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HomeMy WebLinkAboutX2022-0713 - Permits (5)� Wpo", City of Newport Beach 11IIIIIIIl! 71 IIII 04 A Community Development Department- Building Division X 211111011111211111211111111111111 _ \1r01(eMcCt11Boae ermit : X2U22-0713 y 100 Civic Center Drive, Newport Beach, CA 92660 k No : 0630-2022 ' ? Permit Counter Phone: (949) 718-1888 : 06/02/2022 s� newportbeachca.gov/civic Combination Type - SFPWork Class -Alteration 31s: Reissued -�`o��rea : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LA ALID ECT UT NO ER THAN 3 YEA\NDAAND SUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATIJRDAY SUNDAk, HlCzij`OIMSITY A SAND NO WORK OAYS IN ALL AREAS Job Address : 104 ONYX AVE Le Des TR BAt I@DA ISLAND SEC 4 BLK 1 LOT 1 BALB 1 BLK 1 NLY 35 FT Description: SFR NEW DECK 207 SF, TEAR- (E) R00 INST L OFING (MCELROY ICC-ESL1082) 8Owner: THERESA HARRY TR GRU r r WNE LDER cAddress : PO BOX 108 ddr s Add NEWPORT BEACH, C 2662ry Phone : (805) 722-2222 br : ♦ d� hone : on Sta BUILDER r6 State .G ''i Bic E e . ��� ���j'C. Applicant : EVERE MITH D GNS Bu p gir�e� KSUDUR RAHMAN Address: 3437- To f`o - 're: �� Adss • 13611 12TH ST, STE B P IS, 70 �'(� CHINO, CA 91710 Phone : (9 32 7 k orkers' Compensation ante ��,5$h (213) 400-8078 '�? rier, : Owner/Builder: T RES HARRY �. GRUM olicy No : Designer Address: PO -SOX B - W. C. E+pi . Address NEWPOR EA 92 ' Phone: (805) 722-22 `'' i�b Phone Code Edition : 2019 )a : Construction Valuation Type of Construction : V-B g� ire rd Zone : O Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 Cw Units : 1 Alteration sq. ft. Bldg : Bldg Height: `NQStorie Added/New sq. ft. Garage : 0 -' TOTAL sq. ft. 0 Building Setbacks : Front: 5, Side: 3, de: ear: 10 G Flood Zone: X p Use Zone : R-BI - Two -Unit Resi ntial, BaIObbpp I nd/1 PROCESSED BY: \ 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 re, n(s) foaled below by the checkmark(s) I have placed next to the appllaable Rem{s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, She _ 1prove, de fish, or repair any structure, prior to Its Issuance, also requires the applicant for the permit to file a signed statemont that he or she is licensed pursuant to tho provisions of the Contractor late License L (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. violation of Sao? cl 1.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1:11, as owner of the property, or my employees with wages as their sole compensation, will do all of or U Portiaptytlf the work; 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 ow of property who,�` ,I,IMZfugh empl .as' orsonal effort, builds or improves the property, provided that the Impr ments are not Intended or offered for sale. If, however, the building or improvement' sold within one yTnaf oomple' n, the Own -Builder will have the burden of proving that it was not built or im ovad for the purpose of sale). \Qu �QUUU.r FIGS owner of the property, am exclusively contracting with licensed Contractors t Upstater92 proyy'�aaahI(Saction 7 , Business and Profes ns Coda:. The Contractors' State License Law does not apply to an owner of property who builds or improves: thereon, and who contracts to a prof with a`hs�nsed Can ctor pursuant to the Contra 'State License Law). ❑ I am exempt from licensure under the Contractors' State License Law for th oflowingg,� on: By my signature below I acknowledge that, except for my personal residence which St\'fr+:t he Ided Fora east one year prior to completion of the rovements covered by this permit, I cannot legall soil a structure that I have built as an owner -builder if it has not been aonst is in Its tires censed,rilpn ratters. I understand that a copy of the apple Is law, Section 7044 of the Business an Professions Code, is available upon request when this sop' Pion is su tied r t the fol b 'e�nttp,/Iwww.leginfo.ca.gov/calow html Signature of Property Owner or Authorized Agent —Data LICENSED CONTRACTOR'S DECLARATI p 1 hereby affirm under penalty of perjury that I am licensed under bvisions o hapL (Dommen�chlp with Section 701k3) of Division 3 ®r mess and Profess o ode, and my license is In full force and effect. License Class ELSE No Date n ractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORxERS' COMPENSATION COV AGE l9 UN FVL. A SV T AN E TO CRIMINAL PENALTIES Aj�b FIi1�S�UP TO ONE NU RE a 7 S DOLLARS (5100.p00), IN AOORIDN TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SE N 3Tp6 OF E LAIR E, , AND R NE EES. /� � 1 hereby affirm under penalty of perjury one of the lowing de erallons r]�. YJ IJ I have and will maintain a certificate of nsent to s f-insur compe io s by the Direct Ustl�'•Reladons pir t by Section 3700 of the Labor Code, for th perce of the Work for which ©If haven andwllmaitainworrcsrs''Icpapenis�issuesurance,a by Se 0 Y e Labor CoCodE, rY e peiance of woritir h this permit is issued. My workers' Gompensatio insurance earner and olio number, O Carrier Pol EX In e Na a of Agent Ph o e # 1 certify that, in the part once f J work to i h t ormit is u .: Shall not employ any person in any manner so s to be m -bject to the workers' compensation laws of California., and egret shot, if I should become biec t workers' co n prey -to of S`a it 3700 of the Labor Code, I shall forthwil omply th so provisions. Signature of Applies ,_.�th; Dale,__ DECLARATION REGA 1 G ON L1CT ENDING E, Y I hereby affirm under pen of per that rho a const i le gagancy nceofthewor orwhit hi eninhis issued (Section 3097, Civil Code). Lendar s Name _ _. is Address By my signature below, I parlify eacil I am the property owner a'put iced to Oct Ih p ly ovrner's behalf. i 1 p� I have read this applicatiLds�'� d t 'nform ided is cofir c I agree to comply wi:'i all appltG bto and it Dances an s Sir N'hg to buiidi const it I authorize representatives of t't o. aunty the a ed la a f r ins ctlon p pb s. S nature of Prop any Omer or Authorft9d..A not Pr er wrler'a or Authorized A ent's Name " 5 ! Dat� Z AC71ON DATE DEC COMOttANCE iATTIi OFIFtOAL FOR OFFICE USE ONLY EGUL ART 61 OF TITLE4 !VOA E Pm.RMT EXPIRED ��b +�. ID) A— I BMITTED ASBESTOS OTIFICA pFPA�lT ANCEIIE'> P Pr v A7ENDED PC1:b;I7.;,VAL �— —_-- —^-^ ASB OS IFICAII IS TAPPLI SLE TO� C'ATIFICATE OF PROPOSE6'- 0 orrVPoM('y IS9uED SIGNA