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Home My WebLink AboutXC2022-2097 - PermitsSEW PO?T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XC2022-2097 C� @ Community Development Depanment- Building Division X C 2 0 2 2 2 0 9 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-3100 Permit Counter Phone: (949) 644-3288 Issued Date : Inspection Requests Phone: (949) 644-3255 Inspection Area : 7 °g4co R�`P newportbeachca.gov/inspections Combination Type - Work Class - Other 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: 427 NEWPORT CENTER DR Description : CONCRETE SLAB REPAIR Owner: IRVINE COMPANY LLC Address : 111 INNOVATION DR IRVINE, CA 92617 Phone : (949) 720-3100 Applicant: BRYAN BONNVILLE Address : 1701 QUAIL ST NEWPORT BEACH, CA Phone : (949) 531-3799 Owner/Builder : Address : Legal Desc : P BK 221 PG 30 PAR 2 PM 221-30 PAR 2 (LLA 09-0150477 FA iA l6RiDF3J i U 1—i Contractor; CUESTA CONSTRUCTION CO Address : 3195A AIRPORT LOOP DR COSTA MESA, CA 92626 Phone : (714) 557-5877 Con State Lie : 568466 Lie Expire : 05/31/2023 Bus Lie: BT20012806 Bus Lie Expire : 12/31/2023 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WVE503883004 W. C. Expire : 12/31/2023 Architect Address Phone: State Lie Engineer: BRYAN BONNVILLE Address : 1701 QUAIL ST NEWPORT BEACH, CA Phone : (949) 531-3799 Designer Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : II -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : M No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: ° $150,000.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty 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 ftem(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 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 licensorsand the basis for the alleged exemption. Any violation of Section 7031,5 by any applcant fora permit subjects the applicant io a civil penalty of lot more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, tusiness 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 mprovements 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)- 3 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 Ipply to an owner of properly who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensors under the Contractors' Stale License Law for the following reason: Sy 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], sell a structure that I have built as an ownerr•bui]der if ithas not been constructed in its ontiroty by licensed contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginto.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ Date .ICEN'.SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) of 1 "si n 3 f the Business and Profs ns C _ nd my license is in fall force Ind effect. License Class License No Date Contractor Signature PORKERS' COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.,0001. IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penally of perjury one of the following declarations: I I have and wilt 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 yyelyrformance of the work for which this permit is issued. Policy No. ❑1-?2ve 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' compensatiol isurance carrier and policy number are: �/' t zanier �A, PolicyN mbar Li"� U ��ll,' Expiration Date lame of Agen ry_ 10 GW_" � i 0 (4 z Phone # Gll1 (E, 11 certify that, in the performance of the work for which this permit 6 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre iat, If I should beconle s le the workers' Compensation provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. /�,,.ttttV��,� / Iignalure of Applicant„ Dates 11j12 Z IECLARATION REGA. DI W CO STRUCTION LENDING AGENCY %%�� `�� I hereby affirm under p natty 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 arV #ounty ordinances and slate taws relating to building construction. I authorize representatives of this city or a ty to a er, above -Identified property for inspection purposes. I - „nna{, rw of Prnnwrfv flumwr nr Aulhnti�orl 4nw. Print ❑vnnwrty rlumwra nr A,JhnnvoA AnnnFe Aiemn. ✓ `�' °� v Imo' � Y nit 1 I � �% " DATE I By DEgARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY 1 I REGULATIONS PART 61 OF TITLE 40 AND AOMID RULE PERMIT EXPfRED LJ I SURMITTFD A5BE-T33 NO hFICATION TO PERMIFCANCELtED _ __—_r—�`jrpp — _—___ PERMIT EXTENDED PC-RMIT FINAL CERTIFICATE OF OCCUPANCYISSUED 15 NOT APPLICABLE 'f0