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Home My WebLink AboutXR2022-2182 - PermitsagWPoRT City of NewportCOMB Permit : XR2U22-2 1 O2 Beach II III I I I II I II I III II I I I I II 6 Community Development Department- Building Division j 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0261-2022 Permit Counter Phone: (949) 644-3288 Issued Date : 08116/2022 Inspection Requests Phone: (949) 644-3255 CqC/FOAN`p Inspection Area : 4 newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM 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 : 2615 BUCKEYE ST Legal Desc : N TR 4892 BLK LOT 76 Description: DELTA 1 -ADD SCOPE - CHG 1ST FL BATH TO STORAGE, ADD BATH TO (E) BEDROOM 110 SF Owner: CNQST LLC Contractor: BRYAN PACIFIC BUILDERS Architect Address : NEWPORT BEACH, CA 92658 Address : 413 CALLE DELICADA SAN CLEMENTE, Address CA 92672 Phone : Phone : (714) 360-4488 Phone Con State Lie : 585047 State Lie : - Applicant : ART KENT Lie Expire : 02/29/2024 Address : 619 16TH HUNTINGTON BEACH, CA 92648 Bus Lie: BT30066161 Engineer Phone: (714) 272-1624 Bus Lie Expire : 11/30/2022 Address : ) 11^'a Workers' Compensation Insurance Phone: g � 1 V � •' `1V a Owner/Builder : Carrier: PEFERRED PROFESSIONAL INS CO Address : Policy No: ON1212001 Designer Phone: W. C. Expire: 12/18/2022 Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $9,800.00 Type of Construction : V-B Fire Hazard Zone : No Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : 110 Bldg Height : No of Stories : Added/New sq. ft. Garage: 0 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: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (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 the 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 not 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, 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 [hat the mprovemenls 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 improved 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 raa ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' License Law). — -- Lt I am exempt from lioensure 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 most have resided for at least one year prior to completion of the' improvements covered by this permit, I.cannot legally sell a structure that I have built as an owner -builder if It has not been constructed in its entirety by licensed contractors. I understood 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 INeb site:http:llwww,leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent. Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 vision 3 of the Business and P�ofegsi9� n n tense is in full force and effect. License Class License No Date Contractor Signal r9.�/ WORKERS' COMPENSATION DECLARATION `r WARNING: 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 t$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706.OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjuryone of the following declarations: 1:11 have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, pe rmance of the work for which this parmit Is issued. Policy No. ve 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' compensation msura ce carrier and policy number are: fe of Agent certify that. in the performance of the work If I should become subj e ct to the work Ialure of Applicant Policy Number Date this permit is issued, I shall not employ any person in any manner so asto become subject to the workers' compensation laws of California, and agree atl9p,provistuns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. areby affirm under penalty of perury that there is a construction lending agency for the performance of the workfor which this permit is issued (Section 3097, Civil Code).. Ides Is Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized tc 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 slate lawsrelating to building construction. I authorize representatives of this city or county to a ter the above -identified property for inspection purposes. iRture of PrOnenv Owner or Authorized AOeel Y Print ProoerlV Owner's or DATE BY ✓i DECLARATION OF COMPLIANCE WITH CODE OF FEDEI I E REGULATIONS PART 61 OF TITLE. 40 AND AUNT) RULE PERMIT EXPIRED I j 1 tlJ I SUBMITTED ASaESTOS PERA41TFINAL I \ l �.I / ' 1.L riSBESTOS NOTiF{CATI NOT APPLICABLE TO CERTIFICATE OF 'r �i.L A _ PROPOSEDW€MOLITI FOR OFFICE USE ONLY All required alarms, latches gates and fences w4icti sprvP as par*. of a pool/spa barrier, shall be In place prior to approval to fill pool/spa & snah. remrin in pl+ce b• be mairtamerl for the life of the pool,