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Home My WebLink AboutXR2023-0911 - PermitsCity of New ort Beach IIIIIIIIillllllllllllllllllllllllllllllllllllllllllllll COMB Permit : XR2023-0911 EwPoRT, Y p C� � Community Development Department- Building Division F n: 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0808 Permit Counter Phone' (949) 718-1888 Issued Date : 06/2712023 newportbeachca.gov/civic Inspection Area : 1 cqr ?" Combination Type - SFP ELEC MECH PLUM Work Class - Addition/Alteration 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 : 44 BALBOA COVES Legal Desc : N TR 1011 BLK LOT 44 Description: SFR -ADD AT 3RD FLR 339 SF AND 205 SF ATT COVERED PATIO/BBQ AREA Owner: CARLOS JOSEPH SANCHEZ SEPARATE Contractor: w,L�:tZeo AE�Z-Z061 Architect PROPERTY TRUST �. Address : 210 40TH ST Address : 4351 E ALDERDALE AV Address r NEWPORT BEACH, CA 92663 ANAHEIM, CA 92807 Phone: Phone: (714) 813-4756 Phone: t g� Con State Lic : 974410 State Lie `1w Lie Expire: 06/30/2024 Applicant : FRED HERZOG Bus Lie : BT30082002 Engineer : YAGHI SHUCRI I (.5' Address: 4351 ALDERDALVE AVENUE Bus Lie Expire : 06/30/2024 Address: 112 E. CHAPMAN #D --, ANAHEIM, CA 92807 ORANGE, CA 92866:,,� Phone: (714) 813-4756 Workers' Compensation Insurance Phone: (714) 997-9120 " Carrier : Owner/Builder : Policy No: EXEMPT Designer Address : W. C. Expire: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $200,000.00 Type of Construction : V-B Fire Hazard Zone : NO AddedlNew/TI sq. ft. Bldg : 339 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 205 Bldg Height : No of Stories : 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 339 Building Setbacks : Front: 5, Front: 15, Side: 3, Side: 3 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential PROCESSED BY : � I Y SPECIAL CONDITIONS: LIQUEFACTION/HIGH-DENSITY ZONE OWNER-13UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State. License Law for the resson(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, 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 provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 or the Business and Professions Code) or that he or she is exempt from licensure 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 (_) 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 Improved for the purpose of sale). 0 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 Improves: thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' Stale 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 legall, sell a structure that I have built as an owner -builder if It has not been 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:httpllwww.teginfo.ca.govlcelaw.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 Seclio 7 00 o p�visi n S of the Business and Pro ssi s e, a ny II •e e' I all force and effect. license Class License No Date %/ Contractor SigneW WORKERS' COMPENSATION DECLARATION NARNING: 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 ($ 00.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0700 OF THE LADOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: IJ 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, forth pVormance of the work for which this permit is issued. Policy No. 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' carrier and policy number am: Policy Number of Agent Date JI certify that, in the performance of the work for which this permit is issued, I shall notemploy any parson in any manner so as to become subject to the workers' compensation laws ofCaiffomia, and agre iat, If I should beco a abject tot workers' mpen ia�if rprovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7 lignalure of Applicant /% M1 �i Dat �/ 2 IECLARATION REGA D1 0 ONSTRU ON LENDING E Y hereby affirm under penalty perjury that there is a const eft lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Loaders Address ly 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 applicationand the information I have provided is correct. and I agree to comply with all applicable city and c°�ty ordinances slate laws retail g to building construction. ,,off I authorize representatives of this city or counjxjo enle a ab I ri op ///ly 7i/for Inspection purposes. A /� // //te/�� r iicnature of ProDertv Owner or Authorized Anent % Print Pronerty Owner's or Authorized Anent's Name tA ACTION PERMIT EXPIRED DATE I By REGULATIONS PART 61 OF TITLE rH CODE OF FEDERAL AND AQMD RULE PERMITEXTENOEO I I I I I �yUAQMD. PERMFICATEL ,,1k, 5Tp�OTiF3C�t�ONfS OT APPLICABI�O CERTIFICATEOF PRO OSED P OCCUPANCYISSUED SI�NxTURE: i FOR OFFICE USE ONLY