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Home My WebLink AboutXR2023-0707 - Permits�EWPORr City of Newport Beach II IIIIIII II IIIII I IIII IIIIIII III III II II 0� @ Community Development Department- Building Division X R 2 0 2 3 0 7 0 7 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u ate.. r Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other COMB Permit: XR2023-0707 Plan Check No: PC2023-0587 Issued Date : 04113/2023 Inspection Area : 8 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 : 1036 POLARIS DR Legal Desc : N TR 4224 BLK LOT 155 Description: SFR RECESSED LIGHTING AND HEATERS TO (E) BALCONIES AND DRAINAGE *123-1055 * , Owner: KRUGMAN MARK E TR Contractor: MILLENNIUM CONSTR Architect Address : 1036 POLARIS DR Address : 2901 W COAST HIGHWAY Address NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92663 • •' Phone: Phone: (949)258-4366 Phone: „ Con State Lie : 804132 State Lie : • .. , Lie Expire : 10/31/2023 Applicant : MILLENNIUM CONSTR Bus Lie: BT30080150 Engineer Address : 2901 W COAST HIGHWAY Bus Lie Expire : 08/31/2023 Address NEWPORT BEACH, CA 92663 Phone: (949) 258-4366 Workers' Compensation Insurance Phone: Carrier: COMPWEST INS CO Owner/Builder : Policy No: CWWCP100063383 Designer: MILLENNIUM CONSTR . Address : W. C. Expire : 7/1/2023 Address: 2901 W COAST HIGHWAY' ' NEWPORT BEACH, CA 92663 Phone: Phone: (949)258-4366 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $4,000.00 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: 10, Side: 6, Side: 6, Rear: 6, Rear: 6 Flood Zone : AE, B FT; X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: �`'p SPECIAL CONDITIONS: i 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 applicableitem(s) {Section 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 eptelidant for the permit to 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 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 violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500).. [,as owner of the property, or my employees with wages as their sole compensation, will do(_) all of or L) 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 the improvements are not intended or offered for sale. If, however, the building or Improvement is sold within oils year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors t0 construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who Guilds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 0 I am exempt from licensure under the Contractors' State License Law for 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 legal) sell a structure that I have built as an owner -builder if it has not been constructed in its entircty by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:/lwvnv.leginfo.ca,govfcalaw.html. Signature of ProDRrty Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I herahy affirm under penalty of pe ry.�/r4� that I am licensed under provisions of Cj1apter 9 commencing with Section 7 00) of Oivisi n 3 of the Business and Pro ssions C a, and my?! nse is In full farce u',la uf/ect. LiGenre Class Ji f 2L License No ,1(�J g/� % Daie� �/�/ S' �� Contractor Signatur s�<,, WORKERS' COMPENSATION DECLARATION Wx RNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO' ONE HUNDRED TH SAND DOLLARS [5100,000), IN ADDITION TO THE 1 COST OF COMPEN'_ATION,. DAMAGES AS PROVIOED FOR IN SECTION D706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES, I nerew, affirm under penalty of perjury one of the following declarations: EO I have and will msintaCn 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 Dnce of the work for which this permit is issued. Policy No. LEI ha and will maintain 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' cdmpensatio nue carrier ant policy number are: .Carrier- Policy Number Expiration Date 41ams m Agent Phone fl I certify that, in the performance or 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 Califomia, and agre that, if I should become sub' cl to/a workers' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7 Signature of Applicant _ Data l S Z3 DECLARATION REGA. IN ONSTRUGTION LENDING AGENCY I hereby affirm under Pena 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). Lenders Name Lender's Address By 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 incorrect. I agree to comply with all applicable city and county ordiIjances and slate lases relating to building construction. I authorize representatives of this city or county to nt he above entified property for inspection purposes. Si nature of Property Owner or Authorized A ent ) Print PropertyOwner's or Authorized Agent's NameD ACTION DATE. BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPfRED U I SUBMITTED ASRF.STOS NOTIFICATION TO PERMITCANCELLED PEAMiT EXTENDED7�ry-IJAOMD I.,J _ PCA'Y1IT FINAL r1, (� ASBESTOS NOt IFICA'tION 15 NOT APPLICABLE To CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: