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Home My WebLink AboutX2022-1489 - Permits,tiwaoRT City of Newport Beach II III I II I II I III I III I I I II Community Development Department- Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 -sK Inspection Regeests Phone: (949) 644-3255 C94Fp0.N�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration COMB Permit : X2O22-1489 Plan Check No : 1373-2022 Issued Date: 0910912022 Inspection Area : 3 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: 1601 ANTIGUA WAY Legal Desc : N TR 4981 BLK LOT 8 Description: SFR ALT (E) GARAGE: REMOVE (E) INT WALL. R/R ROLL -UP DOORS, EXPAND ONE GARAGE DOOR. CLOSE 2 (E) MAN DOORS TO SIDEYARD & HOUSE. Owner : SEGAL LEONARD TR THE SEGAL FAMILY TR '.Contractor`. HAVEN DEVELOPMENT GRP INC Architect Address : 1601 ANTIGUA WAY Address : r 14271 JEFFREY RD #502 I•.Address NEWPORT BEACH, CA 92660 IRVINECA.92620 Phone: Phone: (949)788-9227 S Phone: °°•, Con State: Lie : 827901 State Lie : ...... Applicant : WALT BUSHMAN Lie Expire`: 01/31/2024 Bus Lie: '. BT30046360 ° °• Engineer : CARBON HAROLD EUGE�. • ° °ao°• ° Address : 2480 SANTA ANA AVE Bus Lie Expire : 02/28/2023 Address : 1437 GLENNEYRE ST ° COSTA MESA, CA 92627 LAGUNA BEACH, CA 92FF,.1° • ®° Phone: (949) 642-3468 Workers' Compensation Insurance Phone: (949) 497-5203 Carrier: EXEMPT Owner/Builder: Policy No: EXEMPT Designer: WALT BUSHMAN °°,° ° °°°°• • Address : :W. C. Expire: Address : 2480 SANTA ANA AVE ° ° ° ° COSTA MESA, CA 92627, • ° ° • ° ° Phone: - Phone : (949) 642-3468 ° • Code Edition: 2019 Fire Sprinklers: NO Construction Valuation: $9,504.0ZI°,° •°®°•• Type of Construction : V-B : Fire Hazard Zone : NO Added/New/Tl sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units.: 1 Alteration sq. ft. Bldg : 20 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone': R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) -- PROCESSED BY: SPECIAL CONDITIONS: I r-c—I Uri I hereby affirm under penalty of perjury; that I am exempt from the Contractors! State. License Law for the reasor ction 7031.5, Business. and Professions Code; Any city or county that requires a permit to Construct, alter, impn permit to life a signed statement that he or she is licensed pursuant to the prowsams of the Contractors' State t iessidris Code) or that he or she is exempthom licessuie and the basis for the alleged exemption. Any viclatior more than five hundred dollars ($505). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U Don loess and Professions Code: The Contractors' State License Law does not apply to an owner Of property who, I rovements are not intended or offered for sale. If, however, the building or improvement is sold within one yew roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Sectir ly to an owner of property who builds or improves.thereen, and who contracts for the projects with a licensed Q i am exempt from ocensure under the. Contractors°State License Law for the following reason: under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section \� cease Class License. No Date COMPENSATION DECLARATION \ YE100 EBURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL; AND. SHALL SUBJECT AN EMPLOYER TO CRIMINAL NW1IgfJ;AMAGES AS PROVIDED FOR IN SECTION 3746 OF THE LABOR CODE: INTEREST, AND ATTORNEYS FEES. reb%affirm under papally of perjury one of the following declarations: I have and >;'ill ttiainiain a cettificate of consent to self -insure for workers' compensation, Issued.. by the Director m tspce of the I;N k for which this permit is issued. Policy No, have and will ats"jin. workers' compensation insurance, as required by Section 3700 of the Labor Code, for the .• • Policy Number Agent. ..:. ;:that, in th§ performance of the work for which this permits issued:, I shall not employ any person in any houid bectwip% Ibject to ft workers p risation provisions of Section 3700 of the Labor Coded I shall. rrebyafflrm unddI$enAlty Of perjury thatthere is a construction lending agency for the performance of the Wer's Name. - Lender's Address_ my signature slow, Icadify to each of the following:: I am the property owner or authorized to act on theproperty owner's behalf. I have read. this application and the information I have provided is correct. 1 agree to. comply with all applicablecity and county ordinances and state sews relating to building constr I authodW representatives of this city or county toenterthe above -identified' property for inspection pulp ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEf REGULATIONS: PART 51 OF TITLE 40 AND AQMD RULE 1403 PERMeIT.EXPlRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMITEXTENDED MD PERNITFINAL CERTIFICATE OE ATEOcnrn 2ASBESTOS I NOT3FICATIO IS NOT APPLICABLE TO L n9FIFI 7 , PROPOSE...1111 Urs� by checkmark(s) I have placed next to the applicable item(s) pair any structure, prior to: its issuance;: also requires the applicant for or 9 (commencing with Section 7000) of Division 3OF the Business and by any applicant fora permit subjects i"e applicant to a civil penalty of aoture is not intended or offered for sale (Section 7044, no) effort, builds or improves the property, provided that the frkderwill have theburden of proving that it was not built or Business and Professions Code; The Contractors` State License Lawdoes not pursuant to the Contractors' State License Law). Date license is In full force HUNDRED THOUSAND' DOLLARS (StD0,000), IN ADDITION TO Industrial Relations. Be provided for by Section 3700 of the Labor Code, for Ice of the work for which thispermit is issued. Ivey workors` Date o as to become subject to the workers' compensaton laws of California, and agre comply with those provisions. Dat S 14 this permit is issued (Section 3097, Civil Code).