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Home My WebLink AboutXR2023-1410 - PermitsEWPR City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII II COMB Permit : XR2023-1410 '(d Community Development Department- Building Division X R 2 0 2 3 1 4 1 0 F r.p 1> 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: i Permit Counter Phone. (949) 718-1888 Issued Date : 05/30/2023 newportbeachca gov/civic Inspection Area : 6 Combination Type - SFP ..�.., Work Class - Other 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 : 31 OVERLOOK DR Description: SFR WINDOW CHANGE OUT (4) RETROFIT Owner: YOUNG ZIEGRED TR Address : 31 OVERLOOK DR NEWPORT COAST, CA 92657 Phone Applicant: AMERICAN VISION Address: 2125 N MADERA ROAD#A S I M I VALLEY CA 93065, CA 93065 Phone : (888) 563-0008 Owner/Builder: Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height: Building Setbacks Flood Zone : X Use Zone : PC - Newport Coast . 1 '7 PROCESSED BY:� SPECIAL CONDITIONS: Legal Desc : N TR 15400 BILK LOT 47 TR NO 15400 LOT 47 AND POR OF LOT M Contractor : AMERICAN VISION Architect Address : 2125 N MADERA ROAD#A Address SIMI VALLEY CA 93065, CA 93065 Phone : (888) 563-0008 Phone Con State Lic : 778326 State Lic Lic Expire : 05/31/2024 Bus Lic: BT30020889 Engineer: Bus Lic Expire : 10/31/2023 Address Workers' Compensation Insurance Phone: Carrier: INSURANCE CO OF THE WEST Policy No : WSD505899301 Designer W. C. Expire : 1/1/2024 Address Phone: Fire Sprinklers : NO Construction Valuation : $7,000.00 Fire Hazard Zone : YES Added/New/TI sq. ft. Bldg : 0 No of Units : 1 Alteration sq. ft. Bldg : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penally 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 Cade: Any city or county That requires a permit to construct, after, 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 Contractors' Stote License Caw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions 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 of more than five hundred dollars ($500). 1 I, 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, rosiness 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 riprovements 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 4 was not built or aproved for the purpose of safe). I, 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 ly to an owner of property who builds or improvesthereon, 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' State License Law for the following reason: 4y 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 legall) ell a structure that I have built as an owner -builder if ithas 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 thefoltowing Web site:http:!/www.loginfo.ca.gov/calaw.html. iignahxe 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 O) of Division 3 of the Business andFirsIons Code, and my license is in full force :nd effect. License Llass License No Data Contractor Signature SS°° VORKERS' COMPENSATION DECLARATION PANNING: FAILURE 10 NECUPE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS fSf00.0001. IN ADDITION TO THE DST GF COMPENSATION. rAMAGEa AS PROVIDED FOR IN SECTION 370a GF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES - herrby effirm unde-penalty of perjury one of the following declarations: .) 1,-have and wdl maintain a certificate of consent to selfAnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th fiwrm r.ce of the wcrl, for which this panel is issued. Policy No. - Iva 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' ice carder s 't, Policy number are: �,� / A15 C6� i�/�S r Policy Number H�� SJs �� i 3 Z. Expiration Date of F,geru _ _ Phone # 'I : )r4Vy 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' compensation laws of California and agre that. If I ^hould be^ome a• bject the work mpensation provisions of Section 3700of the Labor Code; I shall forthwith comply with those provisions. _ Signature of Applicant Dater �lZ DECLARATION REGA ING ONSTRUCTION LENDING AGENCY T hereby affirm under penalty 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 below, I cerUfy to each of the followmiE I am the property owner or authorized to act on the property owner's behalf. II have read this application and the information I have provitledis correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city Or cou" on T the abovak �nfi^tied property for inspection purposes. '!' �S sionature of Property Owner or Authorized A nt Pam-- Print Pro a Owner's ar Authorized A ant's Nam —1v+/O ACTION DATE BY LARATiON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GULATIONS. PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I Fi uuvnrTFn:A4Rrcrnx unnFrrATInN Tin PEAMITFINAL LUAsEtESTos NOTIFICATION IS NOT APPLIMLE TO OPPLIFICAFE OF 1H1 L/ PROPOSEDRE )I OCCUPANCYISSUED / / RlGNAniRF�. O-s.. /I,✓ /�