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Home My WebLink AboutXR2023-0593 - Permitse`'�waoRr City of Newport Beach p 4 Community Development Department- Building Division > y 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 a.Inspection Requests Phone: (949) 644-3255 C94f FORN�P newportbeachca:y -.,:tans Combination Type PLUM Work Class - Demolition II �XRI�2�� 0 3 0�II IIIIIII II COMB Permit : XR2023-0593 Plan Check No: Issued Date : 03103/2023 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 : 389 MEADOW LN Legal Desc : N TR 1832 BILK LOT 2 Description: SFR DEMO (E) SPA 45 SF "CITY STANDARD METHOD A'" PROVIDE COMPACTION REPORT. Owner: SHIN LEE Contractor: STEVE ESPENSCHIED Architect: Address: Address : 6251 VATCHER DRIVE' Address: LA MIRADA, CA 90637 HUNTINGTON BEACH, CA 92647 Phone: (714) 318-6220 Phone:, ;(7,14) 488-5615 Phone: ContState Lic :613188 State Lic - ..LicExpire: 02/28/2025 Applicant: STEVE ESPENSCHIED Bus`Lic : BT30079032 Engineer: KEITH TUCKER Address : 6251 VATCHER DRIVE Bus'Lic Expire : 06/30/2023 .. Address : 10641 HUMBOLT ST HUNTINGTON BEACH, CA 92647 LOS ALAMITOS, CA 90720 Phone: (714) 488-5615 Workers' Compensation Insurances Phone: (562) 799-9469 Carrier: CALIFORNIA INSURANCE COMPANY Owner/Builder: Policy No: 46055471 Designer: STEVE ESPENSCHIED Address : W. C. Expire: 7/1/2023 =:Address : 6251 VATCHER DRIVE HUNTINGTON BEACH, CA 92647 Phone: Phone: (714)488-5615 Code Edition : 2022 Fire Sprinklers,: NO Construction Valuation : $4,300.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U No of Units: 1 :' Alteration sq. ft. Bldg : 45 Bldg Height: No:of'StoHes .. 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 20 Flood Zone: - X • • oa•mm: Use Zone: R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area) W • • • PROCESSED BY:s •ema° a® 'a SPECIAL CONDITIONS: CITY STANDARD METHOD'A' W/ COMPACTION REPORT `® a v� e m•.a• a CMSD ea �o c• cc e° :ao•• • m a • •au®• 11 1 hereby affirm under penalty of penury that I am exempt from the Contractors' Stats,License Law for the resso improvements are not intended or offered for sale. If, however;: Ilia building or improvement is sold within one year of compel improved for the purpose of sale):rl . I, as owner of the property,. am Exclusively contracting with tiesmsed Contractors to construct the project (Sectu1n 7044,. Bi �a ty to an owner of property *he builds or Improves thereon, and who contracts for the projects with a licensed Contractor pi I am exempt from licensure under. the Contractors' State License Law for the following reason: By my signature below I. acknowledge that, except for my personal residence in which I must have resided for at least one; ye< sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I undo Professions Code, is available upon request when this application is submitted or at the following Web sife:bttp: jw w.leginfo. Signature of Property 0wrier or Authorized Agent: LICENSED CONTRACTOR'S DECLARATION I hereby; affirm under penalty of perjury that I am licensed under provisions. of Chapter 9'(Commencing With Section 7000):aajj C and effect License Class License No Date:�_f%<, FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE la UNLAWFUL.;.. AND SNAIL SUBJECT AN EMPLOYER TO CRINURAL PENALT9 COMPENSATION, DAMAGE$ AS:PROVIOED FOR IN SECTION 8744.AF THE LABOR COVE. INTERErT AMO ATTORNEI^G no, .:. affirm under penalty of perjury one of the following declarations: ve'and will maintain a Cer£ifcate of consent to self -insure for workers' compensation, issued by the Direclor of li snceof the work 'for which this permit issIssued. Policy No, mend will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for:the -pert :e carrier and policy number are; c GA LA 6c-rJ— tiA �N'a, 6, PolicyNumber y6 " F Agent.. I certify that, in Ilia performance of the workt that, if I should become sub* a workarsl Signature CLAR of Applicant DI;CL.ARATi4N REGARDING CGN C?! I hereby affirm under penalty of perjury that that Lender's Name. y my signature below, (certify to Each of Ilia fc I am the property owner of authorized to act I have read this app�lioatidn and the informs! I agree to cot pil wiilk all applicable City ant • 1 authorize representatives of this: city or cat 1 natureof P 0vrier or Authorized Ager A09N•, • DATE BY PiRMt7£XPIRED • PERMtf'�MGE[LE9 PL'Rtl€+"MNDfD F€Rr�firljvAL • CfRYiFtCASFQF •��•�•�•15.1.� �y/ C££LAInM1B'YiSSUED (((/// .• oe below by the chackmar'k(s) I have placed next to the applicable item(s) or repair any structure, prior to its issuance, also requites they applicant for Chapter 9 (commencing with Section 7000)of Division 3 of the Business and 131.5 by any applicant fora permit !, ,2 _ ,Vl1cant to a civil penalty of is burden of proving that it was not built or a Contractors' State License Low. does net: abOns as provided for by Section 3700 of the Labor Code, for ft work for which this permit is Issued,.fufy workers` compartaw piradon Date s permit is issued; I shall not employ any: person in any manner so as to become. subject to theeworkers' compansation laws of California, and agre an provisions of Section 3700. of the Labor Code, I shall forthwith comply with those. provisions. I AGENCY .Data_3 3 ( z3 ruction lending agency for the performance Of the work for which this permit is issued (Section 3097, Civil Code), I ntirku'A Address i TO