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Home My WebLink AboutXR2023-1261 - Permits04'. City of Newport Beach 111IiIIIII111111111111111111111111111111111111111111111 jj COMB Permit:XR2O23-1261 Community Development Department - Building Division X R 2 0 2 3 1 2 6 1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1846-2021 Permit Counter Phone: (949) 718-1888 Issued Date : 05/1512023 newportbeachca.gov/civic Inspection Area : 2 ComCombination 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 : 2001 KEWAMEE DR Legal Dose : N TR 2813 BLK LOT 61 Description: SFR RMV PARTITION WALL. R/R PLUMBING FIXTURES. APPROX 116 SF `RENEW EXPIRED PERMIT* Owner: ANDREW ABRAMSKY Address : 2001 KEWAMEE DR CORONA DEL MAR, CA 92625 Phone: (949)531-3069 Applicant: ANDREW ABRAMSKY Address : 2001 KEWAMEE DR CORONA DEL MAR, CA 92625 Phone: (949)531-3069 Owner/Builder : ANDREW ABRAMSKY Address : 2001 KEWAMEE DR CORONA DEL MAR, CA 92625 Phone: (949)531-3069 Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2019 V-B R-3 Front: 10, Side: 4, Side: 4, Rear: 10 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: O/B FORM ATTACHED Contractor Address : Phone: Con State Lic Lic Expire Bus Lic : Bus Lic Expire Workers' Compensation Insurance Carrier : Policy No W. C. Expire Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories Architect Address Phone: State Lic Engineer: KHAEFESMAIL Address: 4005 CALLE SONORA #2B LAGUNA WOODS, CA 92637 Phone: (714)504-8260 Designer Address Phone: NO Construction Valuation : NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty 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 items) ;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 liconsed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Businesi. and 'rofesslons Code) or that he or she is exempt from licensura 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 Tot more than five hundred dollars ($500). 1 1„ 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, Business 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 improvements 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 proved for the purpose of sale). I, as owner f the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 7 1 am exempt from licensura 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 reside for at least one year prior to completion of the improvements covered by this permit, I cannot lagali, sell a structure that I have built as an owner -builder if it has not been const d in its ontiroby by contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when ih'. (tpllcation IS au I a follow a 't � Ilp:Lwww.leginfo.ca,govlcalav+.ntml. Signature of Property Owner or Authorized Agent Day.t LICENSED CONTRACTOR'S DECLARATIO_ I hereby affirm under penalty of perjury that I am licensed un r provisions of Chapter 9 (commenctng with Section 7000) of Division 3 of the Business and Professions Code, d my license is in full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION MARRING: 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 ($100,000), IN ADDITION TOT COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, MD ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: 71 1 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 performance of the work for which this permit is issued. Policy No, 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 permitis issued. My workers' ranee carrier and policy number are: Policy Number of Agent Date I certify that, in the per' manse 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 t, If I should becom $ fact to the w5s ' compensation pr ns of Seglien 3700 of the Labor Code, I shall forthwith comply w41h these provisions. ,nature of Applicant K D J > J CLARATION REGA DING STRUCTION LENDING AGENCY sreby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Ider'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 will) all applicable city and county dinances a tate ! lating to building. construction. I authorize representatives of this city or county t It1 the 060,It er yt y�apECy for dspectlon purposes. N / [q �.,, ,,�_ /J�„/�� E / ACTION PERMIT EXPIRED PERMITCANCEiLED PERMIT EXTENDED PFRMIr FINAL CERTfFlCATE OF OCCUPANCYISSUED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL - REGULATIONS PART 61 OF TITLE 40 AND A4MD RULE \d t SUBMITTED ASBESTOS NOf lFlCAIION 15 1 AP ABLE TO INOLI710N i� mer's or Authorized AD FOR OFFICE USE ONLY atP S l