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Home My WebLink AboutXR2023-0973 - Permits�eWPoRr City of Newport Beach II IIII I I IIII I IIII IIII II IIII IIII � II COMB Permit : XR2023-0973 04 Community Development Department- Building Division X R 2 0 2 3 0 9 7 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0863 n Permit Counter Phone: (949) 644-3288 Issued Date : 0510312023 U Inspection Requests Phone: (949) 644-3255 Cq<�FOftN�P newportbeachca.gov/inspections Inspection Area : 8 Combination Type - SFP Work Class - Other 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 : 1036 POLARIS DR Legal Desc : N TR 4224 ELK LOT 155 Description: SFR REPLACE (E) COVERED BALCONY WITH IN) COVERED BALCONY 173 SF Owner: KRUGMAN MARK E TR Contractor; MILLENNIUM CONSTR Architect : FOLSOM MILES CAREY Address : 1036 POLARIS DR Address : 2901 W COAST HIGHWAY Address : 3365 E MIRA LOMA AVE #207 ANAHEIM, NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92663 CA 92806 Phone: Phone: (949)258-4366 Phone: (714)469-5882 �✓ Con State Lic : 804132 State Lic Lic Expire : 10/31/2023 Applicant : JAMES CAJAI Bus Lic: BT30080150 Engineer : NIKJ00 SHAHRAM Address : 2030 POMONA Bus Lic Expire : 08/31/2023 Address: 6011 E BRIGHTON LANE"— SANTA ANA, CA ANAHEIM, CA 92807 Phone: (949) 204-6547 Workers' Compensation Insurance Phone: (714) 777-7200 e Carrier: COMPWEST INS CO Owner/Builder: Policy No: CWWCP100063383 Designer: Address : W. C. Expire : 7/1/2023 Address Phone: Phone: ' ya s Code Edition : 2022 Fire Sprinklers ; NO Construction Valuation : $8,000.00 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: 10, Side: 6, Side: 6, Rear: 6, Rear: 6 Flood Zone : AE, 8 FT; X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: AE8 FLOOD ZONE & LIQUEFACTION OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) 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, 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 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 .net 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The ContractorsState 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, the Owner -Builder will have the burden of proving that it was not built or Improved for the purpose of sale). El 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 10 1 am exempt from frcensure under the Contractors' State License Law for the following reason: _..— IBy 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 legall, sell a structure that I have built as an owner -builder if It has not been constructed in its entiroty 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 siteihttp:/Avww.leginfo.ca.govlcalaw.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 7 ) of Division 3 of the Business and ME e„and my license is In full force and effect. License Class License. No Date Contractor SignatCs WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOLLARS t5100,000), 3N 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 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 t rformance 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 permitis issued. My workers' carrier and policy number are: Policy Number Date Tie of Agent Phone # certify that, in the pe imanee of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workXivi mpensation laws of Califomia, and afire, t, If I should becomes jd6c the wo rs' Compensaticn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ ^� nature of Applicant" Dat23 CLARATION REGAR INSTRUCTION LENDING AGENCY areby affirm under pe of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sectlon 3097,ode). idei s Name Lender's Address my signature below. I certify to each of the following: I am the property owner or authorized to act on the prop" owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applrcablo city and CO nt ordnance and state laws relating to building construction. 1 authorize representatives of this city or count t nter th. a'. ve-I ntifed property for inspection purposes. -� JCFfy I6 nature of Property Owner or Authorized Print Property Owner's or Authorized Agent's Narn _ at PERMIT EXPIRED PERMIT EXTENDED DATE. BY U DECJ9TFATION OF COMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 4n AND, RULE 15U9M'TTED,%5R-STOS NOTIF,CATIOA T PERMITFINAL I,//j �r2 ([ /L�}< UAS81A 5 TIf.ICp�ON IS NCIT APPLICABLE TO CERTIFfCATECF I ' r(/ i I PROPOSED OLITION OCCUPANCY ISSUED SIGNAT7