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Home My WebLink AboutXR2022-3100 - Permitsea�WPoR', City of Newport Beach Of @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ° S Permit Counter Phone: (949) 644-3288 inspection Requests Phone: (949) 644-3255 �'?<rFoaP`P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other III IIIIIIII NI IINI IINI II I III IIIUI IIIII IIIII0 III II COMB Permit : XR2022-3100 Plan Check No: 0356-2021 Issued Date: 12105/2022 Inspection Area : 2 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 : 80 LINDA ISLE Legal Desc : N TR 4003 BLK LOT 80 Description: DELTA 1- *ADDITIONAL SCOPE* REPLACE (2) CANTILEVERED CONCRETE PATIOS Owner: CHRISTIAN FANTICOLA Address : 80 LINDA ISLE NEWPORT BEACH, CA 92660 Phone Applicant: WALZ JOHN ROBERT Address: 510 LARKSPUR AV CDM, CA 92625 Phone: (949)836-5977 Owner/Builder Address: Phone: Contractor: SHELLMAKER INC Address : 837 W 17TH STREET COSTA MESA, CA 92627 Phone: (949)548-5359 Con State Lic: 561434 Lic Expire : 03/31/2023 Bus Lic: BT00009706 Bus Lic Expire : 01/31/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9137487 W. C. Expire : 7/11/2023 Code Edition . 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups.:, U No of Units : 0 Bldg Height: No of Stories : 0 Building Setbacks: Flood Zone: Use Zone : Front: 10, Front: 25, Side: 4, Side: 4 AE, 8 FT; X R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: f3_-5 Architect: WALZ JOHN ROBERT Address: 510 LARKSPUR AV CDM. CA 92625 Phone: (949)836-5977 State Lic : Engineer: CHEN MING-TARNG Address: 12121 CANDOR DR CERRITOS, CA 90703 Phone: (714)521-0169 Designer: Address : Phone : Construction Valuation : $25,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 • 'i .. ° of NO CONSTRUCTiON NOISE .a oil N THE WEEKEND o�° °°.° ° ° °ljl, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the reasons) indicated below by the checkmark(s) 1 have placed next to the applicable item(s) Bection 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 to 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 11, 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 oroffered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through ertilployees' or personal effort, builds or improves the property, provided that the nprovements 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 nproved for the purpose of sale). 1, 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 Law). I am exempt from licensure under the Contractors' State License Law for the following reason: I 'y 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 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:llwww.leginfo[ca.govlcalaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D... n 3 of the Business and Professions C is a is in I force nd effect. License Class License No Date Contractor Contractor Signature VORKERV 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 THOUSAND DOLLARS ($100.000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I h��{e and will maintain a certificate of consent to self -insure for workers compensation, issued by the Director of I dustriai Relations as provided for by Section 3700 of the Labor Code, for th (er grfnance 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 carrier and policy number are: Policy Number to of Agent certify that, in the performs , if I should become subject Of of the work for which this permit is issued, I shall not he w9r6e1rs' compensation proviyYhs of $ection 370( of the work for which this permit is issued. My workers' Date person in any manner so as to become subject to the workers' compensation laws of California, and agre ,r Code, I shall forthwith comply with those provisions. Dat? I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) Lender's Name Lenders Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to cogtLv.vp¢ all applicable city and county diva and state laws relating ilding construction. :. I authorize representbtives of this city or county to a er a ove-identifie p petty or on purposes. SP Natsomf Prop er or Authorized Agent f Pri Property, Owner's or Authorized A ent's Name -AC ION. DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY " • • • • REGULATIONS PART 61 OF TITLE 40AND AQMD RULE • •• •••• 1403 PLRIWT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLEQ•: EPA PERMTfykrENDEd • QMD p)•fj)•,I TQrQA1 ASBESTOS NOTIFICA IS NOT APPUCAIE TO ICERAPICA7 OF � • . � PROPOSED DEMOLITI OCCUPANCY ISSUED•• • SIGNATURE: K�2 O O O O O CCCC O O O CC �