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Home My WebLink AboutXR2023-2857 - Permits41" PORT City of Newport Beach 11II��III��111111111111111p11111111111111111111111111111COMB Permit :XR2O23-2s57 dCommunity Development Department- Building Division `,� �100 Civic Center Dnve, Newport Beach, CA 92fi60 Plan Check No : PC2023-2484 ¢Permit Counter Phone: (949) 718-1888 Issued Date : 10/11/2023 newportbeachca gov/civic i °� "�" r"'+^rk ..-�Final Date: <1Fp0.N�P Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - Alteration Inspection Area : 4 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 : 439 VISTA SUERTE Legal Desc : N TR 7148 BLK LOT 32 Description: ATT SFR INTERIOR REMODELTO BATHROOM AND CLOSET 92 SF Owner: ROBERT & JOAN D HERSH Contractor: MAKI CONTRACTOR SERVICES Architect Address : 439 VISTA SUERTE Address : 10101 CUTTY SARK DR Address NEWPORT BEACH, CA 92660 HUNTINGTON BEACH, CA 92646 Phone: (949)278-6764 Phone: (949)872-8855 Phone: Con State Lie : 970168 State Lie Lie Expire : 02/28/2025 Applicant : ADAM MAKI Bus Lie: BT30082157 Engineer: Address : 10101 CUTTY SARK DR Bus Lie Expire : 07/31/2024 Address HUNTINGTN BCH, CA 92646-4303 Phone: (949) 872-8855 Workers' Compensation Insurance Phone: Carrier: NORGUARD INS CO Owner/Builder: Policy No : ADWC433270 Designer Address : W. C. Expire : 1/1712024 Address DAVID BAILEY 23183 LA CADENA DR, #101 LAGUNA HILLS, CA 92653 (949) 573-1050 Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $17,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 ; Occupancy Groups : R-3 No of Units : 8 Alteration sq. ft. Bldg : 92 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 , Building Setbacks Flood Zone : X Use Zone : R-1 - Single -Unit Residential ' PROCESSED BY: SPECIAL CONDITIONS I hereby affirm 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 item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, 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 of the Business and Professions Code) or that he or she is exempt from 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). ❑ I, as owner of the property, or my employees with wages as their soVe compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for safe (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, hullds 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 not apply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am Bxempl from kiCer15We under the Contractors' Slate License Lew for the following reason By my signature below I acknowledge that, except for my personal residence in which I must have rosldodfor at least one year prior to completion of the improvements covered by this permit I cannot legal self a structure that I have built as an owner -builder if it has not been constructed in its entirely 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:llwP,vw.leginfo.ca.govicalaw.Iitmt. 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 n!j�y menC�r�g with Section 70QQ) f J}+vi on 3 of the Business and Pr fe. s n ode, and my license is in full force and effect, License Class License No V(n YJ Date f P / / Zi Contractor Signatu 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 (1000,000),1N ADDITION TO TH. COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, AND ATTORNEY'S FEES. hereby affkrm under penalty of perjury One of the following declarations: 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 ih crmance 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 workerscompensatiol Irance artier and policy number are: 'ier (f) u a-Aii Policy Number Expiration Date 1s of Agent Phone # 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 agre if I should become subjeAto the workers.' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant CU LAKAI IUN KCGAKUI Nit UUNSt KUt:IIUN LL-NUINU ACitNUY hereby affirm under penalty of perjury That there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097 rider's Name Lender's Address y my signature ��LJ_'.r, I certify to each of the following: Civil Code). I >,rn Lhe property owner or authorized to arton the property owner's behalf. I hava read tits app 'cation and the information I In d vrdeis correct. ayreo to comply with all applicable city and county o fna r es and state laws relating to building construction. I authorize representatives of this city or county to an er ( illov citified party for Inspection purposes. 1 Signature of Pro I' n •mar or Authorized A enl Print Proper' Owner's or Authorized Agent's ent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY l REGULATIONS PART 6I. OF TITLE 40 AND AOMD RULE p 1403 : I. -TAN'' XP(RU) UlStJB"ITTF.DASBEST051•i C)TIFICATIONTO :FRVrIr_ANCEI.,LN) I EPA PENMir FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ��rJ i PROPOSED DEMOLITION OCCUPANCY ISSUED `j 7 /ZN _ SIGNATURE: