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Home My WebLink AboutXR2022-3181 - PermitsF FW�o City of Newport Beach o q Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 - Permit Counter Phone: (949) 644-3288 u S Inspection Requests Phone: (949) 644-3255 C'�(1FORN�F newportbeachca.gov/inspections 1 Combination Type - Work Class - Other 1�11111111111111111 �� N��ll�� II COMB Permit: XR2022-3181 Plan Check No : 0Z66-702Z Issued Date : 1210712022 fpf Inspection Area : 3 z ~t. PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR L VAIN 11 NO CONSTRUCTION RELATED NOISE C SATURDAY SUIT. Ih Job Address : 70 CORMORANT CIR Description : DELTA 1 REVISION R ADD'L Owner: ANTHONY DEVINCENTIS Address : 70 CORMORANT CIR NEWPORT BEACH, CA 9: Phone : Applicant: TAIRPIVKU �r Address: 1812 W BURBAN LVD BURBANK, CA 06 Phone : (954) 669-430 owner/Builder: Address: 70 Phone Code EditicM Type of Con Occupancy Bldg Height f2p 0\ �t Lef l DeMPN TR (E) BLW WAL.I, ENO LATER AREAS AND �--f2 BLK LOT 16 CITY STANDARD (4' LONG Contractor „10 Address Phone: :r., Con State LIC. ¢� Lic Expire, a .Bus Lic Bus Lic Expire ,,',,,,,.1 �O •• `�. Workers' Compensation Insu am Q• Carrier $11 ;;`�' 'Policy No OAORAN IR = y W. C. Expire: /0/// IPORT B CH, 926 42 Fire Fers : tion : -B FireZone :No f nits: s o Building Setbacks : nt: 51, 4, Rear: 8v}�%� Flood Zone: X Use Zone : PC - view r�0� PROCESSED BY: SPECIAL CONDITIONS: 3 YEARS FROM ORIGINAL ISSUANCE DATE JRK ON SUNDAY AND HOLIDAYS IN ALL AREAS P/L, iDesigner: NISSIM-ROZNERYUVAL iAddress : 17351 GRESHEM ST NORTHRIDGE, CA 91325 Phone: Construction Valuation: (Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : $1,000.00 0 0 1. 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 item(s) rSection 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 ficensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant to limit subjects the applicant to a civil penalty of more than five hundred dollars (S500). s i I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_,) portions of the work, and thq_snUcture is not Tit ded. u iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employee ' personal effort, builds r iml improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comply , e Owner -Builder will have th un ❑improved for the purpose of sale). ,,x. r�,�, I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (S 044, Busm nd Profes�siPng pQU The apply to an owner of property who builds or improves thereon, and who contracts for the projects with a I' d Conlraclo��i�i to the\CUddrs� Stale Licen ❑ I am exempt from licensure under the Contractors' State License Law for the following reas iiiivv By my signature below I acknowledge that, except for my personal reside a in which I eve resided for at le one yet eer1qy o ompleynn of the i vemen sell a structure that I have built as an owner -builder if it has not been t i " ntirety by licensed contractors trp_��Yand that a copy of t pplicable law, ru M Professions Code., is available upon request when t 's applicatio I at the following W e:http:// I I o.ca,gov/calaw.ht Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATI offered for sale (Section 7044, ryes the property, provided that the n of proving that it was not built or Law). I hereby affirm under penalty of perjury that I am licen prov' on er 9 (commencing e th Secti.m 7000 � division 3 of the Business and Professions and effect. License Class Licel�s Datd" Contractor Signature -1 WORKERS' COMPENSATION D�fr TION NARNING: FAILURE TO SECURE WORK COMPENSATI0I1 COV IS UNLAWFUL: ANDS C SUBJECT AN EMPLOYER TO CR i WN AL PENALTIES AND CIVIL FINES UP TO ONE HUNDREO THOUSA COST OF COMPENSATION, DAMAGES AAFROVID S ON3706 OF THE LABOR CODE, NITEREST, AND ATTORNEY S F EES " hereby affirm under penalty of pe ury ohe thge following dROOns t3 y°�� I have and will maintain a cart cafe of cg1'h1 self ureGr wok r rnm pensation Issned bs 1hr D,rertoLo' Industrial Relations as ovi Se terformance of the work for which thit pern issued Poll, JI have and will maintain workers' Isurance carrier and policy number is of Agent certify that, in the performance of the if I should become /subject to the w lature of Applicant I /// i m-ufance, as required by Policy Number pens¢ Sissued, I shall not I provisions of Section 3700 Slate License Law does not , d by this permit, I cannot legall 17044 of the Business and a( o my license is in full force L 3 S100,000f, IN ADDITION To THE 700 f fine Labor Code, for th• of that ahor Code, for the performpcce wh,'y this permit is issued. '� Q'�'i, °a `bs, U A pa) s in any Ififlifti—ner so akOYecome subject I shall forthwith comply with those ppm hereby affirm under pen l G�6erjury that tt 'a e�consfruction i g'`71a: rmance of the work for wh r�ermit is enders Name ` ddress 'w my signature EZ:c I certify to each of the foil wing. I s,;. She property owner or authorized toor�thix wrierhave read kris Pppl.callon and the information have provided is co recdgt�le to comply md, all applicable city and coul ly ordinances an tto building rucI authorize repreecntaFves of this city or counwtr nter t ntoperty for in Ion ses. n('Tir)N DATE BY '! OF COMP DE OF FEDERAL FOR OFFICE USE ONLY R TIONSP 30 40 AND AQMD RULE Ij—rERls•TEh;'1REO �`_ I U D ASBESTOS NOTIFICATION TO IFPERn4+TCANLEn LJEPA PE9NIT EX.lENOED LJAaMD SBESTOS NOTIFICATIO TAPPLICA LE TO �PER'Q'TF')E CERT19SA1 E OF OPOSED DEMO IT OCCUPANCY ISSUED I I arAIATlmc. Civil of California, and