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HomeMy WebLinkAboutX2021-0788 - PermitsaEwaoRT City of Newport Beach III�III�II��III��III����IIIIIIIIIIII���I��I�� II COMB Permit : X2U21-�%$$ @ Community Development Department -Building Division X 2 0 2 1 - 0 7 8 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 0896-2021 re5 i Permit Counter Phone: (949) 718-1888 Issued Date : 05/26/2021 a newportbeachca.gov/civic Final Date: C'1C/F00.N�P Combination Type - SFP Permit Status: Expired Work Class - Alteration Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID Ih NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN Job Address : 2024 NAUTILUS LN Description: SFR REMODEL 336 SF TO CREATE (2) Owner: Address Phone Applicant: Address : Phone Owner/Builder : Address : Phone : z` Code Edition : -% Type of Constructil Occupancy Groups Bldg Height: Building Setbacks Flood Zone: Use Zone: PROCESSED BY: Legal D : N T BILKO &(9)&a 1 OOlott� Contractor : ONSTI Address: 1 1 E 20TWd '' BUT NO LATEg�N.3 YEARS FROM ORIGINAL ISSUANCE DATE ITY AREAS AN6"NOtWORK ON SUNDAY AND HOLIDAYS IN ALL AREAS tJOo4o'. 7s ON INC Archit f:' Address SIGNAL 14)M- 86 CA 90755 honea�, �k (714) -5861 Phone C a�g�L:9602 S Lic Atpe 03/31/2025 s us Li.ia B 50473 nglneer: CHI Bu� xptre , 3 23 Address : 1 LI 7 v ��4 Workers' Compensationlnsurance 4�l .- Carrier: EVEREST PREMIER INS N COS NY Policy No : 760002320623 e „ W. C. Expire: 8/5/2024 bN.9 Fire Sprinklers : NO 40 Fire HazagtYa one : NO U, ea Nse. ies F t: 2 Si ide: 6, Rear:A,, �a31 x . " R-1-6 0 - Single -Unit F"Wal (T4indicates miML SPECIAL CONDITIONS: h V Phone : 'Construction Valuation : Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : PIEN CA 91776 OWNER -BUILDER DECLARATION 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 checkmark(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 applicant for 1e 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 Section 7000) of Division 3 of the Business and Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 iy 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 _ , and the cture..is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through ployees' or pers I 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 pletion, the Owner -But er will have the burden of proving that it was not built or nproved for the purpose of sale). ,n(� 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project ( on 7044, Business aDF, fession 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 lic ed Con or pursuPib a Contracto ' State. License Law), I am exempt from licensure under the Contractors' State License Law for the following reason: CC'�i ty my signature below I acknowledge that, except for my personal residence in which I must he sided foat o rior to com an rr roNiernents covered by this permit, I cannot legal ell a structure that I have built as an owner -builder if it has not been constructed in its entire license 1}actors '{rstand that copy of the appli . ble Yaw, Section 7044 of the Business and Irofessions Code, Is available upon request when this application is submitted or at the f ng Wet&sh� p:1 eginfo.ca.govl aw.html. signature of Property Owner or Authorized Agent i� o Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of apter 9 (cory fencing wiit viection f Division 3 of the Business and Profess s Code, and my license is in full force ind effect. License Class License No 7 Da(et Contractor Signature WERS' COMPENSATION DECLARATION 4p, ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS WFUL. AND OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37 THE LABOR C hereby affirm under penalty of perjury one of the I have and will maintain a certificate of con; erformance of the work for which this permil.W4 JI have and will maintain workers' Co ensattt' Isurance carrier and policy numbef,,. 1e of Agent certify that, in the performance of , if I should become subject to the lignature of Applicant IECLARATION REGARDING CONSTRUCTION L .LADING AQ hereby affirm under penalty of perjury thaftheIS is a wnstructi enders Name ly my signature below, I certify to each of the followln . I am the property owner or authorized to act on lh rGpe Ly, I have read this application and the informations h vg.provil I agree to comply with all applicable city and county'ordlnan I authorize representatives of this city or county to enter the iianature of PfODefly Owner or Authorized Agent EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDJIE 1$100,000), IN ADDITION worcompensation. Issued by.. the Director of Industrial Relati a i `dsd�edfa f ms'or by Section *00 of, the Labor Code, for ad by Section 37UO of ,he Labor Code,.for the performance rk Swhich this pe Is 1'gShetl My workers' compensa pu Ex'h D Date t u Skany person in nn o a D•�come sub jec the.ors' coriipensation laws of California, and ac ofec 00 o e Labor Code, I all fo with I with those vislontt,! Ijk'Yitlir jrbency for the perforr�e of the work for which 10 owner's behalf, ad is correct_,�`�`•. :es and state I�alsxStalll74' 4`6uilding constw ion. / ACTION DATE BY DECLAON OF COMPLIANCE WITH C9.DE OF FEDE ,.€OR OFFICE USE ONLY REGULA�LONS PART 61 OF TITLE 40 D AQM�E 1403 v,., ✓ PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED LJA5BESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION. is issyed (S¢d'ffon 3097, Civil Code).