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Home My WebLink AboutXR2022-2734 - Permitsa'�wpoRT City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °gc�Foa"�r newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration II II I I I II I III I II II II COMB Permit : XR2O22-2734 Plan Issued Date 2ck No : P22022-2575 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 IN 14-N r_y °��j � � Job Address : 20242 ORCHID ST Legal Desc : N TR 1500 BLK LOT 32 LEC 9 0J i Description : DEMO UNPERMITTED NON -BEARING PARTITION WALLS* 119-0181 " Owner: PARTNERS OF PAYMENT RELIEF DEII Contractor: AMERICAL CONSTRUCTION INC,. Architect Address : 920 CASSATT RD #210 Address: 6735 BERNARD LN Address: BERWYN, PA 19312 HIGHLAND, CA 92346 _ Phone : Phone: (949) 355-4979 Phone: Con State Lie : 1039815 State Lie Lie Expire : 05/31/2024 ; Applicant : AMERICAL CONSTRUCTION INC,. Bus Lie : BT30079899 Engineer; ; Address : 6735 BERNARD LN Bus Lie Expire : 10/31/2023 Address HIGHLAND, CA 92346 Phone: (949) 355-4979 Workers' Compensation Insurance Phone: .. Carrier: PRAETORIAN INSURANCE COMPANY Owner/Builder : Policy No: AW00547856 Designer: AMERICAL CONSTRUCTIONJNG . Address : W. C. Expire : 4/27/2023 Address : 6735 BERNARD LN HIGHLAND, CA 92346 Phone: Phone: (949)355-4979 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $1,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 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: 20, Side: 5, Side: 5, Rear: 25 Flood Zone: X Use Zone : SIP-7 - Santa Ana Heights Specific Plan PROCESSED BY: Al J SPECIAL CONDITIONS: AS BUILT PERMIT EXPOSE ALL STRUCTURAL F1ECTMCAL, PLUMBING, AND TO .i�IIC AL COI•,IIPONEN OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) nim, aced bEhew by the checkmark(s) I have placed next to the applicable item i ieclion 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 appllcantia its 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 Saclion 7000) of Division 3 of the Business an,! 'rafessions 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 for a. permit subjects the applicant io a civil penalty cr of more than five hundred dollars ($500). 7 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' Slate License Law does not apply to an owner of properly who, through employees' 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 II was not built or nproved forthe 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). J 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: ly 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 legall; ell a structure that I have built as an owner -builder if it has not been constructed In its Delray by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofesslons Code, is available upon request when this application is submitted or at the following Web site:http:t/w .leginfo.ca..govlcalaw.htmi. lignature. of Property Owner or Authorized Agent _- _ Date AC EN SEJ UOrN FRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0)_ef Djv" 'on the Business and to as ' s Code and nsa is in full force np effect. Licens: Class License No Date �r Contractor Signature VORKERS' COMPENSATION DECLARATION ARNINGFAILURE 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 COMP']NSATILN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, "a ATTORNEY-S FEES. hereby affirm undE: penalty of perjury one of the following declarations: I 1 have end 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 te�f(rfnnnance oft;,. lmrk for which this permit is issued Polley No. ail have 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 compereatiol tsu"jnce carr;er a,lu policesnumber era ^7 ? :arrier `Pj�A -' C. t� Policy Number A w o� y 7 8 s.6 Expiration Date lama of Ager:, Phone # 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 agre if I should become s/ubJje.�t to the workers' Do cation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. ,alure of Applicant- rl eaerenNl wr=reiinlur±�'.nraeraTTTerInM I cunlMr cent=Nlr^v 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). ender's Name Lenders Address y 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 comply with all applicable city and county ordinances and state Is elating to building construction. I authorize representatives of this c€ly or county tto jl�e-id:1 perfor inspection purposes. or Authorized Agent " 4�L Print Property Owner's or Authorized A ant's Name DATE BY 3 DEC RAT OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGULATIONS PART 61 OF TITI.F, 40AND AQMD RULE 1403 PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT RNAL CERTIFICATE OF OCCUPANCY ISSUED NOTIFICATION 15 NOT APPLIC TO Date