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Home My WebLink About5 Winged Foot Lnyp rt Bet BUILDING.. PERMIT B. rtment �+ 12222 GA..926588915 APPLICATION i � � P g114) 64d-3288 !'1 V PLAN CHECK NO: LOT SIZE �� ST RU C T. e ' GRADING. APPROVALREQUIRED ❑ YES NO. ({J. G YES' Ll NO ry� OWNER PWI"1G� )ph W t+Mj U USE ZONE ADDRESSPEC 5 >.. SONDE CITY ',O F. J. ZIP CONTRACTOR ''ll �y •• SC ADDRESS P.e - priA vv,r,I NOL, qq3-77114 UT PaT _ 11TRE— FE CITY ..J a .L_ ZIP -{�� Y I YARDS RE e� R.S. ^" 'a LICENSE STATE �.f cLw55. LI0. N0. NEWPO RT LI C. NOm ZONING APPROV FAIR SHARE - $ ARCHITECT OR ARCHITECT TEL. TEL. Ia� ��+g y'd i Ia "9/� FIRE .APPROVAL EXCISE TAX ,30,i +`l $ l/ I[Y 4"i+ ADDRESS .p`� " q,jy '� v y 'I �t(/ q APPROVAL NON. DISTRICT - $ CITY { ^ LIC.' NO. PLAN CHK BY SJHTC $ DESCRIPTION OF WORK OTHER G NEW G ADDLL ALTER ElREPAIRO .- DEMOL. ISH' APPROVAL W j 'T TO ISSUE T'AI. - $. WOHARK COMPENSATION DECLARATION a Fs f t"LYJi� L,Eb-3 y� /� I HEREBY AFFIR THAVE A. CERT FICATE OF CONSENT TO SELFHINSURE OR A ry CY JI Ap ul S'C.� CERTIFICATE WORKERS' COMPEN ATION INSURAN CE OR A CERTIFIED COPY M THEREOF (SEC. OO. LA .CI � '�s�'� `a`'tae- �_. -� io POLICY NO'- COMPANY ❑ CE D COPY I$ H REBT FURNISXEO. SIGNATURE OF _ CERTIFIC. COPY 19 FILED WITH THE-B III I E ENT APPLICANT OATEq PPPLIG LIC NSED CONTRAC "RS DECLARATION CERTIFICATE OF E%EXP. MP ION F OM WORKERS' PL HEREBY AFFIRM THAT I AM L ENS UNDER PROVISIONS OF CHAPTER e - - COMPENSATION INSURANCE PW (COMMENCING WITH SECTION Z000) OF DIVISION 5 OF THE BUSINESS AND (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUN.Ra. PROFESSION CO N MY LICENSE IS N FULL FORCE AN. EFFECTDOLLARS ($100) OR LESS1 A D �` 1 CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS LICENSE CLASS ` f LIC NO ISSUED SHALL NOTj EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME ^ ,g SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORAIA. CONTRACTOfl?+ �� DATE�� V"ry \. DATE APPLICANT - OWNER BUILDER DECLARATION NOTICE TOAPPLICANT: IF AFTER MAKING THIS CERTIFICATE OF EXEMPTION YOU SHOULD BECOME SUEJECT TO THE HERE�YRF RM THAT AM EXEMPT IRS M THE CONTRACTOR'S LICENSE LAW FOR THE E r HE REASON 19EC. TO 15 USINESS AN PROFESSIONS CODE: ANY CITY Ofl LABOR CODE YOU MOST FORTHWITH COMPLY WITH SUCH PROVISIONS ORTXIS PERMIT FOLLOY ING HALL BE DEEMED. REVOKED.. WORKERS 61,N OFR COUNTY WHICH REQUIKFS A PM TTO CONSTRUCTU, ALTER, IMPROVE -DEMOLISH, OR - - REPAIR ANY STRUCTURE PRIOR TO ITS ISSUANC-, ALSO REQUIRES THE APPLICANT CONSTRUCTION LENDING AGENCY R SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE IS LICENSED PURSUANT TO I HEREBY AFFIRM THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THET E PRONSIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9(COMMENDING PERFORMANCE OF THE WORK FOR WHICH THIS T IS PERMIT S ISSUED(SEC SOBY CIVC.1. WITH SECTION 7000) OF DIVISION O THE BUSINESSAND PROFESSIONS CODE) OR THAT HE 15 EXEMPT OF AND THE BASIS FOR THE ALLEGED EXEMPTION. ANY LENDER'S NAME VIOLATION O SECTION 7051.5 BY ANY APPLICANT FOR A PERM17 51 OJECTS THE , A1—� P PLICANTTOAfIVIL PENALTY OFNOT MORE THAN FIVE -HUNDRED DOLLARS ($SOO)S I: LENDERS LJ I AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS'THEIR SOLE I C FV THAT HAVE READ THIS APPLICA N AN STATE THAT THE ABOVE COMPENSATI_ W L DO THE WORK. N. THE STRUCTURE IS NO INTENDED OR RMATO IS CORRECT. I AG E TO C PLY H ALL CITY AND COUNTY OF E ED FOR SALE (SEC. Z044� SI E AN PROFESSIONS CODE: THE O1FFF7OINANCE AN TgTE LAWS R ATING T ' UILOIN CO STRUCTION. AN. HEREBY CONT ACTOp LICENSE LAW DOE T APPLY TO AN OWNER OF PROPERTY WHO AUTHORIZE R BE LA IV OF COU TY TO ENTER UPON THE BUILDS OR pROVE9 THEREON A WHO DO SUCH WORK HIMSELF OR THROUGH ABOVE MENTI PROPE IN. C D POSES HIS OWN-EM OYEEB PROVIDED THAT C IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE IF HOWEVER THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF M LETION.THE OWN BUI DE WILL HAVETHE BURDEN OF PROVING �TH T HE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE1 L LRA TORS TO THE PROPERTY AM EXCLUSIVELY CONTRACTING WITH LICEN6EO SIGNATURE OF PERMITTEE DATE CONTRACTORS TO CONSTRUCT THE PROJECT LCBSAW 7044. BUSINESS AND OWNERPROFE Or NS. ODE THE WILD UI1CS AN IMPROVES CENSE LAW EN WHO APPLY TO AN FOR SUCH PROPERTY HO RUI L05 OR IM C O THEREON AN WHO CONTRACTS Est. V8. $ O(IIBf FBB$ $ FOR RACH PROJECNSE WITH A CONTgpCTO 1 LICENSED PURSUANT TO THE CONTRACTOR'S LICENSE LAW.I. El AM EXEMPT UNDER SEC. . B&PAC. FOR THIS REASON PIC FEE $ PErnnit Fee $ oC/1 C-10 • Ci miff il�r Final Val $ Adj.PIC Fee $' `. .AIR caD $ L7C) TG<alFees.- $ 3Q 1-:+I a WORK MUST BE STARTED WITHIN A PERIOD OF ISO DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES NULL AND VOID. PLAN CHECK VALIDATION CK. MO. CASH. PERMIT VALIDATION C i ni:o. CASH \ r.... d APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATIONi y 'REINFORCINGSTEEL PRESLAR SHEATHING _ FRAMING. DRY WALL C --7 F#/ -.... SUSPENDED CEILING LATHING PLASTERING 'INSULATION- FINAL -. �; '3-- � -,;:c,.-' CERT. OF OCCUPANCY / I, City of. Newport Beach BUILDING PERMIT Building Department - P.O. Box 1768 B. 12153 Beach, CA 9ZH5H$915 APPLICATION'. PLAN CHECK NO. Phone:Newpo(14) Phone: (714). 644-3288 �� SUILDIN ADDRESG f .' LOCALITY Z5S +ti.P LOT NO 5�� BLOCK ,. "_ ACTS STAT. AREA GRP TYPE LONST. PROCESSED 9Y f C LOT SIZE 0 USE OF STRUCT'�] - GRADING APPROVAL REQUIRED El O ACANT 51T,C ❑YES ,p`NO OWNER NOL'_a�L'R "..� LLSE ZONE... PARKING.. a..f 'SPACES AOORE155. % SPPEC. ,y.r. C NDS v„., A_ J •.. - rt%�a D� ^"Vu'( CITY P'If ZIP } i2T FL aqlw- - CONTRACTOR ill 5 1... C- ' �.y,,y � ;'y TEL. [T9 ADDRE$5.+ 'Tn"vP �i y NO. itsPp rv°rw of 1// I AU - y { CITY$+/'SL Y!y11 f { IP J' YARDS. RE R R.S.I� LICENSE STATE Y C LAS5 LIC NO, g NEW PO RT �j l LI0. NQ M` ZONING APPROV " FAIR SHARE $.. ARCHITECT y�� ) 'y' OR ENOR. l�"!�'j°S TEL APPROVAL EXCISE TAX - $ l f�i@z o 'M .� A��REJSlS 'a -� ZIP 'a 'a / GRADING APPROVAL SAN. DISTRICT NO. ZONE $ LIC. HE PLAN CHK �' CITY y✓�. Cg SY' r SJHTC $ ' DESCRIPTION OF WORK OTHER $ NEW L ADD ALTER ❑ REPAIR ❑ DEMOLISH ❑ sa. FT.ewo. eo, IT. GAF. APPROVe rn «ii '1iN / .. JF 11TnI �� C 11 _ !t u}' ,W6R E 'S' COMPENSATION DECLARATION Fn ues 8' I Q HEREBY AFF RM Tilkl HAVE A CERTIFICATE OF CONSENT TO SELF-INFURF�e o L I'-� / CERYI FICATE OF weW S' COMPENSATION gNA NICE OR A BERTIFC COPY J ' TME/RRE��""4/��.F.t��(�EF��'E C(39p00..LAB.G>I `O.y' C� F✓ POLYC I' NO• w S COMPANY CC 0 ❑l CE-RDFIED COPY IS HEREBY FURNISHED. Y L 1_I SIGNATURE OF dd a CEFU FIED COPT IS FILED WITH THE B ILD N EP m ®� o APPLICANT F� DATE ^�C.'--�-AP.P,L ICANTA LICENSED CONTRACTORS DECLARATION CERTIFICATE OF EXEMP ION FRO MysWORKE;5' Q. I HEREBY AFFIRM THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER 9 : COMPENSATIGN INSURANCE 9 ICOMM ENCING WITAS TION JOODI OF DIVISION 3 OF YHE BUSINESS AND Lane SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED 6 ROFE9510N5 CODE. a MY LICENSE IS IN FULL FOpC - D EFF DOLLARS atote OR LESS.) LICENSECLA95 ry0r-71 I CERT'FY�THAT IN PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS r t�/Iy. COX' �y SUBJECT SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO DECO ME CONTRACT R -J2 /. '*' a� • TE SVBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA, - DATE - APPLICANT - OWNER -BUILDER DECLARATION - - NOTICE TO APPLICANT' IF, AFTER MAKING THIS CERTIFICATE OF EXEMPTION, YOU 'HERESY AFFIRM THAT I AM EXEMPT FROM TH'E CONTRACTOR'S LICENSE LAW FOR THE SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS. OF THE FOLLOWING REASON ISEC.]091S BUSIryE59 AN PROFESSIONS CO DE: ANY CITY OR STAUL CO OE YOU MUST FORTHWITH COMPLY WITH SUCH PROVISIONS OR THIS PERMIT OUNTY WHICH REQUIRES A PERMITTO CL'N9TROCT. ALTER, IMPROVE, DEMOLISH, OR SHALL BE DEEMED REVOKED, REPAIR ANY STRUCTURE' PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT CONSTRUCTION LENDING AGENCY FOR SUCH FE KNIT TO FILE A SIGNED STATEMENT THAT HE IS LICENSED PURSUANT TO I HEREBY AFFIRM THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE THE PROVISIONS OF THE CONTRACTOR'S LICENSE LAW (CHAPTER 9 QOMMENCING PERFORMANCE OF THE WORK FOP WHICH THIS PERMIT IS ISSUED 'SEC. 308J, CIV.C.). WITH SECTION ]0001 OF DIVISION 3 OF TBE BUSINESS AND PROFESSION'S CODE) OR THAT HE IS EX EMIT THEREFROM ABU THE BASIS FOR THE ALLEGED EXEMPTION. ANY LENDER'S NAME VIOLATION OF SECTION 7031.B BY ANY APPLICANT FOR P PERMIT SUBJECTS THE PPL CANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS (a6.11: EEI ADDRESS ❑1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE IM(EERTIFY THAT I HAVE READ THIS APPUE ION AND STATE THAT THE ABOVE COMPENSATION WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFM#1 S CORRECT, 1 GREE T MPLY WITH ALI. CITY AND COUNTY OFFERED FORSALE (SEC. 704 BUSINESS D PROFESSIONS COURT THE OROINANC ES A O STATE LAWS FLAT TO BUILDING CONSTRUCTION, AND HEREBY ONNURAEUUONVS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO AVTHOR ZE R RESE All S THII COUNTY TO ENTER. UPON. THE BUILDS OR IMPROVES THEREON AN WHO DOES H WORK HIMSELF OR THROUGH ADOVE M NTIO R TY FOR LSPECT N PURPOSES. OWN EMP YEES PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR O ERED FORSALE. IF, HOWEVER THE BUILDING O MPROVEMENT IS SOLO WITHIN P e. ON E YEAR OF CC MPLETION. TH E OWN ER B U I LD ER WI LL H AVE TH E B OR D ON OF PROVING THAT HE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF RA E 1 ❑ I AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED SIGNATURE FFERMITTEE VV CONTRACTORS TO CONSTRUCT THE PROJECT (SEC: 7044 BUSINESS AND DATE PROFESSIONS CODE: THE CONTRACTOR'S LICENSE LAW GOES NOT APPLY TO AN [� OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO CONTRACTS F01. V0. $ —I I Y.Y Q(IEI F020 $ FOR SUCH-PROJELTS WITH A CONTRACTCR(SI LICENSED 'THRSUANT TO THE CONTRACTOR'S LICENSE LAW-1 ^� ❑ 1 AM EXEMPT TH DER SEC. . B&P. C. FOR. THIS REASON+� PIC Fee $ vi QV r, Penult Fee $ Final Val $ Adj. PIC Fee $ DATE BwNER C&D $�--,aT � Total Fees $ WORK MUST BE STARTED WITHIN A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATION OR THIS PERMIT BECOMES NULL AND VOID. PLAN CHECK VALIDATION CK M.G. LASH PERMIT VA41DATION DR. MO: CASK di y 7 i.`- r4< 7 h`tti APPROVALS -,.... DATE ;f INSPECTOR S ,SIGNATURE FOUNDATION: ,t,!'� -. ..,'2z//:w ��j., _. REINFORCINGSTEEL -PRESLAB SHEATHING 71 `r •. �;' , . :\ DRY ,WALL SUSPENDED' CEILING LATHING i Scratch PLASTERING Drown INSULATION FINAL CEKT; OF OCCUPANCY- . .. C A. CirP� DEPOSIT RELEASED FOR REFUND ON TO: City of Newport Beach Building Department P.O. Box 1768 Newport Beach, CA 92658-8915 Phone: (714) 644-3288 BUILDING PERMIJ 1 APPLICATION L REQUIRED ❑ YES A 'My CLASS F LI4 NO. y �� LIQVNOrt( - A APPROVAL SHARE $ ARCHITECS TEL. '-� FIRE EXCISE TAX OR ENGR NO, APPROVAL �a� �J� GRAG INO SAN. DISTRICT AGORES / ZIP �" "' APPROVA NO. ZONE $ LIC. PLAN CH ) S.IHTC CITY NO, BY $' 0 ESCRIPTION OF WORT( OTHER S NEW ❑ ADD ALTER ❑ REPAIR ❑ DEMOLISH El�V APP ROVA° ��() TO Is,s.UE "y try _ TOTAL $�L- cs. ^FFFF. �OR,ER CFar.ERTIF CAT.EFIOM WORDERS'VCOMPENSATIO COMPENSATION DECLARATION NS NSURO NCEN OR A BELLOR A TIFU�COPY ^— S P ga�0� l OF LICENSED CONTRACTORS DECLARATION HEREBY AFFIRM THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER B 'COMM ENCING H �y��p�CCC[.y)T'IO OOO) OF OIVISI ON 3 OF THE BUBINFb PND PROFESS ON CO V LIC N6E IE IN FULL FORCE+ 'O✓ F \�/ 'GET SE CLAS C. N'O�`9)ZW`j PZ/ ✓�+ CONTRALTO """ A A • CMTE�j OWNER -BUILDER DECLARATION EREBY-AFFIRM THAT I AM EXEMPT FROM THE CONTRACTOR'S LICENSE LAW FOR THE FOLLOWING REASON (EEC. ] BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER, IMPROVE, DEMOLISH, OR REPAIR ANY STRUCTURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTOR'S LICENSE LAW (CHAPTER 9 (COMMENCING IF ATION OF SECTION ]031,5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS OFROO),X R Ell. AS OWNER or THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE WILL COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC, DOES, NOT APPLY AND PROFESSIONS CODE: THE C.TRACTOR'S LICENSE LAW DOES WHOD ES TO H WORK HI S PROPERTY WHO HIS ODS WN E IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR THROUGH HIS OWN EMPLOYEES, PROVIDED THAT SUCH BUILDING IMPROVEMENTS ARE NOT INTENDED IN OFFERED FOR SALE IF. HOWEVER. THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR ID NOM BUILD N. THE IMPROVE EF R TH ER WILL SC OF SE BURDEN OF PROVING THAT HE DID NOT BUILD OR IMPROVE FOR THE PVRPOSE OF SALE.(, ❑ I, AS OWNER OF THE PROPERTY. AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. ABURIN ESS AND PROFESSIONS CODE: THE CONTRACTOR'S LICENSE LAW DOES NOT TO AN POLICY NaALA, "'COMPANY ❑-I CERTIFIED COPY IS HEREBY FILE SHEO. j7 LJ CERTIVI O CD F LEO WITH THE BU A T4 r DATE APPLCANT CERTIFICATE OF EXEMPTION FROM WORKERS' ° COMPENSATION INSURANCE. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($IOO) OR LESS) CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMT IS ISSUED I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER Be AS TO BECOME SUBJECT TO THE WORKERS COMPENSATION LAWS OF CALIFORNIA. DATE A11FCANT NOTICE TO APPLICANT: IF, AFTER MAKING THIS CERTIFICATE OF EXEMPTION, YOU SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF THE LABOR CODE, YOU MUST FORTHWITH COMPLY WITH SUCH PROVISIONS OR THIS PERMIT SHALL BE DEEMED REVOKED. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORT( FOR WHICH THIS PERMIT 15 ISSUED (SEC. 3097, CIV.C.). LEfJ➢CW�ME DRESS — OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO CONTRACTS EA. Val. �! � �� 1i d $ r[✓.➢ir L FOR SUCH PROJECTS WITH A CONTRACTOR'S) LICENSED PURSUANT TO THE CONTRACTOR'S LICENSE LAW.L —r--°"�— 3 ❑ PIC Fee $ I AM EXEMPT UNDER SEC. __, B.&P. C. FOR THIS REASON Final V.I. $_. DATE OWNER C&D $ / y 'LICITIQN AND STATE THAT THE ABOVE COMELY WITHALL CITY AND COUNTY TO BUILDING CONSTRUCTION, AND HEREBY HIS COUNTY TO ENTER UPON THE FOR PURPOSES I !Ai`. l � L E Other Fees $ Permit Fee $ L Atli. PIC Fee- $ 12 WORK MUST BE STARTED WITHIN A PERIOD OF 180 DAYS FROM THE DATE OF VALIDATIONOR THIS PERMIT BECOMES NULL AND VOID, PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION r CK. M.C. •-CASH INSPECTOR'S APPROVALS` _ L, DATE SIPNATUAE FOUNDATION: REINFORCING- STEELPRESLAV SHEATHING FRAMING DRY WALL .. .. - SUSPENDED. CEILING LATHING �,CsL- " SCra1Ch.. .. i1 a i"�'?°s.t"• '.'. PLASTERING Brown r� l �- �( -Scl _ . INSULATION. `� r .�''` I f'_ ::sc� .FINAL • a t" 1N:`'. CERT OF OCCUPANCY IL I