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Home My WebLink AboutXR2023-3230 - Permits� f,PoR_ City of Newport Beach III III III IIIII I IIIII IIIII II III II �I COMB Permit : XR2023-3230 e Communit Develo ment De artment- Buildin Division p`` (� Y P P 9 X R 2 0 2 3 3 2 3 0 > - : `g , y- 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2753 i t Permit Counter Phone: (949) 718-1888 nIssued Date : 04/0512024 ewportbeachca.gov/civic Final Date: "<iFoa"�P Combination Type -ELEC Permit Status: Issued Work Class - Online Inspection Area : 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: 1409 PRISCILLA LN Legal Desc : N TR 1763 BILK LOT 20 Description : SFR - NEW 308 SF PATIO COVER & PREFAB STAIRCASE Owner: JOSEPH SHALABY Address: 1409 PRISCILLA LN NEWPORT BEACH, CA 92660 Phone: (949)939-3029 Applicant: NATHAN SEWELL Address : 1245 E WALNUT ST, 112 PASADENA, CA 91106 Phone : (323) 384-6316 Owner/Builder : Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups : R-3,U Bldg Height: Building Setbacks Flood Zone Use Zone: PROCESSED BY: SPECIAL CONDITIONS: Contractor: FRAME BUILD AND DESIGN INC Address : 895 DOVE ST, 300 NEWPORT BEACH, CA 92660 Phone: (408)831-0333 Can State Lic : 1089252 Lic Expire : 03/31/2026 Bus Lic: BT30082132 Bus Lic Expire : 05/31/2026 Workers' Compensation Insurance Carrier: IPEX INSURANCE SERVICES Policy No: 9381339-25 W. C. Expire: 5/30/2026 Fire Sprinklers : NO Fire Hazard Zone : NO Fire Alarms : NO No of Units : 2 No of Stories : 2 No of Basement: Front: 20, Side: 6, Side: 6, Rear: 6 X R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) Architect Address Phone: State Lic Engineer: SIVUSHENKA MIKITA Address : 22121 CLARENDON ST WOODLAND HILLS, CA 91367 Phone: (323)448-4682 Designer: Address Phone: Construction Valuation : $15,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 308 Add/New sq. ft. Garage: 0 TOTAL sq, ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penally 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 item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for 7e 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 Irofessions 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 of 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 U 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 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). 3 1 am exempt from licensure 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 least one year prior to completion of the improvements covered by this permit, I cannot legal) 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://www.leginfo.Ga.gm/calaw.htmi. 1lgnature of Property Owner or Authorized 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 ind effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION IARNING: 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 1$100,0001, IN ADDITION TO THE 'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 IN erfornrance 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' rance carrier and policy number are: Policy Number of Agent Date 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 Califomia, 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. Iignalure of Applicant ___ __ Date__ 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 Lenders 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. of ProDertv Owner or Authorized ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL .CERTIFICATE OF OCCUPANCYISSUED I DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO I--IASBESTOS NOTIFICATION 15NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: FOR OFFICE USE ONLY Date