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Home My WebLink AboutXR2022-1858 - Permits�EWPpR� City of Newport Beach II III I I I III II II III II IIII I I II �¢ @ Community Development Department -Building Division ty" 100 Civic Center Drive, Newport Beach, CA 92660 u > S Permit Counter Phone: (949) 644-3288 �. Inspection Requests Phone: (949) 644-3255 CHCrFORN`P newportbeachca.gov/inspections Combination Type - MFP ELEC MECH PLUM Work Class -Alteration COMB Permit : XR2022-1858 Plan Check No : PC2022-1711 Issued Date : 07/28/2022 Inspection Area : 2 OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE PERMITS EXPIRE 180 DAYS AFTER ISSUANCE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS NO CONSTRUCTION RELATED NOISE Job Address: 1007 BAYSIDE COVE E Legal Desc : TR 8073 LOT 2:UNIT 101, P, 2B, G OF PROJECT LOCATED ON AP 50 -383-09 T OGETHER WITH AN.LIND 1/58,INT IN LOT Description: KITCHEN AND BATH REMODEL 144 SF ZOLANJUDITHMILLER TR Contractor: SIEMONSMA'CONSTRUCTION Architect: BEAUCHAMPDANIEL Owner: Address : 15441 ALBRIGHT ST PACIFIC PALISADES, CA Address : 1048 IRVINE AVE #430 NEWPORT Address: 470 WALD IRVINE, CA 92618 90272 -' BEACH, CA 92660 Phone: Phone: (949)722-0628 Phone: (949)727-3840 Con: State Lie :-'536498 State Lie Applicant: ZOLAN JUDITH MILLER TR Lie Expire : 0713112024 Address : 15441 ALBRIGHT ST PACIFIC PALISADES, CA Bus Lie : BT30046476 Engineer Phone: 90272 - Bus Lie Expire : 03/31/2023 ' Address Workers' Compensation Insurance Phone; Owner/Builder : Carrier : Address : Policy No : EXEMPT Designer: Phone: . W. B. Expire: -. Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $48,000.00 °°0° Type of Construction : V-B Fire Hazard Zone : l�{1j' ' Added/Newfrls ft. Bid 0 ^' q' g ° Occupancy Groups: R-2 No of Units : 4 144 Alteration sq. ft. Bldg : ° 0 Bldg Height : No of Stories : -i 1 ' Added/New sq. ft. Garage : ° o as Building Setbacks » c Flood Zone: AE, 8 FT; X <- Use Zone : RM - Multiple Residential a• a PROCESSED BY: '3-5 p 6 9a s a c SPECIAL CONDITIONS: W es 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 item(s) (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 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). 11, as owner of the properly, or my employees with wages as their sole compensation, will do U all of or U portions of thel work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Comr omm' State License law does not apply to an owner of property who, through a plcyeesI or personal effort, builds or improves the property, provided that the mprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwfil have the burden of proving that it was not built or mproved for the purpose of sale). L as owner of the property, am Exclusively contracting with licensed Contractors to DonatrucI lha project (Seaton 7044, Business and Professions Code: The Comractors' State License Law does not 51 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 Hcensure under the Contractors' State License Law for the following reason: 3y my signature below i acknowledge that, except for my personal residence in which I most have maided for at least one y ;ell a structure that I have built as an owner -builder if It has not been constructed in its entirety by licensed contractors. I unl professions Code, is available upon request when this application is submitted or at the following Web site:http:Nwww.legim ,ignature of Property Owner or Amhorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provision s„gf Chaprer(co ing with Section 7000) of Ind effect. License Class License No 4�.5 `a Date_ PORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORXERT COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SMECT AN EMPLOYER TO CRUMML PENALT 'AST OF COMPENSATION, RAMAOES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE: INTEREST. AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate of consent to self- insure for workers' compensation, issued by the Director of erfomlance of the work for which this permit is issued. Policy No. '1I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the PEI isurance Carder and policy number are: Policy Number of Agent sirtify that, in the perta nce of the work for which this permit is issued, I shall not employ any person in any manner so if I should be jec to the workers' compensstio�rovLsios of Section 3700 of the Labor Cade. I shall forthwith o alum of Appligran I nereby aflkrAv"eer penalty erjury that there is a construction lending agency for the performance of the work for which ' • Lender s NarC9 e • Lender's Address • 9X Icy sign�tLineWw, i Mify to Each of the following: 1 am the poperly o ner or authorized to act on the property owner's behalf. • 1 have read this application and the Information I have provided is correct. • - •I agree to comply with all applicable city and county ordinances and state laws relating to building construction. a • e 1 authmilfaL rcpr¢sematives of this city or County to enter the above -identified properly for inspection purposes. f'to • natura of Defly Osvnsr or Authnri>wd Anent �• 31ETION • +•+ DATE • PEgMlF EXPjRE'Da • a ., aPfMITCANMLED` CERTIFICATE OF OCCUPANCY ISSUED hand that a copy of the applicabi a.govlcaNW.htmL vision 3 of the Business and Prof zrtContractor Signatuee71 AND CIVIL MINES UP TO ONE HUNDRED rants covered law, Section 71 1110M Business and rise is in full force DOLLARS (VI W,IXIM, IN ADDITION TO Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date to become subject to the vmrkers' compensation laws of Cefifomia, and agre ply With those provisions. Permit is issued (Section 3097, Civil Code), ULLUMAI IUN ur LUMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART SA OF TITLE 40 AND AQMD RULE K14 All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place priarto approval to fill pool/spa & shall remain in place & be maintained for the TO life of the pool.