The URL can be used to link to this page

Home My WebLink AboutXR2022-2967 - Permitsdd.�FWPa'* City of Newport Beach jjl IIIIIIII 1111111111111111111111111111111111111111111 111� 111 COMB Permit: f� @ Community Development Department - Building Division X R 2 0 2 2 2 9 6 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No _ a n Permit Counter Phone: (949) 644-3288 Issued Date : 1110912022 Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 cgrrFoam" newportbeachca.gov/inspections Combination Type - SFP Work Class - Window and Door Change Out 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: 5107 SEASHORE DR Legal Desc : A TR,OCEAN FRONT TR BLK 51 LOT 4 Description: SFR - R/R (4) RETROFIT WINDOWS; NO HEADER REPLACEMENT Owner: RUSSELL ENTERPRISES INC Address : PO BOX 1130 CEDAR GLEN, CA 92321 Phone Applicant: EISENBART AND SONS Address: 23725 A VISTA FABRICANTE MISSION VIEJO, CA 92691 Phone: (949)768-5733 Owner/Builder : Address : Phone : Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks: Flood Zone: Use Zone: PROCESSED BY: 2019 R-3 Front: 5, Front: 0, Side: 3, Side: 3 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: Contractor: EISENBART AND SONS Architect: Address : 23725 A VISTA FABRICANTE Address MISSION VIEJO, CA 92691 Phone : (949) 768-5733 Phone Con State Lie : 684821 State Lie Lie Expire : 03/31/2024 Bus Lie : BT30080037 Engineer Bus Lie Expire: 11/30/2023 Address: Workers' Compensation Insurance Phone: Carrier: REPUBLIC INDEMNITY COMPANY OF CALIFORNIA Policy No : 17414115 Designer: W. C. Expire: 1/1/2023 Address Phone: Fire Sprinklers : NO Construction Valuation : $2,200.00 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 No of Units : Alteration sq. ft. Bldg : No of Stories : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER-BVILOEP 011LARR1ION I hereby affirm Linder ii�na4y of pert Iry chat I am exempt from the Contractors' State, License Law for the mason(s) indicated below by the Gheckmad((s) I have placed next to the applicable item(s) 'oollDn 7031.5, Business and Pro#essions code. A,iy city or county that requires a permitto construct, alter, improve, demolish, or repair any structure, prior to As issuance, alsorequires the applicant for is permit to file a. signed statement that he or she is licensed pursuantto the provisions of the Contractors' 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 Ibsnsure 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 of more than fiva hunured. doltara IS50). 3 1, as owner of the propmg,, or,ny anir lass with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Prof.:ssionj Cotic: The':o-Itractor^' Star, License Law does not apply to an owner of property who, through employees' or personal Blind, 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 raved for the purpose of sale), .J 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not poly 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 licensors under the Contractors' Stale License Law for the following reason: -- ------ my _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 legall7 ell a structure filar I have built as an owner -budder if it has not been constructed in its entirety 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 this application is submitted or at the following Web site:http:llwww.leginfo.ca.gov/calaw.htmi. .ignature 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 Divfsio of the Business and Professi f ad , an my II , ley5 is in full for rideffect. License Class License No Da[s Contractor Signature / G PORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS t5100,000i. IN ADDITION TO THE 037 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 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, forth Wrmance of the work for which this permit is issued. Policy No. Lave 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' compensatio rt�uranee carrier and policy number are: :enter Policy Number Expiration Date Vama of Agent Phone # —1I certify that, In the performance of the work for which this permit is issued, I shall ne loy any person in any manner so as to become subject to the workers` compensation laws of California, and agre hat, if I should become subject workers compens- �provisfons of Bastion 3700 o he Labor Code, I shall forthwith comply with those provisions. >ignature of Applicant L 1 _---____ .. Dale�„„„��.. 7ECLARATION REGARDING CONSTRUO tON LHNG T 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). _ender's Name Lenders Address 3y 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 county ordivances and St relating to building construction. relating anti v pi 1 authorizes representatives of this city or county n t bo 'ropeI Lion purposes, 31 nature rot Pro. erlOwner Or Authorized A en dni PropertyOwear's or Authorized Agent's Name Date Ell ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFdCE USE ONLY REGULATIONS PART fit OF TITLE 40 AND AQMO RULE 1 1403 PERMIt EXPIRED I SURWTT€D ASBESTOS NOTIFICATION TO PERMITCANCELLED kASBESTO5 PA PERMIT EXTENDED _ _ _QMD F€EMIT FtNAt ?t I/(� eckw 1 NOTIF7 N 15 NOT APPLICABCERTIFICATE OF Q•SCDOE Dra /)OCCUPANCY ISSUED lRc ice_/