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Home My WebLink AboutXR2022-2357 - Permits (3)City of Newport Beach o .n Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 xV_ .�.. Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq<��npN�P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration II III I I I II I II I III III II II II COMB Permit : XR2022-2357 PlanCheck os o is PC2022-2200 022 Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT RS FROM C NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUND AREAS AND NO WORK ON SUNDAY if applicable: 44L ISSUANCE DATE HOLIDAYS IN ALL AREAS 2 2�' 1`5 [I 1000/0 refund Job Address : 1525 HIG LAND, DR , AND NE@al Desc : N TR 3851 BILK LOT 130 80% Or Description : SFR REM. DE TO�tZ'rY EN W BATHROOM 900 Owner: LISA FOIGEL SL AN - Contractor :: to WhOm: Address ; 1525 HIGHLA. D DR NEWPORT BEACH, CA Address a, / Address 92660 Phone: (949) 836-3284 Phone: Phone Con State Li State Lic Applicant: LISA FOIGELMAN _ - Lic Expire : a, Address : 1525 HIGHLAND DR NEWPOR1 BEACH CA Bus Lic : r Engineer: HAKEMI AHIM 92660 W " Address : 26982 M BELL Phone : (949) 836-3289�:. Bus Lic Expire : 691 ��Phpnn l a 7 4)427 778 Workers' Compensatio ange-q� �r++ Owner/Builder: LISA FOIGE LMAN Carq'er 14d� Address: 1525 HIGHLAND DR EW REACH, CA Policy No'ti O WOrk starte��signer MISSION VIEJO, CA 92660 Phone : (949) 836-3289 VW. Expire : \n Address Phone [(Work starte� Code Edition : 2019 Fire Sprinkl i1T�m n $72,0&, ,99 0 Type of Construction : V-B ,, re azard Zone : No _—l�Sp• Added jilrgrfC'619'g : - eration sq. ft. Bldg : 900 Occupancy Groups : U,R-3 No of Units : _�—a—'--_- tones Added/New sq. ft. Garage: 0 - Bldg Height: o Building Setbacks: Front: 20, Side^^6"' e: , Rear: 6 " Flood Zone : Use Zone : X R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: DECLARATION I hereby affirm under penalty of perjury that i am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the 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 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 with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensureand 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or IU portions of the work, and the structure Is net intended or offered for 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 improves the property, provided that the improvements arenot intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner -Builder will roving that it was not built or improved for the purpose of sale), I s owner of the property, am exclusively contracting with licensed Contractors to cons on 044. Business and. Professions Code; The Contracto Stale License Law does not apply to n owner of property who builds or improves (hereon, and - projects with a licensed Contractor pu suarlt toihetlnrfl�gclors' State License Law), I a. exempt from lioensure under ate License Law IF r Wi040wing reason _ I apt' _ ly m ignature below I acknowledge Cat except for my pars rp ini must ha Ided-foraT east one year prior to complehp�aal�oof.�j v� Lij eqq structure that I have built as an o nor-mi.6has not b n e entirety by licensed contractors. I undePSfptaog/((y Q�ybfNhA Wp. able law, Seotiorl 'rofessions Code, is available upon r estii; lea Ion Is submitted or at therTollowiBg I sit _ .leginfo.''govicalaw.mmi. ,ignature of Property Owner or Aulhori rd Agent, Date .ICENSED CONTRACTOR'S DE R pp)) hereby affirm under penalty of perjury t all liters riderC6,,,.,.s hC ternTlhDiSl3ion3 ofJlhBusiness aions Cadend effect. License Class Lic � �a ate Contractor Signature VORICERS' COMPENSATION DE ART � FARNING: WLURE TO SECURE WORMERS' CON DST OF COMPENSATION, DAMAGES AS PROW hereby affirm under penalty of perjury o 7 1 have and will maintain a certficat erformance of the work for which this pl 11 have and will maintain workers' con �surence carrier Er policy number are: VSATfE?T= E AGE IS UNLAWFUL. AND SHALL FOR IN SECTION 37D6 OF THE LA 0 1 oft ecla sue: THE f co to , (-null r wor 3r cc AND CIVIL FINES UP TO ONE HUNDRED Industrial dustral Relations as provided for by Section rt al"ce, as required by Section 3700 of the Labor Code, for the performance of the work fa Policy Number if __ i Q Is permit, I cannot f the Business and /If/i-2 frNy license is in full force tS400,0001, IN ADDITION TO THE of,the Labor Code, for My workers' compensa' C� Pii�(prt� ccktify that, in me performance of therc. r i. is i Fiat I'shap not employ any person. in any manner 9t ecome subject to the workers' compensation ws of California, and agre lino I should become subject to the we. lion pr Nor),ypf a aborCode, I shall forthwith complywiththose provisions. ofApplicenE i`DaDECLARATVON REGA L CONSTRLENDIN AGEN}�.,,�99! he ehy affirm unttgr aenal[y of perjury 4hI a gons ruction lending a en ante of the work for which this permit is lin"Ol Ix , 405§- CiVir de).Lender s Name Le.Lender's Address-�IBy illy signature below, I certify to each olowing .-I as the propety owner or authorizen the pro a lI have read'" s application and the iaann 'i V� p viI a ree to ccmpl, vith all applicable _ r. mantes and state laws relating la building construction. I authorize mrresenlatives of this city or county to enterZeabove= d pro rt r inspection purposes. Si nature of Property eR Ownar or Authorized Agen �� Print Pro Owner's or Authorized Agent's Name l� t �S f "' ' c41 Date C7 / II ACTION DATE BY'DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGtJjLATlON5 PART 61 OF TITLE 40 AND AQMD RULE. 3 PERMIT EXPIRED I I5URMITTF.D ASBESTOS NOTIFICATION TO PERMIT CANCEELEp - f _ EPA. All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMrrex €rvDED MD be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the PERMIT FINAL. % BESTOS NOT IS NOT APPLIC TO life Of the pool. CERTIFICATE OP 1 PROPOSED �. ED DEMOLITION /q7g^., OCCUPANCY65UED ,. PROPOSED DE •I—�ii�-r !� / l