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Home My WebLink AboutXR2022-2901 - Permit ApplicationaEWPOQT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2022-2901 04 Community Development Department -Building Division X R 2 0 2 2 2 9 0 1 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2759 )� ,= Permit Counter Phone: (949) 718-1888 Issued Date : 0612012023 s. newportbeachca.gov/civic Inspection Area : 5 cq</FOR��P Combination 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: 2211 WATERFRONT DR Legal Desc : N TR 682 BILK LOT 43 Description: SFR NEW CARPORT W/ DECK ON TOP & STAIRS 400 SF *122-2298 & 122-2162* & DRAINAGE Owner: KAY ANDERLE Address : 18300 VON KARMAN AVE STE930 IRVINE, CA 92612 Phone: Applicant: JUAN ESTRELLA Address : 644 N BILLOW DR SAN DIMAS, CA 90773 Phone: (951)489-8800 Owner/Builder : Address : Phone: Contractor: ESTRELLA CONSTRUCTION Address'. 644 N BILLOW DR SAN DIMAS', CA 91773 Phone: (951)489-8600 Con State Lie : 869312 ' Lie Expire : 12/31/2023 Bus Lie: BT30060610 Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: Architect Address Phone: State Lie Engineer: NAZEM SKAF Address: 411 GREEN ORCHARD PL RIVERSIDE, CA 92506 Phone: (951)522-2837 Designer: MARVIN BARRIGA Address: 24568 ONEIDA ST MORENO VALLEY, CA 92553 Phone : (951) 751-7813 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: ° $42,000.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat 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 applicableitem(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 the 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 Professions 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 I, as owner of the property, or my employees with wages as theirsolecompensation, will do L) all of or (_) 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' orpersonal 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 Improved for the purpose of sale). 0 I, as owner 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 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). 0 I 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 poor to completion of the improvements covered by this permit, I cannot legall! sell a structure that I have built as an owner -builder it it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and Professions Code, Is available upon request when this application is submitted or at the following Web site;http:/iwww.leginto.ca.govtcslaw.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Sectio 7 00) gf 7 M' sic 3 of the Business and P f ssio e, and my license is in full force and effect License Class License No Dat (9 fc LI 2 Contractor Signatu WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINES UP To ONE HUNDRED TW ANO DOLLARS ($100,000). IN ADDrrION TO THE COST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 37SS OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. Ihereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a cerlificate 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, forth 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 permit is issued. My workers' ranee carrier and policy number are: of Agent Policy Number Expiration Date Phone 0 certify that, in the p rformance 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 worke mpensation laws of California, and agre t, should becom bj Ct to the work 'comp ration provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2 ignature of Applicant Dat of DECLARATION REGA G STR ON LENDING AGENCY If N hereby affirm under penalty of perju here is a construction lending agency for the performance of the work for which this permit is issued(Section3097, Civil Code).. enders Name Lenders Address y my signature below, I certify to each of the following: I am the property owner or authorized to Got on the property owner's behalf. I have read this application and the information I have provided is correct. �Lo� g �V(Ay 1 agree to comply with all applicable city and ou ty ordinan and state Paws relating to building construction. I authorize representatives of this city or cou t enter tb entitled property for inspection purposes. icnature of ProDerty Owner or Authorized Acan Print Property Owner's or Authorized ADent's Name Vale ACTION I DATE { BY \ DL'tART'bN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ftEGULAyIONS PART 61 of TTLE40 AND AQMD RULE JW 1403 PERP fXPIR£D I SUPMITTEh ASBESTOS NOTIFICATION TO PERMITEXTENDED I A AL14�M7 PERMITFINAL (—� J� ASaEST 5 OTIFICATIUN l APPtICABLf TO CERTIFICATE OF RO OSEDpp'��fjy`�'OL{TION OCCUPANCY ISSUEO Sta1'ATUR°: A 4