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Home My WebLink AboutX2022-1742 - PermitsCity of Newport Beach e4WPOR C B , Community Development Department- Building Division k `,➢. 100 Civic Center Drive, Newport Beach, CA 92660 IS. Permit Counter Phone: (949) 644-3288 Pt Inspection Requests Phone: (949) 644-3255 R04o>;p`> newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration II III I II I II I III I II III I II COMB Perfrit : X 2 -01 4 Plan heck a o : 1663-202_0 1 inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTP.UCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 1950 GALAXY DR Legal Desc : N TR 4224 BLK LOT 17 Description; SFP. REMOVE AND REPLACE GLASS FENCE/RAILINGS Owner: JEANETTE ZMIJEWSKI Contractor Address : 1950 GALAXY DR NEWPORT BEACH, CA Address 92660 Phone: Phone: Con State Lic : Applicant: JEANETTE ZMIJEWSKI Lic Expire Address : 1950 GALAXY DR NEWPORT BEACH, CA Bus Lic : 92660 Phone: Bus Lic Expire Workers' Compensation Insurance Owner/Builder : JEANETTE ZMIJEWSKI Carrier : Address : 1950 GALAXY DR NEWPORT BEACH, CA Policy No 92660 Phone W. C. Expire: Architect Address Phone: State Lic : Engineer Address Phone : Designer: Address Phor e : Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : No Added/New[Ti sq. ft. 81dg Occupancy Groups : U,R-3 No of Units: 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : Added/New sq. ft, Garage Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: % ?, SPECIAL CONDITIONS: L_..jj I O $12 dQ0.DQ 0 ' ., 0 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 checkrnark(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 applicantfor to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Lave (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from ficensure and 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 (S500), 1 I, as owner oithe property, or my employees with wages as their sole compensation, wilt do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Secton 7044, Iusiness rid Professors; Code: The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovfilhients 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 npr ad for the purpose of sale). Was 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 pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below: I acknowledge that, excepildt for my p 'rso I residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall, ell a structure that I have built as an owner-buer if it has not een constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of iha Busine s and 'rofessions Code, is available upon request when h' app a �' submitted or at the f lowing Web site: http:!lvw gl^,fo.ca.gov/calaw.html. .ICES of Property Owner or Authorized Agenf 4 _y� Date*' I ICENSED CONTRACTOR'S DECL,ARATIOO —� hereby affirm under penalty of perjury that I am licensed unde p, visions of Chapter 9 commencing with Sect! 00 of Division 3 of the Busines nd Pro, si s and my tic se is in full force no effect. License Class L' nse No Da 'actor Signature VORKERS' COMPENSATION DECLARATION ,ARNIiJG: FAILURE TO E5't'RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL.AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL' PENALTIES CIVIL PINES UP TO ONE HUNDRED THOUSAND RS (5100A00), IN ADDITION TO THE CST OF COMPENSA. ION, OX.IAGES AS PROVIOEa FOR IN SECTION 3706 OF THE LABOR COCE, INTEREST, ANO ATTORNEY'S FEES. affirm under penalty of perjury one of the following declarations: I have and will mrintaln 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 Lrmance of the work for which this permit is issued. Policy No. have and will nc-I:ain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensa france.y.arher arc' honey number are: Policy Number of F gent Date rF.rtify 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 1, 1 should becameraubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. na:cn of Applicant _ Date_ CLGPATION REG4.Nt4,ING CONSTRUCTION LENDING AGENCY areby affirm undtfipenulty 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). Ner's Name Lenders Address 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 orpi ances and state laws relating to building construction. I authorize representatives of this city or county to erlWr the above -identified property for inspection purposes. nature- of Prooertv Owner or Authorized Aaent k . Print Prooertv Owner's or Authorized Aaent's Name XJ DANeI AXv. 4 ACTION DATE BY I DE L4L�IWTION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R ULATIONS PART 61 OF TITLE 40 AND AQMD RULE I PERMIT E)'P RED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCEi.IED EP[� q All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMITEXTENDED a,' QM be in place prior to approval to fill pool/spa &shall remain in place Fk be maintained for the PE.RIAITFINAL p i�STOS NOTIFICATION 15 NOT APPLICABLE TO life of the pool. il✓ CERTIFICATE OF , SIGNATED EMOLITION OCCUPANCY' ISSUED