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Home My WebLink AboutXR2023-1242 - Permits�gWPORT City of Newport Beach II III IIII IIIIIII IIIIIIIIIIIIII IIIIIIIIII II COMB Permit: XR2023-1242 Community Development Department- Building Division X R 2 0 2 3 1 2 4 2 y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1100 Permit Counter Phone: (949) 718-1888 Issued Date : 05/12/2023 newportbeachca.gov/civic Inspection Area : 2 cgtrco�N'P Combination Type - SFP ELEC MECH Work Class - Alteration 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 : 501 VIA LIDO NORD Legal Desc : N TR.907 BLK LOT 669 Description: SFR -INSTALL SHAFT W/ ELEVATOR Owner: STRUCK HAROLD L JR TR Contractor: BERMAN CUSTOM BUI!ERS Architect Address : 501 VIA LIDO NORD Address : 2499 ANNIVERSARY LN Address NEWPORT BEACH, CA 92663 NEWPORT BEACH, CA 92660 Phone : Phone : (714) 292-0159 Phone Con State Lic : 1030778 State Lic Lic Expire : 05/31/2024 BT30080528 Engineer Applicant: BERMAN CUSTOM BUILERS Bus Lic : Address : 2499 ANNIVERSARY LN Bus Lic Expire : 01/31/2024 Address NEWPORT BEACH, CA 92660 Phone: (714) 292-0159 Workers' Compensation Insurance Phone: Carrier Owner/Builder : Policy No : EXEMPT Designer Address : W. C. Expire: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $75,000.Jo" Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 0, Front: 4, Front: 1.5, Side: 3 Flood Zone : X Use Zone : R-1 - Single -Unit Residential NOIS� BY: r r 'ivV PROCESSED 4.�®N��V�14�N SPECIAL CONDITIONS: LIQUEFACTION; HIGH -DENSITY ZONE �``° THE `°,NE,EKEN1 ON OWNER: -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt trom the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable item(s) ction 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 permit to file a signed statement that no 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 fessions 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 for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500), I, as owner of the property, or my employees with wages as their sole compensation, will do f_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;!noes 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 rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not ly 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). _l I am exempt from licensure under the Contractors' State License Law for the following reason: sy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of if oil a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the. 'rofessions Code., is available upon request when this application is submitted or at the following Web site,http:Itwvnv.leginfo.ca.govlcalaw.htmi, signature of Property Owner or Authorized Agent _ _ ACENSED CONTRACTOR'S DECLARATION < hereby affirm under penalty of perjury that i am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the. Business no effect. License Class License. No Date b I Z,- Z Contractor 3 COMPENSATION DECLARATION ments covered by this permit, I cannot law, Section 7044 of the Business and license is In full farce IARNING: 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 1St00,000j, IN ADD9ION TO THE DST OF COMPENSA`P`F, 1AMAGES AS PROVIDED FOR IN SECTION 37QS OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. nmmhr• firm uor'e• pnnalty of perjury one of the following declarations: J I have and will ma,nta0n 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 th orforma.Tce of the '.vork for which this permit is issued. Policy No. rage and will mOimpin 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' ante: carrier and po,,cy number are: Policy Number of ,Agent Date tetT, that, inthe performance 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 Cafifomia, and agre If I mould become rub'ect to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions, mW,e of Ap nt., Date jS 1Z �--3 hereby 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). antler's Name Lender's Address ;y my signature below, I certify to each of the following: I am this 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 ordinances and state laws relating to building construction. I authorize representatives of thicp owler fh tee -identified property for inspection purposes. signature of Property Owner or Autl ACTION I DATE I BY PERMIT EXPIRED PERMIT CANCELLED PER',MiT EXTENDED PERMIT FINAL CER rfF CATE OF OCCUPANCY ISSUED JC>XA� DJ-KARATiON OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 51 OF TITLE 40 AND AQMD RU LE I SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION 1_5 NOT APPLICABLE TO FCR OFFICE USE ONLY /Z- I