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HomeMy WebLinkAboutXR2023-2164 - PermitsagWPORr City of Newport Beach jai 111111111111111111111111111111111111111111111111111 111� 111 COMB Permit : XR2O23-2164 C� 1@ Community Development Department- Building Division X R 2 0 2 3 2 1 6 4 =q 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1897 Permit Counter Phone: (949) 718-1888 Issued Date : 0810712023 .}. newportbeachca.gov/civic Final Date: C,//rp RN\P Combination Type - ELEC PLUM Permit Status: Issued Work Class - Other Inspection Area : 2 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 : 100 VIA WAZIERS Legal Desc : N TR 907 BILK LOT 363 TR 907 LOT 363(AND SWLY1/2 L Description : SFR INSTL BBQ W/ BACKSPLASH AT THE (E) P/L WALL (TOTAL 6' H) W/GAS AND ELEC, YARD DRAINAGE *CTY STD' 44 1 •,, r..,—c—,.� r^>, Owner: DENEHER FAMILIY TRUST Address : 100 VIA WAZIERS NEWPORT BEACH, CA 92663 Phone : (949) 795-1171 Applicant: MILLENNIUM CONSTR Address: 2901 W COAST HIGHWAY NEWPORT BEACH, CA 92663 Phone : (949) 258-4366 Owner/Builder : Address : Phone Contractor: MILLENNIUM CONSTR Address : 2901 W COAST HIGHWAY NEWPORT BEACH, CA 92663 Phone : (949) 258-4366 Con State Lie : 804132 Lie Expire : 10/31/2023 Bus Lie : BT30080150 Bus Lie Expire : 08/31/2023 Workers' Compensation Insurance Carrier: COMPWEST INS CO Policy No : CWWCP100063383 W. C. Expire: 7/1/2024 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 0, Front: 1.5, Front: 4, Side: 4 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: (. NO CONSTRUCTION WORK SPECIAL CONDITIONS: ON SATURDAYS Architect Address Phone : State Lie Engineer: Address : .. ' Phone Designer: MILLENNIUM CONSTR Address: 2901 W COAST HIGHWAY - NEWPORT BEACH, CA 92663 Phone : (949) 258-4366 $30,000a00 0 0 0 OWNER -BUILDER DECLARATION I hereby affimn under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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, demolish, or repair any structure, prior to its issuance, also requires the applicant for he 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 °rofessions Code) or that he or she is exempt from llcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500}. I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or f ) portions of the work, and the structure is not intended or offered for sale (Section 7044, tLISUIP.SS and Professions Code. The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Tlprovemenls are not intended or offered for sale If, however, the building or improvement is sold within one year of completion. the Owner -Builder will have the burden of proving that It was not built or Ttproved for the purpose of sale). I, as owner of the property, An exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exerripl from llcensure under the Contractors' State License Law for the following reason: dy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the Improvements Covered by this permit, I cannot Iegaill :ell a structure that I have built as an ownor-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 o€ tho Business and ?rofessfons Code, is available upon request when this application is submitted or at the following Web site:http:/lwww.leginto.ca.gov/colaw.htmi, signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectioon� JJ000) of Division 3of the Business a Tofe si s Code, dmy license is In full force and effect. License Class License No Dal$.,.,j-7 dui, Contractor Signet VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE [IED THOUSAND DOLLARS ($100,000), IN AOOITION TO THE :OST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm Lnda+ penalty of perjury one of the following declarations: -1 I have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for lh �s$-f3.r.ainn:ce of inwo,k for which this permit is issued. Policy No. C have and will maintain workers' compensation insurance, a$ required by Section 3700 of the. Labor Code. for the performance of the work for which this permit is issued. My workers' compensatior isaranoe carrier and policy number are: ie of Agent ___ C :Alfy thaL,In the p if I should become Policy Number ✓ (Q 6 f002- yg�R2 Expiration Date P- �7��L� ice 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 to the work ela% compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l _ : ECLAf:AFICIN PF AF: NG CONSTRUCTION LENDING AGENCY h reS; ifflrm undfirpeisalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued(Section P.00pr's Name Lenders Address Civil Code). By my signature below, I oertffy to each of the following: I am lie 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 co ty ordinances and state laws relating to building construction. ? I authorize representatives of thi city Gr unt otter the ab e-Identified property for inspection purposes. A co Signature of Property Owner or Aulh ad f _ Print Property Owner's or Authorized A ent's ie 'Ie P ACTION DATE BY DECLARAT€CN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE. 40 AND AOMD RULE 77 1403 PERMIT EXPIRED J 1__I I SUBMITTED ASBESTOS NOTIFICATION TO FERMITCANCE!!ED L�I��PA PER+Y1lT EXTEN1. DED 77----tt _ FCRYH7 FIflAL ._..__.. ... _... ...,..tom' i MASSESTOS NOT (FICA I ION IS NO APPLICABLE f0 CERTIFICATE OF qq /� /2! t� 'P�- PROPOSED DEMOLITION OCCi1PAPJCYI.55UED SIGNATURE: