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Home My WebLink AboutXR2023-2824 - Permits4i, City of Newport Beach Community Development Department- BuildingDivision �_, 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachce.gov/civic a411-7 NCombination Type - MFP ELEC PLUM Work Class - Other 11111111111111111111111111111111111111111111111111111111I 11COMB Permit : XR2O23-2s24 Plan Check No : PC2023-2457 Issued Date : 1011112023 Final Date: Permit Status: Issued Inspection Area : 4 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 : 50 SEABOROUGH, 26 Description : MFR SUB SLAB DEPRESSURIZATION Owner: MADELINE LEFEBVRE Address : 50 SEABOROUGH, 26 NEWPORT BEACH, CA 92660 Phone : Applicant: GREG SHERMAN Address : 7171 WARNER AVE STE B-404 HUNTINGTON BEACH, CA 92647 Phone: (760)803-9389 Owner/Builder : Address : Phone Legal Desc : N TR 12164 BLK LOT 3 UN 25 TR 12164 LOT 3 UNIT 25 Contractor • ENGINEERING AND ENVIRONMENTAL Architect: CONSTRUCTION INC Address : 7171 WARNER AVE STE B404 HUNTINGTON BEACH, CA 92647 Phone: (760)803-9389 Con State Lie : 883727 Lie Expire : 09/30/2024 Bus Lie: BT30082135 Bus Lie Expire : 07/31/2024 Workers' Compensation Insurance Carrier: ACE AMERICAN INSURANCE COMPANY Policy No : C51450152 W. C. Expire: 10/1/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-2 No of Units : 1 Bldg Height: No of Stories : 1 Building Setbacks : Flood Zone : X Use Zone : PC - Aeronutronic Ford PROCESSED BY: 37 SPECIAL CONDITIONS: Address : Phone : State Lie Engineer: CHARLES BLANCHARD Address : 555 12TH ST STE 215 OAKLAND, CA 94607 Phone: (925)580-2754 Designer Address Phone: Construction Valuation : $40,000'00. Added/New/Ti sq. ft. Bldg : D ' Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that f. am exempt frorn the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I 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, dernolish, 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 Willi Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from Iicensure 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). Ell, as owner of the property., or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intendedor offered for sale (Section 7044. Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, ilia 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 properly, am exclusively contracting w€lh licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not appIv t0 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 licensors under the Contractors' Slate 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 legal) sell a structure that I have bull[ as an owner -builder If it has not been constructed in its entirely 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 she:http:ffwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized AgemDate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I ono licensed under provisions of Chapter 9 (commencing with Section 70 0 i j; ipn�Byof the Business and Profe s de, an enser is in full force and effect. License Class License No Date (i S Contractor Signature WORKERS' COMPENSATION DECLARATION ki WARNING: 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 (i104000), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby a krm under penally of perjury one of the following declarations: Vand 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 ,ofthe 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' compense fo 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 per 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 subject to thew I kern' corn = , ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant _ '" .. ..._._.._.._. Date DECLARATION REGARDING C NSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performanceof the work for which this permit Is issued (Section 3097, Civil Code). Lenders Name _ _ _ Lender's Address _ By my signature below. I certify to each of the following: i' ' Tm the propei,y owner or authorized to acton the property owner's behalf. I have read (hs application and the information I have provided is correct I acree to con'' with all applicable city and county ordinances and state laws relating to building construction, 'ki authorize ropresenlahves of this city or county to nler th above -Identified arty for in purposes. ro/I ,I/rg \) ,onaure of Pro art CWner or Authorized Agent Print Property Owner's or Authorized Agent s Name EE�6 `'' ' r" r^" Date v (( Z ACTION DATE By '.. DECLARATION OF COMPLIANCE N9TA CODE OF FEDERAL FOR OFFICE USE ONLY RFGUt ATIONS PART 61. OF TITLF 40 AND AQMD RULF 1403 ',AA,di':XPMFO L1 I Sf1BMITTFD ASBESTOS NOTIFICATION TO '» - PFRN11TCANCEIIFD E A PERMIT XTENDED QMD PERMt7 FINAL �� 23 r ',ASBESTOS NOTIFICATION IS NOT APPLECABLE TO CERTIFICATE OF lilik PROP05ED DEMO ITION PtAMITFINAI 11WOCCUPANCY ISSUED SIGNATURE: