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Home My WebLink AboutX2022-1524 - Permitsp . n c4(/FOR��P 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 newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration COMB Permit : X2O22-1524 Plan Check No : 2884-2021 Issued Date : 08/1212022 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 Description Owner: Address Phone: Applicant: Address : Phone : 1615 LINCOLN LN Legal Desc : N TR 3702 BLK LOT 1 DELTA 1- *ADDITIONAL SCOPE* CONVERT (E) TO OFFICE SPACE 134 SF WALTER KOSICH Contractor: LEE B MARSTON CONSTRUCTION 1615 LINCOLN LN NEWPORT BEACH, CA Address : 713 1/2 LARKSPUR AVE CORONA DEL 92660 MAR, CA 92625 Phone : (949) 233-3280 Con State Lie : 481631 LEE B MARSTON CONSTRUCTION Lie Expire : 10/31/2023 7131/2 LARKSPUR AVE CORONA DEL MAR, CA 92625 (949)233-3280 Owner/Builder : Bus Lie: Architect Address Phone: State Lie Engineer Bus Lie Expire : Address Workers' Compensation Insurance Phone Carrier: STATE+COMPENSATION+INSURANCE+FUN D KHANSA EYASS 2252 JOSIE AV LONG BEACH, CA'908Y5 Address : Policy No: 9138444 Designer: BRIAN SCOTT Phone : W. C. Expire : 7/25/2023 Address: 962 N HARWOOD ST ORANGE, CA 92P67 Phone: (562)865-7935 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $10,720.00 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 : 134 Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 -Single-Unit Residential (6 0 indicates minimum lot area) PROCESSED BY : SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION. 1 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 placednext to the applicable iterate) ;action 7031.5, BUS'IneSS and Professions Code: Any city or county ll'at requires a permit to construct. after, improve, demolish, or repair any structure, prior to Itsissuance, also requires the applicant for re permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate 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 703L5 by any applicant for A permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500), I, 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, uUmess and Professions Coder The Contractors' State. License Low does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the nprovereents arenot 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 builtor n roved for the purpose of sale). 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 ply 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 licensors under the Contractors' Slate 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 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 'Nab sitePubipalwww. leginfo.ca.gov/ca law.hlml. .ignature of Properly Owner or Authorized Agent Date 10ENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chaplerg (commencing with Section 7000) of Division 3 of the Business and Professions C „ andXmynse's In full force rid effect. Licens^ Class License No Date Y-,;t_;L),ConImctor signature VORKERS' CC irr-NSATION DECLARATION A3t ll' IC: FAILURE T� S-1URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS [E100,6001, IN ADDITION TO THE JST OF UOMPENSATIJN, D, MAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST. AND ATTORNEY'S FEES. ,hereby affirm under penalty of perjury one of the following declarations: have and will mairlunin 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 mmnce of the week for which this permit Is issued. Policy No. ave and will mai:rt3in 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' compensa 3nci carrier -r ro policy number are: Policy Number of Agent Date JI Pnity that. in tire performance Of 51ork for chthis permitisissued, shall not employ any personin any manner so as to become subject to the workers' compensation taws of Callfomia, and ogre Ial. if I ;,bould ba om.. quo' ct to es pensation provisions of Section 37D0 of the Labor Coda, shall forthwith comply with those provisions.gnature of Applicant Date�[J ECLARATION RE IR CON TION lE ING AGENCYV hereby affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have read this application and the information I have pi is correct.. I agree to comply with all applicable city and comity ordin ces and state relating to building construction. I authorize representatives of this city or county a the above- Ed pro erty for inspection purposes. sl nalure of Property Owner or Authorized A en Print Property Owner's or Authorized Agent's Name ` Date ACTION DATE ill bEC0aATJON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY el RFG(ILATIONS PART El OF TITLE 40 AND AQMD RULF 1403 PERMIT EXPIRED 1 1LJ I SURMITTFD ASRFSTOS NOTIFICATION TO All required alarms., latches gates and fences which serve as part of a pool/spa barrier, Shall be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool. PERMIT CANCELLED LIPA PERMiT EXTENDED �AgNtD ---- PEFM77 f1NAL CERTIFICATE OF OCCUPANCYiSSUED 7 i SRESTOS NOTIFICATION (QT APP LE 7U '.� PP oOSR)DEMOLITMN CIr9NATIIRW 'Kf /�