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HomeMy WebLinkAboutXR2023-0932 - PermitsCity of Newport Beach ��BWPpRT Community Development Department - Building Division F t` 100 Civic Center Drive, Newport Beach, CA 92660 U ` Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C'9�/F00.N�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 11111111111111111111111111111111111111111111111111111111111COMB Permit : XR2023-0932 Plan Check No: PC2022-2200 Issued Date : 04/12/2023 Inspection Area : 8 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 : 1525 HIGHLAND DR Legal Desc : N TR 3851 BLK LOT 13 Description: SFR REMODEL TO KITCHEN AND NEW BATHROOM 900 SF & CHANGE OUT (1) WINDOW R/R STUCCO (REF 122-1981) RENEW EXPIRED PERMITS Owner: LISAFOIGELMAN Address : 1525 HIGHLAND DR NEWPORT BEACH, CA 92660 Phone : (949) 836-3289 Applicant: LISAFOIGELMAN Address : 1525 HIGHLAND DR NEWPORT BEACH, CA 92660 Phone: (949)836-3289 Owner/Builder: LISAFOIGELMAN Address : 1525 HIGHLAND DR NEWPORT BEACH, CA 92660 Phone: (949)836-3289 Contractor Address : Phone: Con State Lic Lic Expire Bus Lic : Bus Lic Expire Workers' Compensation Insurance Carrier: Policy No: W. C. Expire: Architect Address Phone : State Lie: Engineer: HAKEMI FAHIM Address : 26982 MARBELLA MISSION VIEJO, CA 92691 Phone: (714)427-9778 Designer: Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : r Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg: _ Bldg Height : No of Stories : 1 AddedlNew sq. ft. Garage: 0 TOTAL sq. ft. 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) 1 PROCESSED BY: ' SPECIAL CONDITIONS: t hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmarkjs) I have placed next to the applicable items) 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 is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Gontractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from ticensure and the bass for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 1, as owner of the property, or my employees with wages as their sole compensation, will do (_} all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044, lusiness 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 that it was not built or n vpd 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 �p D 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 xempt from I censure under the Contractors' State License Law for the following reason: ly my signature below t 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 legalll oil a structure that I havo built as an ownar-buildar if it has 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, Is available upon request when his,>4pplicatie—q I'su tied Or at ine.t¢Nopg Wab wwaeginfo.ca.gov/calaw.html. 1-16 signature of Property Owner or Authorized Agent j— `7 Day�� ^ ,ICENSED CONTRACTOR'S DECLARATI hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full farce ad effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tS100,000), IN ADDITION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 6T03 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations! 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 formance of the work for which this permit is issued. Policy No. have 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' compensa nonce carrier and policy number are: Policy Number Expiration Date Agent Phone #_ UI 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' co pensalion laws of California, and agra that, If I should becom u act io the workers' ompensalI revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant _ DECLARATION Rmkr.' IN N 0UCTION LEND. G A Y I hereby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature bslov., I certify to each of the following: I an, the properly 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 ag. ee to corn[; -,ct) all applicable city an o illy ordinances and state taws relating to building construction. I aj`horiza representatives of this city or con tore Bove nil ie .prop rty�or ins ectlon purposes. Sf3:-.�T:Iro of_ProF_Q 7%s'ier or Authorized Agan Pnnl Property Owner's or Authorized A erit's Nam I Date A:.IJ,1 DATE BY 75,72LARATION COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 P'Prf!T E." PIRED _ I SUBMITTED ASBESTOS NOTIFICATION TO P€9f.STSANCELLE9 -_----------- OEpq PERMIT EXTENDED 'r�t' r'- reQMD PERMITFINAL J{- 3 DASBEST 5 T1FICATION IS NOT APPLICABLE TO COFFIRCAiE OF ( SPFC GNATURE:� iTION OCCUPANCYISSUED