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Home My WebLink AboutX2022-1497 - PermitsaEWPO?T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Y Community Development Department- Building Division X 2 0 2 2 - 1 4 9 7 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u ) Inspection Requests Phone: (949) 644-3255 °gciroa"`P newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration COMB Permit : X2O22-1497 Plan Check No : 1382-2022 '1 Issued Date : 02/22/2023 Inspection Area : 1 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 : 204 44TH ST Legal Desc : A TR CANAL SECTION BLK 143 LOT 2 CANAL SECTION BLK 143 LOT 2 & SWLY 22.66FT LOT 3 Description: MFR- ELIMINATE ILLEGAL 3RD UNIT. (RETURN TO APPROVED DUPLEX CONDITION) Owner: HOFFMEYER DEBRA TR Contractor : GPE BUILDERS Architect Address : 343 62ND ST Address : 404 E 16TH STREET Address NEWPORT BEACH, CA 92663 COSTA MESA, CA 92627 Phone : Phone : (949) 691-8020 Phone Con State Lic : 1061982 State Lic Lic Expire : 01/31/2024 , Applicant: PHILNIELSEN Bus Lic: BT30072992 Engineer: ' Address : 6131 ANACAPA DRIVE Bus Lic Expire : 09/30/2023 Address: HUNTINGTON BEACH, CA 92647 Phone: (714) 717-1418 Workers' Compensation Insurance Phone: Carrier: NO EMPLOYEES Owner/Builder : Policy No: EXEMPT Designer: PHIL NIELSEN Address : W. C. Expire: Address: 6131 ANACAPA DRIVE HUNTINGTON BEACH, CA 92647 Phone: Phone: (714) 717-1418 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height : No of Stories: 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-2 - Two -Unit Residential C.'ONSTRUCTION NOISE PROCESSED BY: SPECIAL CONDITIONS: ON THE WEEKEND OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor, State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt form licensors 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 not more than five hundred dollars ($500). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the 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, huilds or Improves the property, provided that the improvements 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 improved 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' State License Law does net a p[y 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 licensee under the Contractors' State License Law for the following reason; By 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 sell a structure that I have built asan owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/iwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ _ _�_._� _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profsib Code. andmy license is In full force. and effect. Licensn Cless License No Date>i° 2 -ZZ-Z? Contractor. Signature — WORKERS' COA"PFN'3ATION DECLARATION NA YII-?I: - IILU RE TO SECVPR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS f6100,0001. IN AUDITION TO THE COST OF CC)APENSA"ION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST', AND ATTORNEY IS FEES. I heisby affirm underpenalty of perjury one of the following declarations: 0 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 tht performance of the wok for which this permit Is Issued. Policy No. Ell have and will maintn'n workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, My workers` compensation insurance carrier and poly number are: Policy Number of Agent Date erlify that, intts per ormance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California., and if I shnuld be]ame aubject t2 the workers' compensation provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions. of Applicant Date' 2-2Z-Z) Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which thispermit 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 owner or authorized to act on the property owner's behalf. I have read this application andthe information I have provided is correct. I agree to comply with all applicable city and county ordinances and state lays relating to building construction. I authorize representatives of the city or county t the above-dentified property for inspection purposes. /7 '� nature of Property Owner or Authorized Ace nt C� enn �s� Print Property Owner's or Authorized Aaent's NamdJ(77 6/ 4114AkoS Datf?, 2-Z7.- ACTION DATE BY DECLARATION Of COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE AO AND AOMD RULE 1403 PERMiTEXPlPED I I I U 15UBMITTED A5BESTOS NOTIFICATION TO N01"FICA I"ION 15 NOT APPLICABLE 10 CERTIFICATE OF I Vt v I', I U c j PROPOSED OCCUPANCYI55UED 1 SIGNATURI