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HomeMy WebLinkAboutXR2022-2919 - Permits�,EWPoRr City of Newport Beach p`' @ Community Development Department- Building Division > �y 100 Civic Center Drive, Newport Beach, CA 92660 U S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °g4coa�'�P newponbeachca.gov/inspections Combination Type - SFP Work Class - Alteration 11111111111111111111111111111111111111111111111111111111111COMB Permit : XR2O22-2919 Plan Check No: PC2022-2782 Issued Date : 11/0312022 Inspection Area : 4 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 : 1859 PORT MARGATE PL Legal Desc : N TR 6621 BLK LOT 59 Description: SFR - R/R SLIDER W/ BI-FOLD DOOR SYSTEM Owner: R MATTHEW ANACONE Address: 1859 PORT MARGATE PL NEWPORT BEACH, CA 92660 Phone Applicant: DAVIDMARTINEZ Address: 177 E COLORADO BLVD, UNIT 200 PASADENA, CA 91105 Phone: (562) 907-8153 Owner/Builder : Address : Phone Contractor: MARTINEZ CONSTRUCTION Address : 177 E COLORADO BLVD #200 PASADENA, CA 91105 Phone: (562) 900-8376 Con State Lie : 1043236 Lie Expire : 08/31/2024 Bus Lie: BT30080012 Bus Lie Expire : 11/30/2023 Architect Address Phone: State Lie Engineer: YAGHI SHUCRI I Address: 112 E. CHAPMAN #D ORANGE, CA 92866 Workers' Compensation Insurance Phone : (714) 997-9120 Carrier: CLEAR SPRING PROPERTY & CASUALTY CO Policy No: CSWC00318402 Designer: W. C. Expire : 6/1/2023 Address Phone Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $9,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-2 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories: 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg : 0 Building Setbacks : Front: 18, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone: PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors State 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 is permit to He 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 'rofossions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031:5 by any applicant fora permit subjects the applicant to a civil ponalty of ,of 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 U portions of the work; and the structure is not intended or offered for sale (Section 7044, lusiness 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 aprovements 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 n roved 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' Stale License Law does not ipply 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), 3 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided ferat least one year prior to completion of the improvements covered by this permit, I cannot legall) all a structure that I have built as an ownor-builder it it has notbeen constructed in its entirety by licensed contractors. I understand that a copy of the. applicable law, Section 7044 of the Business and Irofessions Code, isavailable upon request when this application is submitted oratthe following Web site:httpl/www.leginfo.ca.gov/calaw.html. tgnature 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 70. 0 Ion 3 of the Business and Prof s no Cod an m i sa is in full f and effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION MRNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAwFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS ($100,000), IN ADDITION TO THE 'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR COOP, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a Certificate of consent to self -insure for workers' compensation, issued by the Director of Industriat Relations as provided for by Section 3700 of the Labor Code, for th Br(ormance 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 permit is issued. My workers' carrier and policy number are: Policy Number Expiration Date of Agent Phone # _ certify that, in the parformance of ark for which this permit is is ad. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, end agree L if I should become subject t e wor ers c nsati provisio n 3700 of the Labor Code, I shall forthwith comply with those provisions. j nature of Applicant - Dale 1 a VI 2- CLARATION REGARDI LENDIN GENCY neby affirm under penal perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civii de). Ider's Name Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to acton the property owner's behalf. I have read this application and the information I have provided Is correct. I agree to comply with all applicable city and cou cos and state laws relating to building construction. I authorize representatives of this city or coptg�janter the aoov n ifiq property r inspection purposes. \� 1 �1 ,t i/j�/ nature of Prorsrty Owner or Authorized ant _ Y _ . _ Vl� //R� �aerty owner's or Authorized Aoem's Name Fa is <5-, ! Gl ✓ / ! 01 v17E .o Z ACTION ( DATE. I BY (-- EGULATIONS PART 1 OF TITLE40 AND MjMD RULE AL I FOR OFFICE USE ONLY TO PERMIT EXTENDED PCERTERMIT FINAL IFICAYE(,F OCCUPANCYISJUEC h tr t0 �' i O (ll N Ern _ E0) Q � h J W N ~ Y N00 M N' N U N U v U C CD SCa Lj0`i ui ono 7 � lA (� c )> C Ct6 d L U Ld N S Q w m 0�- w 0 a > L w 0) Z LL N O 1 i Q0 U N o N U UJ W � � O O w S U W m O a- W z w Q Q O a m LO 00 O z Q W w 0 c z_ z w a O 0 O LL 0 w 0 U) 2 U w U) J w z Q a. ~ y U w G d 7 � LCl 'a U � G C U) LL i7n UJ c_ 4 < _Jt,