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Home My WebLink AboutX2021-3170 - Permitsv��WPoRr City of Newport Beach D @ Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Cq<rFOM1N`P Combination Type - SFP Work Class - Alteration X 2 0 2 1 3 1 7 0COMB Permit : X2021 -3170 Plan Check No : 0794-2019 Issued Date : 04/0812022 Final Date: 01122/2025 Permit Status: Final Inspection Area : 3 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 : 2118 LEEWARD LN Legal Desc : N TR 3801 BILK LOT 11 Description: DELTA 3, ADD 107 TO (E) GARAGE. CONVERT REAR SECTION OF PITCHED ROOF TO FLAT ROOF (REV21-1838) Owner: BURKESCHECHTEL Address : 2118 LEEWARD LN NEWPORT BEACH, CA 92660 Phone: Applicant: Address Phone: Owner/Builder : Address Phone: Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2019 V-B U,R-3 Front: 20, Side: 6, Side: 6, Rear: 6 Contractor: MIKE HOLLAND CONST INC Address : 28081 MORRO COURT LAGUNA NIGUEL, CA 92677 Phone: (949)235-9477 Con State Lic : 898714 Lic Expire : 06/30/2025 Bus Lic: BT30058852 Bus Lic Expire : 04/30/2025 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9140185 W. C. Expire: 7/29/2024 Fire Sprinklers : YES Fire Hazard Zone : NO No of Units : 1 No of Stories : 2 R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: GHAZLANIANDY Address : 1021 E CARSON ST, 5 LONG BEACH, CA 90807 Phone: (562)253-2385 Designer Address Phone: Construction Valuation : $0.00 Added/New/Tlsq. ft. Bldg : 0 Alteration sq. ft. Bldg : 0 Add/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 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 .he 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 professions 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 iot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and 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 owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovemenis 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 mproved 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' State License Law does not apply 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). ❑ I am exempt from licensure under the Contractors' Slate License Law for the following reason: By my 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 legalll sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.gov/calaw.Mml. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally 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 and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NANNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 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 lh performance of the work for which this permit is issued. Policy No. ❑I 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' oompensatioi insurance carrier and policy number are: Policy Number Date re of Agent rnone n 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 Applicant Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby affirm under penally 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 Lenders Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. 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 or county to enter the above -identified property for inspection purposes. nature of Prooerly Owner or Authorized Agent Print Property Owners or Authorized Agent's Name ACTION DATE BY DECLARATION OF IREGULATIONS PARTO61 OF IITLE 40 AND AQMD RULE CE WITH CODE OF RAL FOR OFFICE USE ONLY PERMITEXPIRED I I LI I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LIAOMD PERMIT FINAL q _ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF ZZ PROPOSED DEMOLITION OCCUPANCYMUED SIGNATURE: Date