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HomeMy WebLinkAboutXR2023-3047 - Permits..SEW Pp,v City cf NewpoTt Beach � COMB Permit : XR2023-3047 Communitd Devulopminm.:nt Cep3rt:n�nt � Building Division x R 2 e 2 3 3 0 4 7 0 , Y(�t �,, 100 Civic :enter Drive, Ne•vpnrt 9each CA 92660 Plan Check No: V: >n =- Permit Counter phone: (949t 715 &88 Issued Date : 10/27/2023 c newportbeachoa.gov/civic Final Date: <iroaN Combination Type - SFP Permit Status: Issued Wo, h Class - Repai. Inspection Area : 3 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 : 1863 BONAIRE WAY Legal Desc : N TR 3282 BLK LOT 24 Description : R/R 6'-0"' BLOCK WALL AT FRONT X 12'-0" LONG (S2023-0048) Owner: LINSKY JEAN C TR J C Contractor : Architect Address : 1863 BONAIRE WAY Address : Address NEWPORT BEACH, CA 92660 Phone: Phone: Phone: Con State Lie : State Lie Lie Expire Applicant : LINSKY JEAN C TR J C Bus Lie : Engineer Address : 1863 BONAIRE WAY Bus Lie Expire : Address NEWPORT BEACH, CA 92660 Phone : Workers' Compensation Insurance Phone Carrier : Owner/Builder : LINSKY JEAN C TR J C Policy No: Designer Address : 1863 BONAIRE WAY W. C. Expire: Address NEWPORT BEACH, CA 92660 Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $1,500.00 Type of Construction : V-A 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 : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10 Flood Zone : X Use Zone : R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: REV2023-2135 OWNER -BUILDER DECLARATION "' I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the the*mark(a) I Nava plrced nuxt to :he applicable item(s) ;Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any strict -ire, pror to issearme;,alsc requires the applicant for :he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (comme, (Ling wnh Suction 7000)'of Division 3 of the Business and professions 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 tot more than five hundred dollars ($500). - , ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure 3 not intended ur offered fo.� sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort builds or imprnves the pmpeCy, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-BuAer will have the bunten'of proving that it was not built or mproved for the purpose of sale). ❑ 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 apply 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 Law). ❑ I am exempt from licensure 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 legally sell 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 Professions Code, Is available upon request when this application is submitted or at the following Web site:httpl/www.Ieginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Divisiom,8 of the Business and Prof s Q0' d my II ns ' in full force and effect. License Class License No Date r 7 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FNIES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: I 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 Ice of the 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' compensa carrier and policy number are: Policy Number Expiration Date 1e of Agent _ certify that, in the , if I should bacon lature of Ap3lican is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree Sons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date �0/713 hereby affirm under pen Ity of _._Mere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the propertowner's behalf. I have read this application and the information I hi vid d is correct. I agree to comply with all applicable city and cou ordin and state relating to building construction. �) I authorize representatives of this city or count e t above fed property far inspection purposes. // ti nature of Pro art Owner or Authorized A e Print Property Owners or Authorized Agent's Nam 4CTION DATE B DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART Bl OF TtTLF 40 AND AQMD RULE 403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS PERMIT CANCELLED UEPA PERMIT FINAL �Z(ZY l UASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATURE: _ Civil Code). J-7 Date/012 4 /N