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Home My WebLink AboutXR2022-1913 - Permits�£WPbRT City of Newport Beach II III I I I II Community I II I III II II III II COMB PermitXR2U22-1913 p� d Development Department- Building Division ' ? 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: 644-3288 Plan Check No: PC2022-1770 (949) Inspection Requests Phone: (949) 644-3255 Combination Type: SFP CqG/FOAN�P newportbeachca.gov/inspections Work Class : Other Issued Date : 07/14/2022 Inspection Area : 6 a® PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL IS6�Ip�TE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN a.. AS Job Address : 12 MARITIME DR Legal Desc : N TR 7967 BLK LOT 73 Description: DEMO MASONRY FIREPLACE., PATCH ROOF FRAMING, DRYWALL & PAINT Owner: PETER AND SUE WHITE Contractor: COUSENS CONSTRUCTION INC ..Architect: Address : Address : 1943 PORT.TOWNSEND CIR NEWPORT 'Address : =•o°•' BEACH, CA.92660 Phone: (949)719-0537 Phone:: (818)522-8080 Phone: Con State Lic: 535683 State Lic: Applicant: Lic Expire: 11/30/2022 Address: Bus Lic.: BT20052603. Engineer: o'°"'° •°• •" Phone: Bus Lic Expire : 05/31/2023 Address : ' Workers' Compensation Insurance Phone °'°° ova°• Carrier. . Policy No; Designer: DENNIS JAUERT . � ° • ° ° W. C. Expire: Address: 17504 WINDCREEK CIR:RIWBRSIDE,QA 92503 Phone: (951)688-5421 Fire Sprinklers : NO Construction Valuation : $2,500.00 Fire Hazard Zone Y No ofUnits: 1 Added/New sq. ft. Bldg: 0 No of Stories : Added/New sq. ft. Garage: 0 Building Setbacks Flood Zone : Use Zone: PC - Jasmine Creek Processed By: L� Zoning Approval: Grading Approval: SPECIAL CONDITIONS: Code Edition : 2019 Type of Construction : V-B Occupancy Groups: R-3 Bldg Height: Front: 15, Side: 5, Rear: 15 X Public Works Approval: Plan Check By: Approval To Issue: 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 Items) ,coon 7031.5;.Business and Professions Code. Any city or county that requires a permit to constrUCL alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for permit to file a signed statement that heor she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 (commencing with Section 7000) of Division 3of the Business and Ifessions Code) or that he or she is exempt from Ifcensure and thebasis for the alleged exemption, Any violation of Section 7031.5.by--any applicant for a permit. subjects the applicant to a civil penalty of more than five hundred dollars ($500): 1, as Owner of the property, or myemployees with wages as their sole compensation, will do (_) all of or (_) portions ofthe work, and the structure is not Intended or offered: for sale (Section 7044,. Oness and Professions Cade: The Contractors' State License Law does not apply to anowner of property who, through employees' or personal effort, builds or improves the: property, provided that the Irovements are not intended or offered for sale, If. however, the building or improvement is sold within one year of completion, the Owner•Buitder will have the burden of proving that it was not built or woved for the purpose of sale).. I, as owner or 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. rly to an owner of property who builds orimproves 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! 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 legal] 1 astructure that I have built as an owner -builder if it has not been Constructed in its entirety by licensed contractors, I understand that copy of the applicable law, Section 7044 of the :Business and Ifessions Code,. is available upon request when this application is submitted or at the following- Web site:http:/lwww,leginfo.ca.gov/caiaw.htmi. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that:] am licensed under provisions of Chapter 9 (commencing with Section 7000 ivison 3 of the Business e a license is in H rce andeffect. License Blass License No Date / �ZLContraclor Sag r- _ VVORKFRS' 60VPENSATION DECLARATION �— AN911111: FAiLU t TOCEOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT. AN EMPLOYER TO CRINNAL PENALTIES AND CIVIL FINES UP.TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITION TO THE COST OF COMPErFTV'MON, DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I %reby affirm under penalty, of perjury oneof the following declarations: 0 I Piave and will maintain a certificate of consent to sell -insure for workers' Compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN parfo ranoance or the Volk for which this permit Is issued. Policy No. QI }tpve and VI-Tatntaln workers' compensation insurance, as required by Section 37A0 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensator ip§gr2fte carder en4 policy number are: r/g�gyr • Policy Number Expiration Date T1 thf Arsant • • r Phone ff ity 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, .tf1 shoal¢ t3egrR —SSubjec at on rovisions of section 3700 of the Labor Code: I shall forthwith comply Win those provisions. nature of Applicant Date_��'//,w-*— ZZ CLARATION RE43A DING C TRUCTION LEND[NG. AO Ireby affirm under penalty of perjury thatthere is a construction lending agency for theperformance of the work for which this. permit is issued (Section 3097,.Civil Code). - idorsName. Lenders 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 Y, O asa •late laws, relating to building construction. I authorize representatives of this city or cou irL�enter fhe aku e-ldentlfie rerty for Inspection purposes _. y 31.`1 n�ro s7—JW1 ACTION PERMIT WENDED CERTIFICATE or USE ONLY PART 61 OF TITLE All required alarms, latches gates and fenceswhich serve as part of a pool/spa barrier, shall be In place prior to approval to fill pooljspa &shall remain in place & be maintained for the NOTIFICATION 15 NOT APPLICABLE TO life of the pool.