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Home My WebLink AboutX2021-3283 - Permits�c�EWPO,PT City of Newport Beach D Community Development Department - Building Division y y 100 Civic Center Drive, Newport Beach, CA 92650 Permit Counter Phone: (949) 644-3288 u s Inspection Requests Phone: (949) 644-3255 cgGiFP pN�P newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Alteration COMB Permit : X2O2 1 -3283 Plan Check No : 2844-2021 Issued Date : 1112212022 Inspection Area : 1 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: 4309 SEASHORE DR Legal Desc : THIRD ADD. TO NEWPORT BEACH, BILK. 43, LOT 5 & A POR, OF 4, O F PROJECT930-61 LOCATED ON AP 424-444-06 TOGETHER WITH AN UN Description: MFR EXTERIOR FACADE, CHANGE OUT (2) WINDOWS, REPLACE HANDRAIL. Owner: JAMIE FREED Address : 5 LIVE OAK IRVINE, CA 92604 Phone: Applicant: LAWRENCE ROBERT Address : 760 W. 16TH ST COSTA MESA, CA 92627 Phone : (949) 633-9560 Owner/Builder : Address : Contractor: INNOVATIVE BUILDERS & DESIGN Address : 1445 ROSE AVENUE #B LONG BEACH, CA 90813 Phone : (323) 627-6425 Con State Lic : 923421 Lic Expire: 10/31/2024 Bus Lic : BT30072850 Bus Lic Expire : 11/30/2023 Workers' Compensation Insurance Carrier: NORGUARD+INSURANCE+COMPANY Policy No : INWC373468 W. C. Expire: 5/9/2023 Architect: LAWRENCE ROBERT Address : 760 W. 16TH ST COSTA MESA, CA 92627 Phone : (949) 633-9560 State Lic Engineer Address Phone: Designer Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $50,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Tl 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: 5, Front: 0, Side: 3, Side: 3 Flood Zone : VE, 15 FT; X Use Zone: R-2-Two-Unit Residential NO CONSTRUCTION NOISE PROCESSED BY: L7� SPECIAL CONDITIONS: HIGH DENSITY ZONE ON THE WEEKEND OWNER -BUILDER DECLARATION i hereby Billion under penalty of perjury that I. am exempt from the Contractors' State License Law for the reason(s) indicate below by the checkmark(s) I have placed next to the applicable items) ction 7031-5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernalis . or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Liconse Law Chapter 9 (commencing with Section 7000)of Division 3 of the Business and fessions 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 more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the I Business and professions Code: The Contractors' State License Law does not apply to an owner of property who, through emp improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completi< unproved for the purpose of sale). El 1, as owner of the property, am exclusively contracting with licensed Contractors to ConsWct the project (Section 7044, Bu: apply to an owner of property who builds or improves: thereon, and who contracts for the projects with a licensed Contractor put 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 residence in which I must have resided for at least one year sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I under. Professions Code, is available upon request when this application is submitted or at the following Web siWhttp:llwww.leginfo.c Signature of Property Owner or Authorized Agent _,T LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7QQ0) of Dig and effect. License Class License No Date jl_�22 COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ,DST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES - hereby affirm under penalty of perjury one 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 Int r� erformance of the work for which this permit is issued. Policy No.. Ihave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the parlor isurance carrier and policy number are: :arrler Policy Number lame of Agent certify that. in the performance of ark for which this permit is issued:. I shall notemploy any person in any manner so if I should become subje • - ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith c ignsture of Applicant __ ECLARATCON REGARD G SiRUCTiON LENDING AGENCY hereby affirm under pens Fperjury that there is a construction lending agency for the performance of the work for which enders Name Lender's Address y 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 npplic7tion and the information I have provided is correct. I agree to comply with all applicable city and county ordinanc s d slate laws relating to building. construction. I Pu'he,ize representatives of this city or county to en -identified property for inspectlon purposes. ionature of Proaeriv Owner or Authorized Anent. Print Prooertv Owner's Or Aut AC-10i4 DATE. BY TECI,ARATION OF COMPLIANCE WITH CODE OF FEDE. REGULATIONS PART 61 OF TITLE 40 AND AgMD RULE PEHM 7 EXPIRED I [ U I SUBMITTED ASBESTOS NOTIFICATION TO PEA,Y7rT U'YCELtED �_ EPA .. .. ........... P€RMITEXTENDED ____-------- __— ___-- L3AQMD _— ASBESTOS NO TIFICAU NISNABLE TO CERTIFICATE OF PROPOSED DEMOLITIONOCCUPANCY W ISSUEt7 SIGNATURE: k, and the structure Is not Intended or offered for sale (Section 7044, ees' or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law), to completion of the improvements cover. that a copy of theapplicable law, Section and A Daten 3 of the Business and Pros [ y license is In full force ZZ Contractor Signat CIVIL FINES UP TO ONE HUMOR O THOUS OLLARS ($100,0001, IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers` Date to become subject to the workers' compensation laws of California. and )ly with those provisions. Date W_ Z2—'2E3 2-Z permit is issued (Section 3097, Civil Code). FOR OF61.CE US[ ONLY Name Date li�—Zz_