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HomeMy WebLinkAboutE2023-0211 - Permits�EvuaoRr City of Newport Beach Community Development Department- Building Division COMB Permit - �y 100 Civic Center Drive, Newport Beach, CA 92660 E 2 0 2 3 8 2 1 1 Man Check No Permit Counter Phone: (949) 718-1888 Issued Date-03/1512 u c r newportbeachca.gov/civic Final Date. % Combination Type- Permit St": fin Work Class - Other Inspect Area : 3 v aO PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, NO UATEF NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DEN A AONI �J ` OZ ?r�� Job Address : 1722 ORCHARD DR Legal Desc : N TR 4 BLK L�T 19 � o\o 56 LO] Description: ELEC (1) NEW CIRCUIT AND FUSE CONNECT FOR A/C j O �O Owner: DAVE STIEVE Contractor • ABCHEeINGANDAJC,.00 Address : 1731 ORCHARD DR Address •' 306 LLENt NEWPORT BEACH, CA 92660 C TA MESA, 7 E2023-0211 3 YEAF6 FROM BWGINAL ISSUANCE DATE DRK,6N SUNDAY A . HOLIDAYS IN ALL AREAS NWLY 62 FT SELY 120 FT NEL Y 290 FT Architect Address Phone: Pho 49) 756 006�' Phone C State L' : 94 1181 Stated e is Expir 11/30/202 `V �'�' Applicant: LUKE VUJNOVICH Bus Li BT30043258 E g' " Address: 311 COLLEEN PL Bus is Expire : 03131/2024 =�,w`� COSTA MESA, CA 92627;$`b` p Phone: (949) 345-5098 orkers' Compensation Insura e$� � h e Carrier`: STATE FARM FIR AND ^A COMPANY Owner/Builder : Policy No : 92KDE0536 Desigr Address : W. C. Expire : 9/24/2024 Added Phone : Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone: Use Zone: PROCESSED BY: 2022 'Fire Sprinklers NO ' Fire Hazard Zone : NO R3/U %No of Units : a r of Stories Front: 20, Side: 5, Side: 5, Re , 25 Z X o� ` SP-7 - Santa Ana Heights Specific n01 SPECIAL CONDITIONS: ®� N ew rC truction Valuation : dded/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 'k, 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) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, impro� 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' Statue e 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 violW' n of S on 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Z I, as owner of the property, or my employees with wages as their sole compensation, will do(_) all of ) portions of ttle Will and the structure is not intended or offered for sale (Section 7044, mess and Professions Code: The Contractors' State License Law does not apply to an owner of prgAtly who, thm dk6plo s' or personal effort, builds or Improves the property, provided that the ovements are not intended or offered for sale. If, however, the building or improvement is sold m one year of "Ietion, th Owner -Builder will have the burden of proving that it was not built or raved for the purpose of sale). ,V;, t«p, J I, as owner of the property, am exclusively contracting with licensed Contractors to constru he project (Seet+C%7044, Busiip6ss and PR fessic pply to an owner of property who builds or Improves thereon, and who contracts for the pro" s with .IicensedCOoittractor p rsuant to the tra I am exempt from licensure under the Contractors' State License Law for th/'entire son: N' y my signature below I acknowledge that, except for my personal residence inhavp reside to at least o year prior to completion ell a structure that I have built as an owner -builder if it has not been constructeTTloans ontracto understand that a copy of Tofessions Code, is available upon request when this application Is submitted b WFe:http:!! .legmfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent �� .ICENSED CONTRACTOR'S DECLARATION 11 rd) lr�' hereby affirm under penalty of perjury that I am licensed under provision a 3i Chapter 9 (com,9�cing action 7000) of Division 3 of the Busand Proff nd effect. License Class _ _ _ _ License Nos NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATmN COVERAGE IS :CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 O hereby affirm under penalty of perjury one of the following 1 have and will maintain a certificate of consent to If -in lerformance of the work for which this permit is issue olicy have and will maintain workers' oor rance carrier and policy number are: Date ContZ Ignature _ -CT AN E)gLOYER TO CRIMINAL PENALTIES AND CIVIL F TO ONE HUNDRED AND ATTk7RNEY'S FEES. f0 lon Is d`" .the Director of Ind as provi d fo1 700„ hL- " '` ode, for the anclthe work r wlriEc191hi; Fxniraf nf)wYp. Code: The Contractors' Slate License Law does not s' State License Law). ements covered by this permit, I cannot 3 law, Section 7044 of the Business and Date Code, and my license is in full force 4$100,000), IN ADDITION TO THE 3700 of the Labor Code, for is issued. My workers' re of Agent ;. Ph e #� r certify that, in the performance of work for ich this ad, sh toy any perso an anne o as to be me sfect the workers' tom nsation laws of California, and if I should become subject to t workers mpel�ion W. s of Ste, a Labor Cod , sh orlhvnth comply lh thong pr dons. of Applicant Date_ I hereby affirm under pen of perM.y that th e Is a ips " iron leF" c r the perform ce of the work for whit is pe 'sued (Section 3097, Civil Code). Lenders Name �' i +a ._ _: Lender's 'A' rNis By my signature below. cattily to each le fg: o IDa. ��,ryy33 y. I am the property owner uthori d to act DD% propert r>j 1alf. �• w.r I have read this application the I rma�`hav rovide X , rect. . I agree to comply with all applicable city coun�nces d state laws rpl'tiri fg b'1$jing constru Ion. I authorize representatives of this�City or countyx°a'ente`r the above -identified prbpe(ty to;, action pur SEE. Signature of Property Owner or Authonzed:Agent rint Pro rty Ow r sg Authorized Agent's Name Date ACTION DATE 'hy 'b[IECtARATION OF COMPLIANCE WITH CODE OF F ERAL F , OFFICE USE ONLY R17CUTATIONS PART K1 OF TITt15140 ANDAQM ULE PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED LI ASBESTOS NOTIFICATION, IS NOT APPLICABLE TO 1'ROPOSED DEMOLITION SIGNATURE: