HomeMy WebLinkAboutXR2024-0546 - PermitsaeWPoR City of Newport Beach IIIIIIII I IIII IIIIII II III IIIIIIIIIIIIII II COMB Permit : XR2024-0546
�� a@ Community Development Department- Building Division X R 2 0 2 4 0 5 4 6
> r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
_ Permit Counter Phone: (949) 718-1888 Issued Date : 03/06/2024
newportbeachca.gov/civic Final Date:
Combination Type - SFP Permit Status: Issued
Work Class - Other Inspection Area : 2
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 : 137 VIA WAZIERS Legal Desc : N TR 907 BLK LOT 292
Description: SFR - R/R WINDOWS & DOORS (22 WINDOWS, 2 DOORS)
Owner: GARYEMSIEK Contractor: OWNER/BUILDER
Architect:
Address : 137 VIA WAZIERS Address :
Address
NEWPORT BEACH, CA 92663
Phone : (949) 322-6984 Phone:
Phone
Con State Lie: OWNER/BUILDER
State Lie
Lie Expire
Applicant: GARY EMSIEK Bus Lie:
Engineer
Address : 137 VIA WAZIERS Bus Lie Expire :
Address
NEWPORT BEACH, CA 92663
Phone : (949) 322-6984 Workers' Compensation Insurance
Phone
Carrier :
Owner/Builder : GARY EMSIEK Policy No:
Designer
Address : 137 VIA WAZIERS W. C. Expire:
Address
NEWPORT BEACH, CA 92663
Phone: (949) 322-6984
Phone:
Code Edition : 2022 Fire Sprinklers : NO
Construction Valuation :
$18,000.00
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: 4, Front: 0, Side: 3, Side: 3
Flood Zone : X
Use Zone: R-1 -Single-Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 applicable item(s)
Ilion 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 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
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 fora 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 L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
:mass 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.
Irovements 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 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
Ily 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).
J I am exempt from licensure under the
y my signature below I acknowledge the
all a structure that I have built as an own,
'rofesslons Code, Is available upon r D
rl Ignature of Property Owner or Au i
ICENSED CONTRACTOR'S I 'Cl,
hereby affirm under penalty of pole IN
nd effect. License Class
>nto nhanot,,be
o Law For the following reasGn,_,_ _.__.—..._
eresidence in �rohlon I must hero resided for at least one year prior to co ,plotion of the Improvements covered by this permit, I cannot leg<
den constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and _
when s submitted or at the following Web site:http:llwww.leginto.ca.gov/calaw.html. ��/J'
nnnl - 's'PaA}N -A Y" C...LI
COMPENSATION DECLARATION
der provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
License No Date Contractor Signature
YARNING: 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 ($100,000), IN ADDITION TO THE
„OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEya FEES.
hereby affirm under penalty of perjury one of the following declarations:
-1 1 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, for thi
lerfornlance 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,. for the performance of the work for which this permit is issued. My workers'
ranee carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the 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 California, and
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date
)ECLARAT€ON REGARDING CONSTRUCTION LENDING AGENCY
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).
_Under's Name Lenders Address
3y lily signature below, I certify to each of the following:
t am the property owner or authorized to act on ih operty owner s behalf.
I have read this application and the fcity and
I have I e 1, orrect.
I agree to comply with all applicable city and ounty rdi a ws relating to building construction.
1 authorize representatives of this city ar ceu ty to en er the above i entified prope r-k1spP..c[Ipn_purposes. l!-
Owner or Ai
DATE
PERMIT CANCELLED
........._ ...... .......... _.................
PERMIT EXTENDED
PERMrT FINAL
CERTIFICATE Or
OCCUPANCYISSUED
BY 'BECLARA416N OF COMPLIANCE WITH CODE OF FEDERAL
j REGULATIONS PART 61 OF TITLE 40 AND AQNlD RULE
l
UASBES705 NOII FICATION I5 NDl'APPLICABLI, TO
Dye- : PROPOSED DEMOLITION
FOR OFFICE USE ONLY
Date