3 of the Business and 'rofesslons Coda) or that he or she is exempt from licere um 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 pannity of of more than five hundred dollars ($500). '.. I, as owner of the property, or my employees with wages as their sole Compensation, will do L) all of or U portions of the work, and the structure is net intended or offered for sale (Section 7044, iusiness 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 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 or sate). '.. 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Cade: The Contractors' State License Law does not pply to an owner of properly 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 Iicensure under the Contractors' Slate License Law for the following reason: _ Iy 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 ell a structure that I 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 'rofessions Code, Is available upon request when this application is submitted or at the following Web sKe:http://www.teginfo.ca.gov/calaw.htmi. ifgnature of Property Owner or Authorized AgentDate .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Dlvisi 3 of the Business and Profess' »e an-a7.,^4�` license is in full force nd effect. License Class License No Date Contractor Signature //� L i.�,�, VORKERS' COMPENSATION DECLARATION (ARMING: FAILURE TO SECURE WORKER5 COMPENSATION COVERAGE IS UNLAWFUL. AND SKALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0T06 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th performance 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' compensatior insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I 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 agre that. if I should become subl o e worke� 'I pensetion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Appiieanti/GT Date EGARLENDING DECLARATION RG CONSTRUCTION LENDS G AGENCY I 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), Lenders Name Lenders Address By 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 have provided is correct. I agree to comply with all applicable city and county o inances and state laws relating to building construction. I authorize representatives of this city or county to er a above id tified property for inspection purposes. / Signature of Propertyx Owner or Authorized Agent e7 Print Property Owner's or Authorized Agent's Name r'eTZ,/2 `/� LCC✓ Date sxx x A: TION DATE By DECLARATIONOF COMPLIA. JCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40AND AQMD RULE 1403 PEPMMEXPIRED _ ISURMITF`EDASRESTOS NOTIFICATION TO P.':RMtT.CANCELLEp 13EPA Pj4MIT FINAL ! C-o'TIrICA.TE OF !IL D CCCUPANCYISSUED PROPOSED is NOT APPLICABLE TO