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Home My WebLink AboutXR2023-0953 - Permits2EWPOQr City of Newport Beach 04 e Community Development Department- Building Division ,a y 100 Civic Center Drive, Newport Beach, CA 92660 U S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C,G/F00.N`P newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration I N S P IECTOR COMB Permit : XR2023-0953 Plan Check No: PC2023-0851 Issued Date : 04/13/2023 Inspection Area : 8 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 : 231 KINGS PL Legal Desc : N TR 1219 BLK C LOT 3 Description: SFR ALT TO REPLACE (E) WINDOWS WITH (N) FOLDING DOORS AT FAMILY ROOM Owner: JOUD & JOANNE TEDMORI Address: 231 KINGS PL NEWPORT BEACH, CA 92663 Phone Applicant : Premium Builders Address : 1701 Edinger ave. C-9 ORANGE, CA 92869 Phone: (714)412-1019 Owner/Builder : Address: Contractor : PREMIUM BUILDERS Address : 1701 E EDINGER AVE #C-9 SANTA ANA, CA 92705 Phone: (714)569-1255 Con State Lic : 492049 Lic Expire: 05/31/2024 Bus Lic: BT30068364 Bus Lic Expire : 0813112023 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No : CWC0042380 W. C. Expire : 1/1412024 Architect Address Phone: State Lic Engineer: YAGHISHUCRII Address: 112 E. CHAPMAN #D ORANGE, CA 92866 Phone: (714)997-9120 Designer Address Phone: Phone Code Edition : 2022 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 : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: R-1 - Single --Unit Residential 1 PROCESSED BY: ✓ SPECIAL CONDITIONS: CrPi'I:I�IC�3iT7Fi�7777`IIIT:7�i([+1�:1 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed nexi to the applicable Iterate) 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 in 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 !rofessions Code) or that he or she is exempt from licensure 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 of more than five hundred dollars ($500).. 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure Is not Intended or offered for sale (Section 7044, lusiness and professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effnrt, builds or improves the property, provided that the uprovements 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 bulitor nproved for the purpose of sale)- 3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not poly to 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 Low), 1 am exempt from licensure under the Contractors' State License Law for the following reason: _ (y my signature below € 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 legall) 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 site;http:liwww.leginfo.ca.gov/calaw:html iIgnatum of Property Owner or Authorized Agent._.__ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f Q' ision 3 of the Business and Pfotessions C cerise is In full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING, FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAr/ eQ)< S 1510(1,000), IN ADDITION TO THE DST OF COMPENSATION, DAMADESAB PROVIDED FOR IN SECTION 37050E THE LABOR CODE, INTEREST, ANOATTORNEY'B FEES. f hereby affirm under penalty of perjury one of the following declarations: J I 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 erfovmance 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 ibis permit is issued. My workers` compensatior -ranee carrier and policy number are: Tier Policy Number Expiration Date me of Agent Z Phone iP certify that, in the performance of the work which this permit is issued, I shall not employ any person in any manner s0 as t0 become subject to the workers' Compass ion laws of California, and agree t, If I should become subject to the worke ompereation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dater CLRRATipN REGARDING CO N LENDING AGENCY !reby affirm under penalty of p that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lder s Name Lender's Address my signature below, I cedK to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read Ines application and the information I have provided is correct. LSree to cornpy with all applicable City and county ordinances and stat aws relating to building construction. I authorize rep,�Lbantatives of this city o€ county to enter the.. o -id Ifled property for inspection purposes. iatu.e of PropeX Owner or Authorzed Agent Print Property Owner's or Authorized Agent's Name Q 2 al Date TION DATE BY DECLARA F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGUL ON PART6I OFTISLf_ 40 ANDAQMD RULE PERMIT XPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO - - � PERMIT CANCELLED —t Eh.YfrT T rA7EN0fD i i-r�L�Ai�.M_ O___--------------- PEWAITFINAL 4JA5BESTOSNOIIFICAIIONISNOI ..ABLE TO CE9Tf9G.TE Of PROPOSED DEMOLITIONS OCCUPANCY 65U.D SIGNATURE: �� / x z00 X'Coll 0 Ha Z t L) 0 W a �C W ma Z Z ztz A 0 to OF 00 m E a0 h o w5°3'� Z U�° w QI aQ�° Z W r t O z yAma W r o° �� ' oLL� Ca�a3 V W o > � F- y z w o U W U o o U U y 0 O U w .O R U O 'C 'RO U7 L d N O L .t.. 0 N -p 'n R Ll_ yr R O 0 7 'C a) O- rn .� O C O O co N y o E O. 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