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HomeMy WebLinkAboutXR2022-3363 - PermitsCity of Newport Beach Community Development Department - Building Division -; 100 Civic Center Drive, Newport Beach, CA 92660 i = Permit Counter Phone: (949) 644-3288 c'. Inspection Requests Phone: (949) 644-3255 C9t/Fpw,, newportbeachca.gov/inspections Combination Type - MFP PLUM Work Class - Alteration COMB Permit : XR2022-3363 Plan Check No : PC2022-2567 Issued Date : 0112012023 Inspection Area : 1 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 : 4309 SEASHORE DR, 1/2 Legal Desc : THIRD ADD. TO NEWPORT BEACH, BILK. 43, LOT 5 & A POR. OF 4, O F PROJECT930-61 LOCATED ON AP 424-444-06 TOGETHER WITH AN UN Description: DELTA 2 TO MODIFY KITCHEN BEAM, ADD (2) WINDOWS AND REPIPE *NEW SCOPE Owner: GLANCE PATRICK Z TR Address: 241MPERATRICE DANA POINT, CA 92629 Phone: Applicant: ROBERT LAWRENCE Address: 177 RIVERSIDE, PO BOX 2325 NEWPORT BEACH, CA 92663 Phone: (949)633-9560 Owner/Builder Address : Phone Contractor: INNOVATIVE BUILDERS & DESIGN Address : 1445 ROSE AVENUE #B LONG BEACH, CA 90813 Phone: (323)627-6425 Con State Lie :-923421 - - Lie Expire : 10/31/2024 Bus Lie: BT30080111 Bus Lie Expire : 11/30/2023 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No: CWC01041800 W. C. Expire: 8/3/2023 Architect : ROBERT LAWRENCE Address : 177 RIVERSIDE, PO BOX 2325 NEWPORT BEACH, CA 92663 Phone: (949)633-9560 State Lie Engineer: YAGHISHUCRII Address: 112 E. CHAPMAN #D ORANGE, CA 92866 Phone: (714)997-9120 Designer: Address Phone : Code Edition : 2019 Fire Sprinklers : NO Construction Valuation :- $A5,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : -0 Occupancy Groups : U,R-3 No of Units: 1 Alteration sq. ft. Bldg: Bldg Height : No of Stories : 3 Added/New sq. ft. Garagg : - 0 - TOTAL sq. ft.: - • 0 o" Building Setbacks : Front: 5, Front: 0, Side: 3, Side: 3 Flood Zone: VE, 15 FT; X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: REV2022-2327 HIGH DENSITY ZONE; VE15 FLOOD ZONE; LIQUEFACTION NO CONSTf41_,�ON NOISE ON THE WEEKEND I hereby Billion 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 he 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 'rofassions 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 lot 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 intendedor offered for sale (Section 7044, Iusiness 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 nprovements 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 [list it was not built or Tlproved 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 ply 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:,________—.._._.__.v_._-��-_—__-__.-._- fy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year pdor to completion of the improvements covered by this permit, I cannot legallt all a structure that I have built as an owner -builder if ithas not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, isavailable upon requestwhen this application is submitted or of the following Web site:htipJiwww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION � hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Div ion 3 of the Business and Professionsgc my license is in full force Ind effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOU O LLARS ($100,0001,1N ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0T06 OF THE LABOR MOE, INTEREST, AND ATTORNEY'S PEES, 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 Industrial Relations as provided for by Section 3700 of the Labor Code, for th erformance of the work for which this permit is issued. Policy No. OTiave 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 workers' compensatiol )surance_�Qarripr and policy number are: Policy Number Expiration Dale of Agent certify that, In the performance of the w4 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 1, if I should become subi a we s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dale_ CLARATFON REGA N RUC770N LENDING AGENCY Ireby affirm under penalty f ped y that there is a construction lending agency for the performance of the work for which this perm it is issued (Section 3097, Civil 92,). tdar's Name. I Lender's Address my signature below, I cart] y to each of the following: I am the property owner or authoA,ed to act on the properly owner's behalf. I have read this applicatio„ and the information I have provided is car cI I agree to comply with all applicahle city and county ordl anc an ate laws relating to building construction. I authorize ropresematives' of Ihls city or county to eni ov -i mined property for inspection purposes, /////q]n� nature of Proopdv Owner or Authorized Aaent Print ProOerly Owner's or Authorized Aaent's Name , 0X / 942 Date / ACTION ( DATE ( BY DELL RATIQN OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REG LA NSPART6I DFTITLE40ANDAQMD RULE PERMIT EXPIR£O PERMITENTENDE00 - P€RMITFINAL IIf_16-71 MASHES IDS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF I MASHES OCCUPANCY ISSUED I SIGNATURE: LU x W � co CN X o 0)Z O p� " o O `o Wa U Cl) N v Z Z H�Fr p CO o m—� aQ- O zo ALL; a aACm O Z� W *4 z wQM x o Q o z w C) t �cWi 0 L� A a 3 U W o O j C W U) Z O Lu O_ N U W m U G C) O N w O- 4? 0.c N m cn N N N wo m(D y @Eii E@a�0i (D 0 o'mam L- O_ a) N O Q 0 N .. a L O a) N m �G fn O .0 N U T` N O N J U v mca o_E 4` (? mx a)3N a mNw moc o=m a oC>ai O C C N a) m o nJE Um a) a) D m C r 4 O a) T L O 0 O M O C O ;�% 3 C a U r E V O N N c N O c �. 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