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HomeMy WebLinkAboutX2021-1993 - PermitsCity of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 �q��coaN`P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - New COMB Permit : X2O21 -1993 Plan Check No : 1742-2021 Issued Date : 10/04/2022 Inspection Area :5 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 : 524 SEAWARD RD Description: NEW SFR W/BASEMENT & Owner 52 L Address75 IRVINE CEN- .1R E, ($�$ Phone "j94 877- 19 Applicant: SFKOTEUIL Address: 55A.2 Phone: (562) Owner/Builder : 52, Address: 7545IF IRVINE Phone: (949)8 Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone: I BLK LOT 185 DECK 140 SF �f 3,POGablI2' y a eiunc Aar-- B0 0/o of ���% fA Architect ❑ : Aaaress Phan Phone : ,; tO Wi'10Cf1• Phone Con State Lid .:;20 State Lie �.. Lic Expire Bus Lic : Engineer Bus Lic Expire VWAddress Workers' Compensation Insurance Phone + C -MIN: 9 PoiTcy No : q r W. C. Expire: g glillipmMiow f11 719 20 Can i�� Sprinklers : YES V_ 999 Fire Hazard Zone : YES J, wofk stafiB No of Units : 1 No of Stories : �2 1su' Phone: (no %loflc staff 1� C nsXuc i area) linsp- :. Sws' it 5 SENNIKOFF STEVEN 5500 E. 2ND ST LONG BEACH, CA 90803 . PROCESSED BY: SPECIAL CONDITIOW: 438-2380 RGAN JEFFREY WADE 0 DONALOR DR ;ONDIDO, CA 92027 )1690-7454 on : $850,000.00 Bldg: 41c&o t: 680 4gteo sar:1 OWNER -BUILDER DECLARATION I 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 item(s) 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 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 >rofossions Code) or that he or she is exempt from 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 penalty of lot more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of She work, and the structure is not. intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 P)provod for the purpose of sale). 1, as owns, of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not an owner aF property who b" be br improves thereon, antl who contracts far the projects with a licensed Contractor pursuant to the Contractors' State License Law), 7gCE axampt from Ucensur0 under the CO so ors' Stale License Law for IhB'a"0winq reason gnalura below I acknowledge Iha6 except far my personal rasidan in which must have rasrded for at least one year prior to completion of the improvements covered by this permit, I cannot Iagali; ucturo thaE 1 have bunt[ as an owner-6ulldoe If it has riot b0en e ructgslin-iEs- nsad contractors. understand that a copy Of the applicable law, Section 7044 of th0 Business and hs Cade, is available upon request when m apple 6mltte or e f III Ing resided site:mfp:lMyly.leginFo.ca.govlcaiaw.html. a 0fPropertyOwnerbr Authorized AgentDateeED CONTRACTOR'S DECLARA N hereby aftiml under penalty of paljury that 1 am licensed under provisions of Chapter 8 {commenotng with Section 7000) of Division 3 of the Business and Professions Carle, and my license is in full force and effect. License Class License No Date Contractor Signatur VORKERS' COMPENSATION DECLARATION tARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITION TO THE 'O$T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES, hereby affirm under penalty of perjury one of the following declarations: -11 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 Lh armance of She work for which this permit is issued. Policy No. a and will maintain workers' compensation insuranco, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers` compensatior ur a carrier and policy number are: a . )ranlh Casw,(Fq (r� . Policy Number C.� (' ©a� 9 ZOa� Expiration Data 9 /4 ��23 9 of Agent ,Astau FA12&al iw - Phone# S — t) SLI krtify that in the performance of Abe 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 afire tat, I I should become subject jo the 0 ' compensation " on ion 3700 of the Labor Code, I shall forthwith comply with those provisions. �i Stare of Applicant Dat O — Li2`✓— i> CLARATtON REG A G CDNSIERL?CTf LEND— G ACa Y hereby affirm under natty of perjury that there is a constructs I ending agency for the performance Of the work for which this permit is issued (Secton 3097, Civil Code). tinder's Name Lender's Address Iy 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 ordinances and " ttt'>iws relating to ti 'Iding construcGan. authorize representatives of this. city or county to en ,-Iden11f10dp m action purposes. o -- ACTION DATE I: BY FOFCLARATTONOF CfY :tO TAF. AO AN AQMD WITH CODE FFEDERAI I FOR OFFICE USE ONLY PERMIT EXPIRED 7-J/75 I}.r"i}MTTE9 ASRFSTO51`1011 FICATION TO ._E_.�. _ _.-------- PRM._l7 CANCELEED �CrA rL~11 tINAL t LJ AS8E5TO5 NO] iSCAIION 15 NOT APPLICABLE TO CERTIFICATE OF I PROPOSED DEMOLITION OCCUPANCYISSUCO SICNATWIE: