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Home My WebLink AboutXR2023-2311 - Permits�EwPoRr City of Newport Beach IIIIIIIIII��III�III�I�I�I��I�II��III� II p� e Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - SFP Work Class - Alteration COMB Permit : XR2023A311 Plan Check No: PC2023-2028 _ Issued Date : 09/13/2023 Final Date: 0 Permit Status: Issued Inspection Area : 2 O (P� PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINA SUAN( NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HO YS IN r - TE 0 Job Address : 105 VIA LIDO SOUD Legal Desc : N TR 907 BLK LOT 877 TRACT NO 907 LOT 877 & 878 AN 0 ZG Description: SFR DEMOLISH (E) FOYER TO SEPARATE TWO SFR UNITS WITH 103 VIA LIDO SOLID AND ALT WITH (N) FACADE 15 SF. REMOV�ND COV MANT. Owner: FLUTER RUSSELL E TR Address : 2025 W BALBOA BLVD NEWPORT BEACH, CA 92663 Phone: (949)466-9468 Applicant: PHIL EDMONDSON Address : 305 ORANGE AV, B HUNTINGTON BEACH, CA 92648 Phone: (949)675-9468 Owner/Builder : Address : Phone Contractor: MICHAEL A EVANS INC Address : 9197 NADINE RIVER FOUNTAIN VALLEY, CA 92708 Phone: (714)963-9809 Can State Lie : 498867 Lie Expire: 09/30/2024 Bus Lie: BT00007441 Bus Lie Expire : 12/31/2022 Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : 1 Bldg Height : No of Stories : 2 Building Setbacks : Front: 4, Front: 10, Side: 4, Side: 4, Front: 10, Front: 4, Side: 4, Side: 4 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: rJl SPECIAL CONDITIONS: Architect : PHIL EDMONDSON -t Address : 305 ORANGE AV, B HUNTING ,` BEACH, CA 92648 Phone: (949)675-9468 - State Lie : C018423 Engineer: MANSHADI FARHAD Address : 1800 E 16TH ST UNIT B SANTA ANA, CA 92701 Phone: (714) 835-2880 Designer: Address Phone: Construction Valuation : $17,500.00 Added/New/Ti sq. ft. Bldg: 0 Alteration sq. ft. Bldg : 15 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DEGLAKA I IUN I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Lawfar the reason(s) indicated below repair the checcture, prior I have placed next to the applicable items) 'Section 7031.5. Business and Professions Code: Any city or County that requires a permit to construct, alter, improve, demelish,. or repair any strucenciture, with Section 7000) of Division 3 of prior to its issuance, also requires the applicant for the aw (Chapter 9 (comm bhe ro es olnsofile a signed Code) or that herement that lie or she o she is exempt froms licensed pursuant to the licensura and the basis fortheprovisions allegedf exemption Any violation License of Section 7031.5 by any applicant or a permit Subjects the applicant Iola che ivil penalty off Tot more than five hundred dollars (£••500). 1., as owner of the property, or my employees with wages as their sole compensation, will do }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' or personal effort, builds or improves the property, provided that lire improvements are not Intended or offered for sale. If, however, the building or Inapt cvement is sold within one year of completion, the Owner -Builder will have the burden of proving that R was not built or improved for the purpose of sale). ❑ 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt from (Censure under the Contractors' State License Law fur 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 prior to completion of the improvements covered by this permit, I Cannot legally sell a structure that I have built as an ommer-builder If it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and Professions Code,, is available upon request when this application is submitted or at the following Web site:httpillwww.leginfo.ca.govlcalaw.html. Date _...,� Signature of Property Owner or Authorized AgentLICENSED CONTRACTOR'S CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisia 3 of the Business and Profe sions Code, and my license is In frill force and effect. License Class License No Date 13'Z Contractor Signature WORKERS' COMPENSATION DECLARATION (WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,000j, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 11 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain 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, forth orformanca 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, or the performance of the work far wnich this permit is issued. My workers' compensation insurance carrier and policy number ara: carrier Policy Number Expiration Date 91 of Agent knify that, in the performance of the work for which this permit is issued. I shall not employ any person if) any manner so as to become subject to the workers compensation laws of California, and if I should become subie_j to the}yorrlers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. cl—tzrZz Celle of Applicant JECI-A"I IUN KWiA Vimw UVAQ I nv�++vn w,.+„+.++.,.�+ ++. .,.�, hereby affirm under penalty of perjury that there is a cdnsVvetion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code . .endRr's Name Lender's Address 3y my signature below, I certify to each of the following: I am the 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 this city or county to an the ab�+r�idenI ied property for inspection purposes. 'signature of Propw Owner or Authorized Agent - ljL✓V L-! Print Property Owner's or Authorized Agent's Name ACTION 1 DATE BY 99 ECLARAT[ONOF COMPLIANCE WIT14 Lurie OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 61 OF TITLE. 40 AND AQMP RULE PERMIT EXPIRED i L' I SUBMITTED ASBESTOS NOTIFICATION 10 —...._ ....... __LTEPA...__-._.__ _..... ....._ 4 +MMD _ PERM7T FX7ENOE5 _--- FERMITFYNAL ASBE5T05 NOTIFICATION IS N01"APPLICABLE 10 �� CERTIFICATE OF r ROPOSFp DEM9LITT y OCCUPANCYI55UE0 _--I CIGNATURE x 1/-� Datey—f3 03