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Home My WebLink AboutXR2023-1487 - Permits��WPoRr City of Newport Beach p e Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 y. Permit Counter Phone: (949) 718-1888 o^ newportbeachea.gov/civic CqC/FORN�P Combination Type - ELEC PLUM Work Class - Other Il i iiii iiiii iiiii iiiii iiii iiiii iiiii 7 II �+- COMB Permit : XR2023-1487 Plan Check No: PC2023-1340 Issued Date: 06/02/2023 Inspection Area : 5 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 : 309GOLDEN Eeggl°Dp gK 3�g pr; 37 PA7 p Description: DUPLEX -IN ALL BBO Arvin clm=ml��^r r^^� ___." •-TOP WORK 123-0996) Owner: MARTIN WARRE / WARREN TERESA Co ntractor Address : 3( 1/2 GOLDEN OD AVE 4ddre"¢ — CORONA DEL M R, (92625 M VM Phone : (617) 959-7727 . k Con State Lic Applicant: MARTIN WARE Address : 309 1/2 GOLDE CORONA DEL Phone : (617) 959-7727 Owner/Builder: MARTINN Address : 309 1/2 GOLDE CORONA DEL Phone : (617) 959-7727 Code Edition : 2022 Type of Construction : V-B Occupancy Groups: R-3 Bldg Height: Building Setbacks : Front: Flood Zone: X Use Zone: R-2 -1 PROCESSED BY " ---- Lic Expire . / WARREN TERESA Bus Lic :{ry OD R r a MI. 1 is Fvnirc: Z: 'iL Aj Workers' Compensation Insurance `y Carrier REN / WARREN TERESA Policy No OD AVE W. C. Expire: R, Ct.1565 e, (Work 5�t;_.:..- Fire Sprinklers: 1 Fire Hazard Zone . _ No of Units : No of Stories_____ V Architect: GOETZ P MAR, CA Phone: (949)673 to Whom Ctatc 1 it Engineer: Address Phone: Designer: Address �:'�Fl",Ta..d v�:y S/ (;. t..✓�*.rP =�vd F 4a�/_ 4:•.� x w NO t(iJ VVCCj'?< L-tr:- F tEM rOstruction Valuation NO Added/New/Ti sq. ft. Bli 2 Alteration sq. ft. Bldg 2 - __ _ _. __ Added/nle , 4 n_-� TOTAL sq, ff N® CONSTRUC--I®N NOISE SPECIAL CONDITIONS: HIGH -DENSITY ZONE. STOPWORK 123-0996 ON ENE WEEKEND 930-25 #234 CORONA DEL OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasdnis) indicated below by the checkmark(sI have a placed next to the re applicable iten applicant for section 7031.5, Business and Professions Code: Any city or county that requires a pertnil to construct, alter, improve, demolish, or repair any structure, prior ofthe a 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 owith it Section subjects the Division 3o a civiland 'ofessions Code) or that he or she is exempt from ticensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicantp ) applicant 1t of rmo a than five hundred dollars ($500). as ovmer 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 intended or offered for sale (Section 7044, Jsiness and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the 'however; the h'•"a Irr nr^ Annair t.is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Iprovements are not intended or offered for sale. If, iproved for the purpose of sale). 11 1, as owner of the property, am exclulively contracting with IicenaejC nt ors t conci-tile project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly to an owner of properly who builds r improves. thereon, -and who-o rtUactsfor iCIs with a licensed Contractor purOP"I to;the Contractors' State License Law). I am exempt from Rcensure-under thi Contractors' Stale License Law for the following reason: y my signature below I acknowledge th#t, except for my personal residence in which4 must have resided for at least 0 0 year prior Ip,complehoo_gf the kin laments cover by 0� pith ®Bus, I cannot legally r;, ,,_„ , .- -- .-:.... a� . Mi My by licensed contractors. I understarlddhat Icopy. f t elaef� $. t4 ° all a structure that I have built as an owner-hulldar I - ,.. _...r^ rofessoons Code, is available upon regyesT vman uua aHr - --- .ca. ovlcalaw:html. '{ g 4 Z 2a7?) ignature of Property Owner or Authorized Agent Date Imo; LEI Ii L}fYl: tCENSED CONTRACTOR'S DEC RATi hereby affirm under penalty of perjury �al.I am'kc used under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and rb ass ons e, trtd license is In full force nd effect. License Class License No Date Contractor Signature PORKERS' COM'.PENSATION DEYU .. 'ARNING: FAILURE TO SECURE WORKERS' CC�1PENSAPION C ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLDTLn v .. 'ND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL).ARS I$100.000), IN ADDITION TO THE OST OF COMPENSATION: DAMAGES AS PROVIf1ED FC1R #A Sa�N 3T0s oF,L11�IBAAgR Co DE„IWEREST. ANO ATTORNEw S FFFS hereby affirm under penalty of perjurye of the following declarations: ] 1 have and will maintain a Cedilla of onseint 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 erformance of the work for which this rmiI d. P�,pi�lcy No. 31 have and will maintain workers' c B -a.^n.^f the Labor Vode, Apr t� '*JorgLrane�e of the ww� for which this permit is issued My workers' campansatiol isurance, carrier and policy number a n::'- PGli�y.Ntifpliar - •' eon va•`4— - :artier. VJU .ram lam of Agent S i\ JL'..ti L_,: f' ! r e r M`tf d unify that. in the performance oft A which this permit is Issued; I stall not employ any person in any manner so as to become subjact.to the workers' co Uon Iys o California. and ogre hat, if I should become subject to ' Parse on provisions of Section 700 of the Labor Code; I shall forthwith comply with those provisions. � La Signature of Applican )ECLARATION R ARDING C Ut' jow LENDING AGENCY n 3097, Civil Code). hereby affirm under penalty of perju There is a construction lending agency - cb�is-p )�'• ..-m.�... -..c t�...__'.�"o.'•.aBESiA.dd(£i65...__.. -enders Name 3y 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 applicationand the information I have provided is correct. I agree to comply with all applicablecity and county ordinances and state laws relating to building construction. (If 2-� j t:I I authorize representatives of this city or county to enter ink above-iden ified property for inspection purposes. _ — - pate Signature of Property Owner or Authorized A ent f'""� n.P r Nr �� Ltt9..r"T Print Pro rt Owner's or Authorized Agent's No a-' - -- ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE. USE ONLY REGULATIONS PART SL OF TITLE 40 AND AQMD RULE Dt AAIT9YO1e911 I ui SUBMITTED ASBESTOS NOTIFICATION To PERMITFINAL �Z-'�'S Z- -J2 ASBESTOS NOTINCATIONIS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYiSSUED SIGNATURE: