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Home My WebLink AboutXR2023-2059 - Permits,EWPoRT City of Newport Beach �IIIIIIIIIIIIIIIIIIIII�IIIIIIIII II Ck e Community Development Department- Building Division x z 2 0 2 3 2 8 5 9 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 u newportbeachca.gov/civic Cqr/FORN�P Combination Type - SFP Work Class - Other COMB Permit : XR2023-2059 Plan Check No : 0881-2020 Issued Date : 0712612023 Final Date: Permit Status: Issued Inspection Area : 5 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 : 434 GOLDENROD AVE Legal Desc : A TR CORONA DEL MAR BLK 434 LOT 18 Description: 3-STORY DUPLEX & GARAGE 3132/396 SF *CHANGE OF CONTRACTOR* Owner: VAL INJEV Address : 434 GOLDENROD AVE NEWPORT BEACH, CA 92625 Phone : (949) 243-5059 Applicant : VAL INJEV Address : 434 GOLDENROD AVE NEWPORT BEACH, CA 92625 Phone : (949) 243-5059 Owner/Builder : VAL INJEV Address : 434 GOLDENROD AVE NEWPORT BEACH, CA 92625 Phone: (949)243-5059 Contractor Address : Phone: Con State Lie Lie Expire Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier: Policy No W. C. Expire Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : 2 Bldg Height: No of Stories : 3 Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY, SPECIAL CONDITIONS: Architect: NIEMERSKI KENNETH Address : 2031 ORCHARD DR #100 NEWPORT BEACH, CA 92660 Phone: (949)553-9100 State Lie Engineer: ROMERO RYAN ALCANTARA Address : 10103 STILBITE AVE FOUNTAIN VALLEY, CA 92708 Phone: (949)302-2080 Designer Address Phone: Construction Valuation : Added/Newrrl sq. ft. Bldg : D Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 s0s:'^y 4_J OWNER -BUILDER DECLARATION I 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 applicableitem(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 the permit to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors' State License Caw (Chapter 9 (commencing with Section 7000) Of Division 3 of the Business and Professions Code) or that he or she is exempt from Acensyre 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), 1, as owner of the property, or my employees with wages as their sole compensation, will do (-) 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, builds 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 km roved 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 not apply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: By my signature below I acknowledge that, except for my pars nal le III a in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, sell a structure that I have built as an owner•buiI or if it as,n a�rpon tructed in its entirety by licensed contractors. I underslAnd that a copy of the applicable law. Section 7044 of the Business and Professions Code, is available upon request whe hi split ation ub itted orat t [lowing Web site:http:llwww.leginfo.ca.go\dcalaw.fttml. Signature of Property Owner or Authorized Agent .�...�.._....._.�,_� _ _ ❑et Z .- Z LICENSED CONTRACTOR'S DECLARATI I hereby affirm under penalty of perjury [hat i am Ifc use under p sions of Chapter 9 (commencing with Section 7000) of Division 3oi the Business and Professions C, n ed n my license is in full force and effect. License Class _ Lice rr No Date Contractor Signature COMPENSATION DECLARATION FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS i$100,0001. IN ADDITION TO :OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37050E THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure tot workers' compensation. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ormance of the work for which this permit is Issued. Policy No, 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' corgi Trance carrier and policy number are: Policy Number of Agent Date 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 Agra t, if I should becom s bject to th or mpensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date '�/ 26ZZ CLARATION REG D CONSTR. C DING AG CY T Ireby affirm under p Wally o e jury that h re is a construction lending agency for the performance of the work for which this permit is issued QSeotlon 3097fffCILLL11 Code). Idar 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 and the information 1 have provided is correct. I agree to comply with all applicable city and county rdin and late laws relating to building. construction. I authorize representatives of this city or counly�o n1,1 e above, Identified property for inspectlon purposes. of DATE. I BY V DEGLARATtr ROr COn9PLIANCE Wirt! CODE OF FEDERAL I FOR OFFICE USE ONLY [ 3 REGULATIONS PART 51 OF TITLE 40 AND AQMO RULF. PERMIT EXPIRED IJ I SUBMITTED ASBFSTOS NOTIFICATI(d. '.O EPI� A PERM IT CANCELLED PERMIT EXTENDED ,I QMD___. _.... __ PErRTiFI `BE5T03 OTlF APPLICABLE TO ATE CERAFICAFEtlf O O M � OCCUPANCY ISSUED IR SIGNATURE: — I%