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HomeMy WebLinkAboutXR2022-1962 - PermitsQt, EWPCity of Newport BeachpCommunity Development Department- Building Division u COMB Permit:XR2O22-1962 Ny 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1810 S Permit Counter Phone: (949) 644-3288 Issued Date : 07/2712022 Inspection Requests Phone: (949) 644-3255 9tico oNnewportbeachca.gov/inspections Inspection Area : 6 Combination Type - SFP ELEC MECH Work Class - Alteration 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: 6 MONTREAUX Legal Desc : N TR 14617 BLK LOT 28TRACT NO 14617 LOT 28 AND FOR LOT L Description: SFR CREATE NEW LOFT IN (E) FOOTPRINT W/ WALK IN CLOSET 193 SF Owner: MICHAEL & SEPI VARON Contractor: LOFTCRAFTERS INC THE .... Architect: Address : 6 MONTREAUX NEWPORT BEACH, CA 92657 Address : 8 HAMMOND #102 IRVINE, CA 92618 Address Phone : Phone : (949) 456-1234 Phone : Con State Lie : 463944 State Lie: Applicant: BEN LOEWEN Lie Expire : 08/31/2022 .. Address : Bus Lie: BT30020595 Engineer: GARRETT LARRY D Phone: (949) 456-1234 Bus Lie Expire: 09/30/2022 Address: 7612 BESTEL AVE-WESTMINSTEN, CA 92683 '°°" Workers' Compensation Insurance Phone: (714) 893-2979 Owner/Builder: Carrier: ACE AMERICAN INSURANCE COMPANY Address : Policy No: C69981355 Designer: Phone: W. C. Expire : 11/1/2022 Address: ° Phone: Code Edition : 2019 Fire Sprinklers: NO Construction Valuation : $49,400.00 Type of Construction : V-B Fire Hazard Zone : Y Added/New/Ti sq. ft. Bldg : 187 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 193 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone: X Use Zone: PC - Newport Ridge - PROCESSED BY I EU I SPECIAL CONDITIONS: ° '° NO CONSTRUCTION NOISE ON THE WEEKEND OWNER -BUILDER I hereby affirm under penalty of perjury that 1 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 items) clion 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 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 ,fessions 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 (S500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 70", ;iness 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 Irovements 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 ,roved 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 illy 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' State License Law for the following reason: 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 legail, 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 fessions Code, is available upon request when this application is submitted or at the following Web site:http:/A�.leginfo.ca.govlcalaw.html. nature of Propp" Qwner or Authorized Agent Date TENSED C49VI (ItCTOIVS DECLARATION ere�byof irm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio)7 00 . ,i iggn 3 of the Business and Prpfeesion y license is in full force i'e5feHt. Lic�s¢�Ciass License No Da t d— Contractor Signaturr�/ _�� )IRKERS' COMPENSATION DECLARATION 4RNIII06 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 roST OF COMPENSA TION,U:MACES AS PROVIDED FOR IN BECTON 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ih eFebt affirm under penalty of perjury one of the following declarations: :,I,l}ave and 4ill,Aalntain 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 39rfgr_rr7ptrce of the work for which this permit is issued. Policy No, ilav 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' ranc4 carrier 9ndOoky number are: lei„ .' . Policy Number Expiration Date Agent 11 certify that, in the performance of the work for 'ch 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 agre tat, if I should become �subject to the work ens 'visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 9� .ignature of Applicant x CateY IECLARATION REG%DING 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 y 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-ide erty for inspection purposes. ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill poollspa & shall remain in place & be maintained for the life of the pool. PERMITCANCELLED 17EPA PERMIT EXTENDED OVID PERMITFINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE - CERTIFICATE OF t"—' PROPOSED OUTION OCCUPANCY ISSUED SIGNATUR —