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Home My WebLink AboutX2022-0624 - Permits-- City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 w � Permit Counter Phone (949)644-3288 s: a4 Inspection Requests Phone (949)644-3255 -a.n +• Combination Type - SFP IIIIII�IIIIIII�IIII�IIIIIIIIIIIIIIIIu II COMB Permit: X2022-0624 x 2 0 2 2 8 6 2 4 Project No: Issued Date : 03104/2022 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/04/2025 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 8 TWIN LAKES CIR NB Description: SFR INSTALL 500 SF OF HARDIE FIBER CEMENT SIDING OVER THE EXISTING T 8: G SIDING (FRONT OF HOUSE ONLY) cam= Legal Desc.: N TR 7510 LOT 12 Owner: PICKART TIM Address: 8 TWIN LAKES CIR CORONA DEL MAR, CA Phone: Applicant: LANEY VICTOR Address: 1742 PINE ST HUNTINGTON BEACH, CA 92648 Phone: 714-305-4955 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Contractor: VICTOR O LAREY Address: 1742 PINE ST HUNTINGTON BCH CA 92648 Phone: 714-305-4955 Con State Lie: 614239 Lie Expire: 07131/2023 Bus Lie: BT30058476 Lie Exp Date: 03/31/2022 2019 Worker's Compensation Insurance V-B Carrier: STATE FUND R3/U Policy No: 1868014 0 Expire: 11/23/2022 0 Building Setbacks Rear: I Front: I Left: I Right: I Construction Valuation: $6,600.00 Building Permit Fee: $195.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $196.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: Address: Phone: ®v� y�.. °.°°•° • ao®m°• Engineer: • • • • • • • Address: o ° . • • • Phone: State Lie: mm ...... • ° Designer: omoo • Address: ° ° m a• o• mmmm• °Deem• Phone: ° 0000co m• ° • ° • Special Conditions: 0 ° °• 00 0 m ® • 0 o•omm• • mm°° Fire Hazard Zone : N ° mm Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share: Grading PC Consultant: $0.00 SJH Trans : Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 P/W Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing W $0.00 Plan Check Fee Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit - $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $196.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: V� APPROVAL TO ISSUE: �� 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 1' ..It_, (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 of 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 improved for the purpose of sale). I, 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' State 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 tgatJ rave 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 Cafe is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Properly Owner or Authorized Agent Date L1CMED C23WAACTOR'S DECLARATION t , I pereby affirm TAdLIMpenalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 0 L-f Div ision 3 of the Business and esli � a my license i3 in full force 9ntlge90ct. License Class License No Date s Contractor Signal G VVORJ(ERS' (;eMPENSATION DECLARATION ArARWq& FAILURE"SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. i Fier %affirm votiarpenalty of perjury one of the following declarations: Faye and wilt 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 th rmence of tMe "*for which this permit is issued. Policy No. . ,.I, have and ;V1 ai;tain 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' compensatiol !rTVrppee carrigl•anJJ . licy number are: 1^ ;•. • Poll 1l Number Ex iration Date of Agent Cy um er p Phone # I 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 It, if 1 should becomes s(libject to h orkers' o ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Inature of Applicant) R / Gi Date X :CLARATION REGAADIINO CONSTRUCTION LEN NG AGENCY ereby affirm under penalty ofperjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode). rider'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 I have provided is correct. I agree to comply with all applicable city and county ordin ces and state y1ws relating to building construction. I authorize representatives of this city or GOU tty/,I'o ent a ove-ident' ad property for inspection purposes. (I�\/ 9 s/ mature of Prooertv Owner or Authorized Agent /a te _= i Print Property Owner's or Authorized Agent's Name A 7 °Tom ACTION DATE BY CLARATION OF COMPLIANC�INITH CODE OF FEDERAL FOR OFFICE USE ONLY ' REGULATIONS PART 6I OF TI LE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO EPA PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED TO