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Home My WebLink AboutXR2022-3339 - PermitsaEWPoRx City of Newport Beach II III I IIII IIII II IIIIII II II III II COMB Permit : XR2022-3339 Community Development Department- Building Division X R 2 0 2 2 3 3 3 9 > A ~ 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3227 3 +� S Permit Counter Phone: (949) 644-3288 Issued Date : 12/22/2022 c � � Inspection Requests Phone: (949) 644-3255 Inspection Area: 6 gerFonr newportbeachca.gov/inspections Combination Type - SFP 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 : 2706 WAVECREST DR Legal Desc : N TR.6113 BLK LOT 25 Description: SFR ENCLOSE ATRIUM 27 SF, REPLACE PORCH BEAM AND GLASS WALL TO WINDOW _ Owner: SCHIENDLER RICHARD A TR Contractor: COUSENS CONSTRUCTION INC Architect Address : 2706 WAVECREST DR Address : 1943 PORT.TOWNSEND CIR Address CORONA DEL MAR, CA 92625 NEWPORT BEACH, CA 92660 �y Phone : Phone : (818) 522-8080 Phone : 1 Con State Lie : 535683 State Lie Lie Expire : 11/30/2024 r Applicant: COUSENS CONSTRUCTION INC Bus Lie: BT20052603 Engineer : MARIAN JOHN HUSZCZ Address: 1943 PORT TOWNSEND CIR Bus Lie Expire : 05/31/2023 Address : 8 CONWALLIS NEWPORT BEACH, CA 92660 IRVINE, CA 92620 Phone: (818) 522-8080 Workers' Compensation Insurance Phone: (949) 551-3316 C ) Carrier : Owner/Builder: Policy No: EXEMPT Designer: �LL Address: W. C. Expire: Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $18,500.00 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 s 2 Added/New sq, ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 15, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) )have placed next to the applicable items) section 7031.5, Business and Professions Code, 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 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 'rofessions Code) or that he or she is exempt from kcansure, and the basis for the alleged exemption. Any: violation of Section 7031.6 by any applicant fora permit Subjects the applcent to acivil penalty of of more than five hundred loiters ($500): 1 1, 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 intended or offered for sale (Section 7044, lushness and Professions Coda. 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 Cwnar-Sunder will have the burden of proving that it was not built or nproved 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 improvesthereon, 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 iymy signature below I acknowledgo 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 WITH, i cannot Iogail) all a structure that I have built as an owner-buildor if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of this applicabe, law,. Section 7044 of the Business and rrofessions code, is available upon request when this application is submitted or at the fallowing Web site3ittp:/twww.leglnto.ca.govlcalaw.html. ; gmdure of Property owner or Authorized Agent Date ,ICENSEO CONTRACTOR'S DECLARATION hereby affirm under penalty of pery'ury that I am licensed underprovisions of Chapter 9 (commencing with Seth 7 00)) of Division 3 of the Business a isin tuil force Ind effect. License Class License. No Dat 2-L2.- 1.(-Contract ign VORKERS' COMPENSATION DECLARATION tARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL., AND SHALL SUBJECT AN EMPLOYER TO CR PENALTIES AND CIVIL FINES UP TO' ONE HUNDRED THOUSAND DOLLARS (St00,000), IN ADDITION TO THE %CST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNE'r'S FEES. hereby affirm under penalty of perjuryone 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 Urformance of the work for which this permit fa issued, Policy No. 31 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' comeensatiol isuranca carrier and policy number are'. :artier Policy Number Expiration Date IF,:, Agont Phone # rtiof fy that. in the pertorl}�(enee of the work for which this permits Issued. f shall not employ any person in any manner so as to become subject to the works mpensation laws of California, and agre I should DECk �rl r rwiisirrns of Sex_tion 3700. of the Labor code, I shall forthwith comply with those provisions. 'Ignalure of Apph Qato z-1-t"ZL YECiPRATfGN REGRUCTIQN GENCY hereby affirm under pthat there Is a construction lending agency for the performance of the work for which this permit is. issued (Section 3097, Civil Code). onder's Name Lender'sAddress 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 informalion I h ve provided. is correct. I agree to comply with all applicable city a an dr ling to building construction. repreentatives of this city sc 51 mature oauthorize o ertsowner or Authorized t c ve-r for i Print Property_owner's or Authorized Agents Name 9�G (o v JC v J -fate le- -L L-t-I ACTION DATE BY I LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 52 OF TITLE 40 AND ARMD RULE __ —jjj-Eons PERMI£.EXPIRED j LI I SUbMiTTED ASBESTOS NOTI FICATION TO PERMIT FINAL CERPRCAIT OF OCCUPANCYISSUED