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HomeMy WebLinkAboutXR2022-1886 - Permits�EWPORT City of Newport Beach III III I ICI II I II I III II II I II II COMB Permlt:XR2022-1886 Comm unty Development DWartment-Building Division u u n 100 Civic Center Drive, Newport Beach, CA 92660 _ Plan Check No : 2697-2021 G g Permit Counter Phone: (949) 644-3288 Issued Date : 2/2022 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections I S Inspection Areaa : 2 ° `� Combination Type - SFP Work Class - New 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: 433 VIA LIDO SOUD Legal Desc : N TR 907 BILK LOT 468 TR 907.LOT 468 NWLY 20 FT AND SELY 10 F T LOT 469 Description: SFR -DELTA 1 - ADD'L SCOPE - R/R ALL WINDOWS, REPLACE GUARDRAIL REPLACE, STAIR Owner: Christopher A. Guldjian Contractor : - Architect: COFFEE NATHAN Address : 433 Via Lido Soud Newport Beach, CA 92663 Address.: Address : 1245 E WALNUT ST PASADENA, CA 91106 Phone: (714)580-3875 Phone:, Phone: (626)578-5614 Con State Lie : - State Lie Applicant: Christopher A. Guldjian Lie Expire Address : 433 Via Lido Soud Newport Beach, CA 92663 Bus Lie :. - -. Engineer : SIVUSHENKA MIKITA Phone : (714) 580-3875 - Bus Lie Expire : Address : 22121 CLARENDON ST WOODLAND HILLS, CA 91367 Workers' Compensation Insurance Phone : (323) 448-4682 Carrier Policy No: - Designer: W. C. Expire: Address ` Phone Code Edition : 2019 " -Fire Sprinklers : NO -Construction Valuation : $110,000.00 Type of Construction : Fire Hazard Zone :_ Y - Occupancy Groups : R-3 No of Units : 1 AddedlNewlTI sq. ft, Bldg : 0 Bldg Height : No of. Stories : 2 -Added/New sq. ft. Garage: 0 Building Setbacks: Front: 4, Front: 0, Side: 3, Side: 3 Flood Zone : X - Use Zone : RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS: 65 • e J¢eoxo J 0 o Jau «a c C a 6 JOJ JJac OJJ i¢ JaO�Oa • a O a � +OJuiO 0 0 �JvJ OWINER-BUILDER DECLARATION'. I hereby aPrim under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable item(s) olion 7031-5. Business and Professions Code: Any city or county that requires a`permit to construct: alter, Improve, demolish, or repair any structure, prior ta}isissuande; also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the. provisions of the ContractoMr State License Law (Chapter 9 (commencing with Section 7000) of Division 3of the Business and rfessions Code) or that he or she is exempt from iloensure and the basis for theallaged exemption. Any violation of Section 7031,5 by any applicant for a permit subjects the &pplloant to a civil penalty of sere than five hundreddollars ($500), 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or („_j portions of thawork, and the Structure Is, not Intended or offered for sale (Section 7044, tiness and Profasslons Code: The Contractors State License Law does not apply to an owner of properly who, through employees' or personal Dried, buitds or impieves the property, provided that the novemants are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the. Owner-Builderwlll have the burden of proving that it'was not builtor iroved. 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 Cdde;The Contractors' State: license Law doss not ily to an owner of property who bulids or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), l am exempt from licensure under the Contractors' State License Law for the following reason• my signature. below I acknowledge that, except for my personal residence In which I must have rasldodfor at least one year prior to completion of the improvements covered by this permit, .).cannot legal I a structure that I have Will, as an owner-bullder if It has not been constructed IMJt§ entirely by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Businessand rfessions Code, it; availableuponrequest when this appllc dt d o foIIDwing Wob site:httplhvww.leginfo.6k.gov/dal4w.htrni. naiurenr PrnD,rtv0w -rnr Authorized Aoent K Date i 11 A. I hereby afflrm under and effect. License of perjury. that.I am licensed under provisions of Chapter9 (commencing with Section 7009) of Division '3:of the Business and Professlons Code;, and my License No Date Centracfor:5ignature force IRKERS' COMPENSATION DECLARATION NINE: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE W UNLAWFUL, AND: SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE' HUNDRED THOUSAND DOLLARS t1100,000); IN ADDITION TO THE T OF COMPEN6ATIDN{. uAmA©ss AS PROVIDED FOR IN SECTION VXHkOF THE LABOR CODE. wri RE6T,ANO ATTORNeh: S PEES, rally 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, ormance of fhe work for which this permit Is issued.. Policy No. have and will maintain workers' compensation insurance as required by Sactlon 3700 of the Labor Code, for the performance of the work for which. this, permit is issued. My workers' compansafior Tance Garner and policy number are: - lar. Policy Number Expiration Data i6arAgent Phone t{ certify that, In theperformanceof the -work for -which this permit It issued: I shall not employany person: in any manner so.asto become subject lathe workers' compensation laws of Califomla, and agree If 1 should haconta subject to the m cation provisions of Section 3700 ofthe Labor Code, tshall forthwith comply with those provisions. rafure of Appiiean{ X "�' bate 01 2 CP :LARATION REGAFUNG C� UCTION 4G AGENCY - raby affirm under penalty, of perjury thatthere Is anonstructioh lending agency for the performance of the work for:which this permit: is issued. (Section 3097, Civil Code):. der's Name-. - - Lender's Address - By my signature. below,. I. certify to each of Ina following: I am The property owner or.authorized -to act on the: property owner`s behalf: I have read kTtt'is appticat[on and the information I have provided is correct. I i groo to cet'dpfy`with all applicable city and county ordinances and state jaws:. relating to building construction. / y • •-kRythorize tepfdSEhtatives of this city or county to enters - fillproperty for Inspection purposes. - /f Si nature or Pr Owner or Authorized A ens Print FTCear Owner'sor AvthorizedA enl's.Name _ Date pCtlpN• PATE BY DECLARATION OF COMPLIANCEWrfti COPE OF FEDERAL FOR OFFICE USE ONLY • `• REGULATIONS PART 61 OF TITLE 40AND-.AO,MD. RULE �•� ••• • 1403 ERMIi€XPlRFF) • ISUBMI#tDASBFSTGSNdTIFICATtONTO P€RMI7fANC€t.LED - - EPA. - - - All required alarms, latches gates and fences which serve as part of a poolJspa barrier,. shall P€Rrvjrr VTENaEC3 , 0: be in place priorto.approvaj to:flll pcoljspa &shall remain in place & be:maintained for the -CEhtvirT CINAt , , ) ASBESTOS NOTIFICATION�ICAlkUE TO life of the pool, 1renc„-n rc nr •• _--AAA