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Home My WebLink AboutX2019-1119 - Permits�EWPO,4� City of Newport Beach I� I�I IIIIIIIIII II IIII III II IIII III II COMB Permit : X2019-1119 p� A Community Development Department - Building Division X 2 0 1 9 1 1 1 9 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No 94-2019 : 07 U Yr7 y. Permit Counter Phone: (949) 718-1888 Issued Date : 0No o-. newportbeachca.gov/civic Final Date: 01I221610 21 25 C9��F00.�`P Combination Type - SFP ELEC MECH Permit Status: Final Work Class - Addition/Alteration 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 ELK LOT 11 Description: SFR ADD 1,092 SF, REMODEL (E) 1,160 SF W/YARD DRAINAGE Owner: BURKE SCHECHTEL Contractor: MIKE HOLLAND CONST INC Address: 2118 LEEWARD LN Address : 28081 MORRO COURT NEWPORT BEACH, CA 92660 LAGUNA NIGUEL, CA 92677 Phone : Phone : (949) 235-9477 Con State Lic : 898714 Lic Expire : 06/30/2025 Applicant: Bus Lic: BT30058852 Address : Bus Lic Expire : 04/30/2025 Phone Owner/Builder : Address: Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9140185 W. C. Expire: 7/29/2024 Phone: Code Edition : 2019 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks : Front: 20, 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: REV2022-2098 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 : $30,000.00 Added/NeW/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 0 Add/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER 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) ;action 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 Is 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 rofessions 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 Dt more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ustness 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 nprovements 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 sale). I, 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 pply 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). 1 am exempt from licensure under the Contractors' Slate License Law for the following reason: — y 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 legally ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:!lwww.leginfo.ca,gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 nd effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION 1ARNING: 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)1 IN ADDMON TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 th erformance 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' ranee carrier and policy number are: Policy Number Date 1e of Agent rnone ff 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. lignature of Applicant Dale_ IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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). enders Name Lender's Address ly 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. Signature of Proper ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED or Authorized Agent Print Property Owner's or Authorized Ag DATE BY DECLARATION OF COMPLIANCE VJITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD Rl1LE 1 -7,7, I SUBMITTED A5BESTOS )S NOTIFICATION 15 NOT APPLICABLE TO DEMOLITION