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Home My WebLink AboutM2023-0079 - Permitse��WPORr City of Community r I,, 100 Civic C 6 S Permit Cou C9�OQN�P newportbee wport Beach IIII I I II I III II II II III I II Harbor Permit : M2O23-00%9 ,elopment Department- Building Division r Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2750 Phone: (949) 718-1888 Work Class : Other 3.gov/civic Issued Date : 11/1312023 Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays. Job Address : 506 38TH S1 Legal Desc : A TR CANAL SECTION BLK 537 LOT 4 Description: SFR - R/R S AWALL ALONG (E) ALIGNMENT Owner: ROBERTBOWI Address : 38 SEAL ROCK 94121 Phone : Applicant: LISA MILLER Address : 837 W 17TH S1 Phone: (949) 548-5359 Code Edition : Type of Construction Occupancy Groups : U Building Setbacks Flood Zone Use Zone : Processed By: SPECIAL CONDITIONS: IAN Contractor: ASSOCIATED PACIFIC CONST DR SAN FRANCISCO, CA Address : 495 EMBARCADERO MORRO BAY, CA 93442 Phone: (805)772-7472 Con State Lic : 394886 Lic Expire : 11/30/2024 BEET COSTA MESA, CA 92627 Bus Lic: BT30047194 Bus Lic Expire : 05/31/2024 it: 3, Front: 20, Side: 3, Side: 3 8 FT; X - Two -Unit Residential 0 The Longshore and Harbor Workers' Insurance Carrier: MANUFACTURERS ALLIANCE INSURANCE Policy No COMFIIM f'010391755Y Policy Expire : 10/1/2024 Fire Sprinklers : NO Fire Hazard Zone : NO Architect Address Phone: State Lic Engineer: PETROV PLAMEN Address : 28161 CASITAS CT LAGUNA NIGUEL, CA 92677 Phone : (714) 717-7542 Designer: Address Phone : Construction Valuation : $150,000.00 a , I hereby affirm under penalty of perjury that I am'. exempt from the Contractors' State License Lary for the reasons) Indicated below by the checkmarK(s) I have placed next to the applicable item(s) Sion 7031.5, Business and Professions Code: Any city or county that requires a perm it to construct, after, improve, demolish, or repair any structure, prior to is issuance, also requires the applicant to perm Ito 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 700C) of Division 3 of the Business am lessons : COde) or In he or she s exempt from I censure and the bass for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty a more than five hundred dollars. (S500). L. as owner or the property. or my employees wltn 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, iness and Professions Ccde.: The ContractorsState License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the propeny, provided that th( rovements are not Intended or offered for sale. If. however, the building or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built a roved for the purpose of sale). 1, as owner ofthe property, am.. exclusively contracting A, In licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors' State License Law does not y to an owner of property who bulkls or improves thereon, and'aho contracts forma projects with a licensed Contractor pursuant to the Contractors' State License Law). U I am exempt from lice nsure underthe Contractors' State License Law for the following reason: By my Sgnature 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 Improvementscc set a. structure that I have bull as an owner builder if I has not been Constructed in IS entirety by licensed contractors. I understand that a copy of the applicable law Professions Code, is available upon request when this application is submitted or at the following Web site:http:lfwww.leginfo.ca.govicataw.htmI Signature of Property (Turner or -Authorized Agent lON the LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury treat I am licensed under provisions of Chapter 9 (commence g uvith ti%� 00) of. Division 3 of the Bus ss a- fes s Code, and my license is In full force and effect. License Class License No Date J. �l�.�5 Contractor Signature LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION 666 WARNING! FAILURE TO SECURE LONGM ORE MN'S & HARBOR WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND. SHALL SUBJECT AN I EMPLOYER TO CRIMINAL PENALTIES AND Cr FIVES UP To ONE HUNDRED TKOU SAN D DOLLARS (S10D,DDDI, IN ADDITION TO THE COST OF C01 R 11SA7ION, DAhtAGES AS PROVIDED FOR IN SECRON' ] OJ OF THE LABOR CODE, INTEREST, AND ATLORNEY'S FEES. hereby afrm under penalty of perjury one Of the following U I have and will m aintaln Longshoremen's and Harbor 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' compensation insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent i1 Phone # ❑ I certify that, in t e for a Of a work forwhlch this permit s issued, I shall not employ any person in any manner so as to become subject theworkers' compensation laws of California, iagree that, d I: should Dec me ubJ c the orKers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith con.ply with those provslons. Signature of Applica N RE_GAREAI CON STR.UCTION I hereby am:rm under penalty of perjury that there is a construction lending agency for the performance of the work Tor which this permit! a issued (Section 3097, Civil Code)_ Lender's Name Lender'sAddress By my signature below, t certifyto each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application a .. formation I have provided Is correct. I agree to comply ih all able cl and county ordinances and state. laws relating to building construction. I authoriice repres ntat f Is city rcounty to enter the above identified property for inspection purposes. I j y f Signature: it Print Name: L --i3i, l� '42v- Date: ACTION GATE gy utc.u+ruf tun ur m.uAeruAmn>•rc we In Luueur FEDERAL REGULATIONS PART61 OF TI-ILE40AND AOME) RULE 1403. ❑ I SUBMaTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMiF EXPfRED PERMITCANCELLEO PERMIT EXT&VEIED OOPOSEDTDEMO TtICAT701i NOTAPPLICAEALE TO SfGNATURE: PERMIT FINAL CERTi:F1CATE£Ar �� OCCUPANCY:lSSJED �'