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Home My WebLink AboutXR2023-1125 - PermitsQ a�WPORr City of Newport Beach 111111p111111111111111111p11111111111111111111111111111111 COMB Permit: XR2023-1125 O Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 644-3288 Issued Date : 05/02/2023 Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 C9C/FeµN�P newportbeachca.gov/inspections Combination Type - ELEC PLUM Work Class - Alteration 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 : 3609 LAKE AVE Legal Desc : A TR RIVER SECTION BLK 136 LOT 9 RIVER SECTION LOT 9 BLK 136 NWLY1/2 AND NWLY1/2 1�. Description: DUPLEX ROOF REPAIFgI /O COMP REPLACE WITH COMP 15 SQ; REPLACE ELEC OUTLET IN GARAGE; REPLACE WATER BIBB f Owner: TOOMEY JAMES M TR Contractor: PRESTIGE CONSTRUCTION & Architect: " REMODEL Address : 9209 CANYON MESA DR Address : 546 VANGUARD WAY, #G Address LAS VEGAS, NV 89144 BREA, CA 92621 ' Phone : Phone : (714) 618-0173 Phone Con State Lie : 1070292 State Lie Lie Expire : 10/31/2024 Applicant : PRESTIGE CONSTRUCTION & REMODEL Bus Lie : BT30081441 Engineer Address : 546 VANGUARD WAY, #G Bus Lie Expire : 05/31/2024 Address BREA, CA 92621 Phone: (714) 618-0173 Workers' Compensation Insurance Phone: , Carrier: SECURITY NATIONAL INSURANCE CO Owner/Builder : Policy No : SWC1419588 Designer Address : W. C. Expire: 1/29/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $5,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks: Front: 3, Front: 5, Side: 4, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-2 - Two -Unit Residential Ll NO CONSTRUCTION NOISE PROCESSED BY: / SPECIAL CONDITIONS: N I *,,7N ON THE WEEKEND OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable hems) (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 porrin 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 exemptfrom licensure 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 penatty of not more than five hundred dollars ($500). 13 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure Is not Intended or offered for sale (Section 7044, Business 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 improvements 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 Improved for the purpose of sale). 0 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 apply 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). 13 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal nascence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal]! sell a structure that I have built as an owner -builder if it. has not been constructed in its entirety by liconsod contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon requestwhen this application is submitted or at the following Web site: http:/] w .teginfo.ca.gov/calaw. html, Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and PrIlIessions Code, and m license is In full force and effect. Licensdr ;.Lss License No Date .hc ure Contractor Sig AS)nhLkS' CG&jPEn1SATION DECLARATION NARNING: FAILURE TJ SE,LRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ISt00,000j, IN ADDITION TO THE COST nP COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under psnaity of perjury one of the following declarations: have and will niui,nain 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 )ffrfermance of the work for which this permit is issued. Policy No. end will rnaintaln 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' carrier and policy number are: Policy Number of Agonf Date --r'J y that, h, the per'ormance 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' compensation laws of California., and agre if I should becumeect to the�or' comp n ]ton provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. istore of Applicant ._ `,_„�/ Date :LARATION RBGA ING CONS N LAJnINi , �FNCV =.reby 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).. ider's Name Lender's Address my signature byelaw, I certify to each of the following: I am the property owner 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. n I authorize representatives of this city or county to or er the a eve a ptlfi�..p erty for inspection purposes. y stature of Property Owner or Authorized Agent _. ��(�� Print Property Owner's or Authorized Aaent's Name `I �( BY DECLARATICN OF COMPLIANff-WITH CODE OF FEDERAL I FOR OFFICE USE ONLY I RF.GUTATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMiTEXPIRED I ( 1 U I SUBMITTED ASBESTOS NOT]RCATION TO PEAMITEA7ENDED I LIAQMD _ _ PERILHT FINgd t_I ASBESTOS NO1 IF ILA' I' ION 15 NOT APPLICABLE TO CERTfFfCATE Of �'�— V PROPOSED DEMOLITION OCCUPANCYISSUfA SIGNATURE: