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Home My WebLink AboutF2022-0093 - PermitsCity of Newport Beach - Community Development Department- Building Division F 2 0 2 2 0 0 9 3 COMB Permit :F2022 0093 100 Civic Center Drive, - New , D- C__ ort Beach, 92660 _-P-- lan-Check No :-0300-2022— Permit Counter Phone: (949) 718-1888 Issued Date: 06/2412 22 newportbeachca.gov/civic Inspection Area Combination Type - ,qj 1 (7165 Work Class - New 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 : 1448KEY VIEW Description: FUEL MODIFICATION Owner: Address Phone Applicant: ERIC OLSEN Address: 2728 E COAST HWY, STEA CORONA DEL MAR, CA 92625 Phone: (949) 887-8856 OwneriBuilder: Address: Phone : Code Edition : Type of Construction Occupancy Groups - Bldg Height : Legal Desc NTR 6152 BLK LOT 55., Contractor Tom Pulice Architect ERIC OLSEN Address 2947 E Grace lane NE, C Address 2728 E COAST HWY, STE A CORONA DEL Costa mesa CA 92626 MAR, CA 92625 Phone (949) 887-9599 Phone (949) 887-8856 Con State Lie : 912477 State Lie Lie Expire 05/31/2023 Bus Lie BT30044186 Engineer: FORBES DALE L Bus Lie Expire 07/31/2022 Address: 1800 E 16TH ST #13 SANTA ANA, CA 92701 Workers' Compensation insurance Phone: (714) 835-2800 Carrier: STATE+COMPENSATION+INSURANCE+FUN D Policy No: 9129520 Designer: W. C. Expire: 413/2023 Address Phone: Fire Sprinklers: NO Construction Valuation Fire:Hazard Zone YES Added/NewJTI sq. ft. Bldg No of Units 0 Alteration sq. ft. Bldg - No of Stories Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks: Front: 51, Side: 6, Side: 6, Rear: 6 Flood Zone X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: `'j 0 0 UWfJH"- t,lIL0U--K,t E� ULAhi&T1VfV I hereby afiirrti unsfer pelitrlty of -perjury: hat i am oxer"purom the taontrao:tCira' SCafd; L10 erael: Latw �ortfie reason 3 i dlcaked bolow by the oahecktherk�r).fhave} plated 'rieact to the applicable ,ftr rrt(s} (Seciion 7031 .5, Bossiness and Professions Gode. Any city or county that requires a perrolt to construot, alter, Improve, demolish, or repair any structure, prfr�rCo:Its issoonce; also requires the applicant for rhea pormlt Witte p slgna�rl strafsNrnt�nt that ho3 or she laT Ilcainsod palr.•su�rid, to thra pro�+i$iona of tlia ontractr!r�" State L icoansd Lraw (.Gilapter 9 (c&Tarnenclhg with SOD !on 7000C of C7ivisioan 3 cif titea Business grid Professions Caodo) >br that he or sho is exempt from lloaarasurIo rand the basis, far the alleged axemptlon. Any. violation of Reetion 7031.E by any appCicant for a permit aubjactflhe applic ntio a civil penalty of not more than five hundred dollars 1, as yawner of the property, or niy employees with wr,c0es:as their sole compensation, will do U all of or U portions of (he worki and the structure Is not. intended or offered for safo (Seclion.1044, Suislnesry. and ProfOssiong made: The oritractcrs' State License Law does not apply to an owner of property who, through employees' or personal effort{ buildsr or improves the property, provided that the improvements ere not hIila tided or coffered for sale.. If, however, the bullding or Improvement Is sold within one year of Completion, the Qwrner-Builderwill have the burden of ,proving that it.was that built or Ilrt roved. for the, purpose of Sale), 1, as Owner of Cite property, am exclusivoly contreclirtg with licensed contractors to construct lire project (Section 70.44, Business and Professions Godo;i The Contreators' State License Lava+ does not a IY to an Owner of properly who builds or Imp roves -thereon, and who contracts for the. projecta with a Iloonsed Contractor pursuant too the Contractors' State License Law), I ram exempt from llce nsure undvrthe onlractorsl' atato License Law for doe foltovAng reascrrT By my saignature bolowr l acknowledge that, excopt far rliy persoaial rasldence In which I must drive resided for et least no yoar prior to Completion of'the iniproveriienta covered by this:p+orniti, I:cannot legall jolt ra structure, that C have built as an owlior holiday if Cl has not bo4rr.conrttructod in its elitlraty y Iloaansecl�contr'pptors. I uoderatand that a ropy of Iliapplicablelaw, Section 7t144- of rho assintass and Profosslohar Code, ltl available up6h request when this applldatlon is submIttod or, at the following `w*Veb al e;iittp:l/wVAV.leglnfo.co,gp\+tcaibw.htnii, Signature of Property Owner or Authorized Agent m,,,.............. affirm under penalty of perjury that i ani licensed under prbvialons of Chapter g: (commenastng with Soofflon 7000) of" DIVlalah 3of the Bustness and Professions Code, and my license is" in full force ct. Iriadhea Class Lldense No Late. Contractor Signature COMPENSATION. Di LARA"i'iOd TO SCC4JRC WORKR.RS' COMP Nr3ATION COVERAGE IS UNLAWFUL, AND SHALL, SUUJ.ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. PINES UP TO: ONE HUN OREO THOUSAND DOLLARS ($100,000), IN AUDrTJON TO THE NT1QNN1DAMAGI S AS PROViIAD FOR IN SOOTIONd 3700Op Via r.i%soR CODEi INTEREST, AND A"rTORN EY'S N EPs affirm under penalty of perjury one of tho fallowing declarations. I have and kv+irl maintain ea certificate of Consent to self-Insuro lfar workers' cOmpanpat.Ion, tssued by tho Direct Ior of Industrial Relations as provided for by Section 3700 of the Labor Code, fore In romance of the work for which 1his permit is issued, Policy No havo and will maintain workers' compensation Insxuranoe, as roquired by Scotian 3700 of the Labor Code; for the performange of the work for which thls_porrnit is 1psvoI ,sty workers' -comp ensatroi iranao carrier and poltpy number, area, fler Policy Number xp nation Date no of Agent Phone # certify that, In the performance of the work for which this permit isIssued , I shall not employ any person in any mennor so as to become subject to the workers' compensation laws of Calif arnip., and aura If I should become subject to the wworkom' compensation provisions of Section 7ttfi of'the . Labor ctlde, I shall forthwith comply with those provisions. of,Applicarrt:.� ,.. ... » .. ,. � � Bats CLARATI10N REGARDINGCONSTRUCTION LENDING DIN AGENCY areby' afflrrn under penalty of perjury that there Is a construction iending agency for the performance of the work for which this pernolt is issued (Section 3097, Woes Marne. Lerlder's'Address niy, slorlature below, i certify to eaofi of tlsif Re fl ttowlIicf:: ,� I art the property owner of authori ed to act on the property owner's behalf, I have rend this application and the inforinallon Hinvo provided in correct. 1 agirtae to, ooi.T)ply with all appllcaffla city and county. ordinances and state laws reTlatitig to ksuflding construction, i aUti on e r0pr6sen atives of this city of county to enter the above -Identified property for Inspobotion purposes, N"r<ftMI WI*Nfa la (EstVFICATC OF JewOCCUPANCY 1SSV ED `LARATION OF CON PLIANCE ITH CODF OF KDERAL I FUii ORICE USE r iNLY' sL LATIONS t�AF;T 6f CsP TITI 14(t:AC3ta A rim Amp, NOTIFICATION To UASUSTW NUTlt'ICArtON IS NOTAPPLICABLE TO PROPOSPO i 11MOLITION . SICiIVA URE, Civil Code),