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Home My WebLink AboutXR2023-0590 - PermitsCity of Newport Beach Community Development Department- Building Division X R 2 12 3 ilk !III IIII II I�IIIIII COMB Permit : XR2023 0590 100 Civic Center Drive. Newoort Beach. CA 92660 Dinn Rhar-ie AL, • Dr'9'Q_OA7d newportbeachca.gov/civic Combination Type - SFP ELEC MECH PLUM Work Class - Alteration Job Address: 2126 MIRAMAR DR Description: SFR ALT REMODEL 1213 SF Legal Desc : N TR-518 BILK O LOT Issued Date: 08/18/2023 Final Date: 12/17/2024 Permit Status: Final Inspection Area: 1 Owner: KEVIN LEWIS-GRENZ Contractor MONTESANTOS BUILDERS INC Architect : JEFFEREY G ANDERSON Address : 2126 MIRAMAR DR Address : 220 NEWPORT CENTER DR, 322 Address : 18006 sky park circle, 100 Irvine, CA 92614 NEWPORT BEACH, CA 92661 NEWPORT BEACH, CA 92660 Phone : (916) 804-6777 Phone : (949) 239-2022 Phone : (949) 640-0606 Con State Lic : 1077463 State Lic Lic Expire : 06/30/2025 Applicant: JEFFEREY G ANDERSON Bus Lic: BT30076141 Engineer: RICHARDS GEORGE LEWIS Address : 18006 sky park circle, 100 Bus Lic Expire: 08/31/2025 Address : 2211 MICHELSON DRIVE SUITE 450 irvine, CA 92614 IRVINE, CA 92612 Phone: (949) 640-0606 Workers" Compensation Insurance Phone: (949) 752-0601 Carrier: EXEMPT- NO EMPLOYEES Owner/Builder : Policy No: EXEMPT Designer: Address : W. C. Expire: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $133,430.00 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 : 1,213 Bldg Height: No of Stories : 2 Add/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 0 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: HIGH DENSITY & LIQEUFACTION ZONE 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 applicable iterms) ction 7031,5, Business and Professions Godw 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 fassions 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 for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). J 1, asowner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 rprovemonts 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 nproved for the purpose of sate). 3 1, as owner at the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code The Contractors' State License Law does (lot ,pply to an owner of property who builds or improves thereon, end who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License: Law). 3 tam exempt from 11cansure under the Contractors' State License Law for the following reason:__ ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at Jabal: ons year prior to completion of the improvements coverad by this perrnit, I cannot legall� all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Yofesitons Code, is available upon request whort this application is submitted or at the following Web sft,9,,http:1Avww,Jeginfo.ca govlcalaw,htrrj, lignature of Property Owner or Auth ofted Agent_ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force Date Contractor Signature Ord effect License Class License No 1 1 1 J I I , 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1atl i I I I I I iii I I Ian 1219IM12 �-i I I I hereby affirm under penalty of perjury one of the following declarations: I 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 ,ormance 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! compansa, trance carrier and policy number are: Policy Number --Expiration Date of Agent Phone # 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 shelf forthwith comply with those provisions. nature of, Applicant Date— CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby 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), ider's Name Lender's Address my signature below, I certify to each of the follovVing: I am the property owner or authorized to act on the property owner's, behelf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction, I authorize representatives of this city at county to enter the aboveddenfified property for Inspection purposes. 310nature of Property Owner or Authorized Agent Print Pro err Owner's or AuthorizedA2 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL, FOR OFFICE USE ONLY Nq "IN I 00"M ow""No PERMITFINAL CERTIFICATEOF 11, REGULATIONS PART 61 Of TITLE 40AND AQMD ROLE 1403 USUBMITTVI) ASBESTOS NOTIFICATION TO 3S NOTIFICATION IS NOT APPLICABLE TO DEMOLITION