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Home My WebLink AboutF2024-0233 - PermitsP City of Newport Beach IIIIIIII Community Development Department- Building Division FI 2 2 4 g 2 a 3 IIIIIIIIIIIIII (IIIIIIII (III (IIIIIIII IIIII COMB Permit : F2024 0233 " 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check -ND �( '_ " LfL - - — - �% Permit Counter Phone: 949 718-1888 - - --- -- - - - _ ra a � � Issued Date : 05/1Ei/2024 newportbeachca.gov/civic Final Date: u�xcc� Combination Type - Permit Status: Issued Work Class - Other Inspection Area : FIRE 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: 1011 CAMELBACK ST Legal Desc': P BK 45 PG 39PAR 1; TR 6680 LOT 2 POR OF LOT AND P Description: COMM TEMPORARY FENCING Owner: TEMPLE BAT Contractor ` Architect : JEANNETTE BRION S Address: 1011 CAMELBACK ST Address: ''' 18265 MOUNT BALDY CIR Address : 470 OLD NEWPORT BLVD NEWPORT NEWPORT BEACH, CA 92660 FOUNTAIN VALLEY, CA 92708 BEACH, CA 92663 Phone : Phone : (714) 536-1429 Phone: (949) 645-5854 Con State Lic : 377814' State Lic : C008012 Lic Expire : 07/31/2025 Applicant: MARTIN BARD Bus Lic: BT30080499 Engineer Address : 470 OLD NEWPORT BLVD Bus Lic Expire : 01/31/2025 Address NEWPORT BEACH, CA 92663 Phone: (949) 645-5854 Workers' Compensation Insurance Phone: Carrier: EVEREST PREMIER INS CO Owner/Builder : Policy No: 7600011706221 Designer: Address : W. C. Expire: 7/1/2024 Address : Phone: - Phone: Code Edition : 2022 Fire Sprinklers : = NO Construction Valuation : $3,500.00 Type of Construction : Fire Hazard Zone NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories ; 0 Add/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone: X l � Use Zone: PC - North Ford PROCESSED BY: ; o� �r:` ��T,W 1 � •`� I G SPECIAL CONEJIION`S� I hereby afflan under penalty of trerjury ttroat I Earn exenipt.frorn the ContractorseState License Law forthe raoson(s) indicated below by the checkmark(s) I have placed next to the applicable item($) (Se:otion 7031. , Business and Profession$' Oodw Any city oar county that ro quires u permlt to construct, alter, Improve, demolish, far rapalr any structure, prior for its lhsuaatce, _also requires the applicant. for the permit to file a signed statement that he or shots liconsed pursuant to thole provisions of than Contractors' Strata License Low (Chapter 9 (commencing with Section 7000l of Otylslon 3 of the Business and Professions ode):or that he or =the It exempt from Iicunsura and the Weis for the alleged exemption. a ny vivlafion of Section 7031 Z by any applicant fora permit subjeots>the applicant to a civil penalty of not more #halt five, hundred dollars ( 00) t, as olwner of the property, or my employees with wages as their sole compensation, will do () all of or f ) portions oaf the work, and the structure Is not Intended or offered for sale (Section 7044., Busl-nos% and Professions Code: The Contractors'State: License Law does not apply it) 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, thebuildingor Improvement Is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not builtor itrt rowed 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 Coda; The Contractors' State License Law does not ra , ty Io an owner of property who builds or Improves thereon, and wig contracts for the projects with a licensed Contractor pursuant to the Contractors' Mate License Law). t am exenif from licsensure ranger time Contractors' State License Low for the following reason _..._ .. �...... � ......w. .w � ...... ........ ,d, .� ,m,, �.. _ � � . �.... ,. ., � , �.�. ,� .„ _..__.•., .. By any 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, lecdall sell a structure that I have built as an owner -builder if it has not been constructed In Its.entirety by licensed contactors, I understand, that a copy of the applicable law, Section, 7044.of the Business and Professions triode, Is available upon request when this application is submitted orot. the following Web siW;htt.P:// rw w,logirito.ca. ov/delavt.lit i. (Signature of property Owner or Authorized l� #Agent p^�q .. ,..�... ..�.. Date _ &.,,.Ili�E1'4Ed+�k,i Aa{�A! 1 l+el[[4 Ilr�1�«,F'"4!€!�R"XTRW �u...�,.u,,,�.�.,�..�,. I hereby affirm under penalty of perjury that I am licensed under provisions of Ghapter;9 (obm enoino. .wittr Section 7 get) of i M on 3 of the Business and Profo sions do, and my I� ar �a is to full farce end effect. License Glass License No Da �ontroactorSlgr rea WORKERS' COMPENSATION DECLARATION WARNING., FAILURE TO SECURE WORKERS' COMPENSATION' COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP T0ONE HUNDRED THOUSAND N S t$1'00,000l, IN ADDITION TO THE COST OF COMPS NEATIONr DAMAO,ES AS PROVIDED FOR IN SECTION 3700 01` THE LABOR COOM INTEREST, AND ATTORNEYS FEES, t hereby affirm under penalty of perjury one of the following declarations I have and will maintain a certificate of consent to sell -insure, for wort em' Compensation, Issued, by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for th Pp mmanco of that work for which this porrrill is Issued. Molloy too. Ell vo and will maintain workers' compensation Insurance,, as required by Section 37,00 of the Labor Codes for thee performance.of the worts for which this. permit is issued, My workers` compensatio Insur, rice carrier and policy number rare: a r' r Molloy Number Expiration Date Name of Agent ..,,Phone # it certify that, In the performance of the work for whi this permit is Issued, I shall not employ anyperson in any manner so as to become subject to the workers' compensation laws of California, and afire. titer, If l sflcauld become sutafact t e whrkers' c sation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. Signature of Applican DECLARATION REG I CAI N TR �3 L NDIN AGERCY I hereby affirm under penalty of pedury t t there is oa construction lending agency for the performance of the words for which thla permit Is, issued (Section 3097, Civil' Code). Lender`s Name. �..._ gender's Address, -- By my signature below, t certify to each of the followwing: I am the pr perty owner or authorized. to sot oil the property owner's behalf. I have read this application and the Information I have provided Is correct,. I ogreo to,comply with all applicable city and county ordinanc s and state lawn relating to building. construction.. I authorize representatives of this city or county era enter'th ova identi ra rimy for Inspection purposes. / i nature$ oaf Fora tort t��tzner or Authorized A emit Tint Property Owner's or Authorizatt A ont's Nance INY Date ACTION EaATE BY LARATIO F COMIPLIANCE WITH Capin OP FEOERA,L FOR OFFICE USE ONLY � y�� R ART 61:0F LATH N : ` 1 Ll �t�r AN0 Attt Mitt Rtti r� ��fa f lJ 1,403 uo= PERM) EXPIRED 9 SUBMITTED ASBESTOS NOTIFICATION TO PERMIMTMEV lit"ftivltT � Al. P� maw ESTOS NOTIFICATION iS N 'f APPUCABLE TO J OCCUPANCYIMED SIGNATURE, � J -� •, J J I J J