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Home My WebLink AboutXR2022-1850 - PermitsQ ��WPO?T City of Newport Beach D j' p Cor munity Development Department- Building Division } � 'ri\ �' 100 Civic Center Drive, Newport Beach, CA 92660 r) Permit Counter Phone: (949) 644-3288 Inspection ^�n�Ic [nµN�P newportbeachcaegov/aspect osts Phone: 9r49)644-3255 III II II II II COMB Permit : XR2022-1850 Plan ck No: Combination Type Work Class : Other Issued Date: 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 Description : 4612 SEASHORE DR, B Legal Desc : N TR 3813 BILK LOT 63 MFR BLOCK WALL 38" HIGH(MAX) X 36' LINEAR FT ON P/L (FRONT OF PROPERTY) Owner: ANTOINETTE EVERETT Contractor: ry1.A Address : 4612 SEASHORE DR NEWPORT BEACH, CA Address 92663 Phone: (949)933-2949 Phone: Con State Lic Applicant : ANTOINETTE EVERETT Lic Expire Address : 4612 SEASHORE DR NEWPORT BEACH, CA Bus Lic 92663 Phone : (949) 933-2949 Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No W. C. Expire Code Edition : 2019 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : Y Occupancy Groups : No of Units : 2 Bldg Height : No of Stories Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 10 Flood Zone : X-0.2PCT Use Zone : R-2 - Two -Unit esidential Processed By: Public Works Approval: Zoning Approval: �- Plan Check By: Grading Approval: _ _. Approval To Issue: Architect Address Phone : State Lid Engineer: �p� �t . Address : Phone: Designer: ANTOINETTE EVERETT Address: 4612 SEASHORE DR NEWPORT BEACH, CA 92663 Phone: (949)933-2949 Construction Valuation : $7,000.00 Added/New sq. ft. Bldg : 36 Added/New sq. ft. Garage: 0 UA SPECIAL CONDITI'DNS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable item(sj Cline 7031.5. Business and professions Code: Any city or county that requires a permit to construct, alter, improve, demQQQ list), or repair any structure, prior to itsissuance, 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 License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Buse -as and fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Secti IT7031.5 by any applicant for a permit subjects the applicant to a civf. p...- ,i of more than five hundred dollars ($500). J I, as owner of the property, or my employees with wages as their sole compensation, vrill do (_) all of or U portions of t Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through I improvements are not intended or offered for sale. If, however, the building or improvement Is sold within one year of camp Improved for the purpose of sale). ZI I, as owner of the property. am exclusively contracting with licensed Contractors to construct the project (Section 7044, D an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor I exempt from licensure under the Contractors'Slate License Law for the following reason:ignature below I acknowledge that, except for my personal residence in which I must have resided for at least oneructure that I have built as an owner -builder if it has n en constructed in its entirety by licensed contractors. I un lons Code, is available upon request when Ihy� Spiel ation Is sptjmitte Is t4 wing web site: htip:IiwwwJegin Signature of Property Owner or Authorized AgenliI LICENSED CONTRACTOR'S DECLARATICN \., - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o and effect. License Class License No Date COMPENSATION DECLARATION work, and the structure Is not intendedor offered for sale (Section 7044, ployees' or personal effort, builds or improves the property, provided that the Ion, the Owner -Builder will have the burden of proving that it was not built or mass and Professions Code', The Contractors' State License Law does not suant to the Contractors' State License Law), prior to completion of the improvements covered by this permit, I.cannot lega9! ,tand that a copy of the applicable law, Section 7044 of the Business and 6.govlcal2v+.html. 1 r 20 Datsakoe _J 2— rfsion 3 of the Business and Professions Coda, and my license is in full force Contractor Signature tARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100000), IN ADDITION TO :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: J I have and will maintain a certificate or consent to self -insure for workers' compensation, issued by the Director of erformance of the work for which this permit is issued. Policy No. 31 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe Isurance carrier and policy number are: ter Policy Number lam of Agent Relations as provided for by Section 3700 of the Labor Code, for of the work for which this pencil is issued. My workers' Date that, in the performance of the work for which this permit Is issued, I shall not employ any person in any manner as to become subject to the workers' compensation laws of California, and h� ould becomB subiect tcvtworkers' compensation Drovisions of Section 3700 of the Labor Code, I shall forthwith comply with those orovisions. nature of Applicant�t„ CLARATION REGAR _ CONSTR' GTIO ENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which Ides s Name Lenders Address my signature below, i certify to each of the following'. I am the property owner or authorized to act. on The property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county races and state lawsrelating to building construction I authorize representatives of this city or county, to nter,* atyyve-identifjpd pl_Werty for inspection purposes. 04e-7 / 3,�'^ 2.0_?_-7- permit is issued (Section 3097, Civil Code). ACTION DATE RY 1 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE Il$E ONLY(/�lj� REGULATIONS PART 61 OF TITLE 40 AND AQMO RUFF 1403 PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL. CERTIFICATE OF OCCUPANCY ISSUED LJ I SuBMITTKD ASRFSTOS NOTIFICATION TO 0EPA All required r —]ACW D be in place 9 \LJ ASBESTOS NO71FICATION IS NOT APPLICABLE TO life of the p V C/ PROPOSED DEMOLITION SIGNATURE': latches gates and fences which -,Prue as part of a pool/spa barrier, shall approval to fill pnol,'spa & shall rrsmalrl it place & no T=fntained for the