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Home My WebLink AboutXR2023-0872 - Permits�EwPoRr City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Y Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c'�rcoaN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 111I��III��III �1111111111111111111111111111111111111111111COMB Permit : XR2O23-os72 Plan Check No : 2294-2020 Issued Date : 04104/2023 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 : 1950 PORT EDWARD PL Legal Desc : N TR 7030 BLK LOT 6 Description: SFR ADD SHOWER TO EXISTING POWDER ROOM (35 SF) ***RENEW EXPIRED PERMIT X2020-2882*** Owner: MOORADIAN GEORGE T TR Address : 1950 PORT EDWARD CIR NEWPORT BEACH, CA 92660 Phone: Applicant : David R Lottie Address : 1002 Shasta St S West Covina, CA 91791 Phone : (949) 235-6400 Owner/Builder : Address : Phone Contractor: DAVID LOTTIE CONSTRUCTION Address : 1002 S SHASTA ST WEST COVINA, CA 91791 Phone: (949)235-6400 Con State Lie : 599746 Lie Expire : OB/31/2023 Bus Lie : BT30078595 Bus Lie Expire : 04/30/2023 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY & CASUALTY CO Policy No: CWC00113400 W. C. Expire : 8/18/2023 Architect Address Phone: State Lie Engineer: Address Phone Designer : David R Lottie Address : 1002 Shasta St S West Covina, CA 91791 Phone : (949) 235-6400 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $3,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : 30 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 ` - • " TOTAL sq. ft. 0- Building Setbacks : Front: 18, Side: 5, Side: 5, Rear: 10 Flood Zone: X ' Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: RENEW EXPIRED PERMIT X2020-2882 " C 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 Rem(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 Me a signed statement that fie or she is licensed pursuant to the previsions of the Contractors' Stale 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 licensureand 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portionsofthe work; and the structure is not intended or offered for sale (Section 7044, Business 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 npravements 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 3n raved for the purpose of sale). 1, as owner of the property, are exclusively contracting with licensed Contractors to constmct the project (Section 7044, Business and Professions Code: The Contractors' Slate 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 Lave). I I am exempt from licensure under the Contractors' State License Law for the following reason. ',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 oil 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:httpdiwww.leginfo.ra.gov/calaw.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) o iDOUG 3 of the Business and Professions Code, ie�0spr,' in full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (1100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: J 1 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, erformance of the Work for which this permit is issued. Policy No haveand 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' ranee carder and policy number are: Policy Number Date me of Agent Pnone IF certify that, in the performance 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 workers' compensation laws of California, and agree t, if I should become subj o the work comp .lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date CLARATION REGARD ONS. TION L N ING AGENCY !reby affirm under penalty ry that there is a contraction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code):. Ider's Name Lender's Address my signature below, I certify to each of the following: I am the property ow*ter or authorized to act on the property owners behalf. „ / I have read this application and the Information I have provided is correct. 4,41 �j� (,i //� - I bg,Le to campy with all applicable. city and county ordinances and St faws relating to building construction. I authorize repress natives of this city or county to ter the above nti' property for inspection purposes. / Print Pranarty Owner's or Authorized Aaent's Name � - Date V//] ACTION FFR;WW EI:PIRED PER0,4T EATENDED PFR•NrTFITIAi� CERT1FIC.4iEOF OCCUPANCYISSOEd DATE. BY \ ARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS PROPOSED SIGNATURE: ISNOTAPPU IA TO FOR OFFICE USE ONLY