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Home My WebLink AboutXR2022-2263 - Permits�$WPORT City of Newport Beach Q e Community Development Department - Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 U S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C'g41FOPN�P newportbeachca.gov/inspections Combination Type - MFP ELEC MECH PLUM Work Class -Addition II III I I I II I II I III II�III II II COMB Permit : XR2022-2263 Plan Check No : 1798-2021 A g.qa �� Issued Date: 08/22/2022 �d S LE C T Inspection Area : 2 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: 210 LILLE LN, 114 8336 LOT 10 UNIT 101 OF PROJE CT LOCATED ON AP Description: MFR -INTERIOR ALTERATION OF KITCHEN & 2 BATHS, APPROX.200 SF:'**RENEW X2021 2075** Owner: SHERIROWEN Contractor: RCIROMAN-CONSTRUCTIONINC Architect: Address : 210 LILLE LN APT114 NEWPORT BEACH, CA.: Address:.: 14271"JEFFREYROAD #510 IRVINE, CA + Address: 92663 92620' Phone: Phone: (949)1405-0562 Phone: Con State Lie : 1027435: - State Lie Applicant: HECTOR ROMAN - Lie Expire : 06/30/2023 Address : 14271 JEFFREY RD, 510 IRVINE, CA 92620 ' Bus Lie :: BT30071848 r Engineer Phone: (949) 405-0562 Bus Lie .Expire : 05/31/2023 Address ' Workers' Compensation Insurance Phone: Owner/Builder: Carrier: NATIONAL LIABILITY AND FIRE INSURANCE - .'COMPANY Address : Policy No: A9WC341652 Phone: W. C. Expire: 1/21/2023 Code Edition : 2019 Fire Sprinklers : 'NO Type of Construction : V-B Fire Hazard Zone : No Occupancy Groups : R-2 No of Units : 60 Bldg Height: No of Stories : - 3 Building Setbacks Flood Zone: X Use Zone: PC - Versailles on the Bluff PROCESSED BY: 35 SPECIAL CONDITIONS: RENEW PERMITX2021-2075 OCHOA IGNACIO GARCIA 8191 KINGSDALE DR HUNTINGTON BEACH, CA 92646 (714)924-4823 Construction Valuation : $20,000.00 Added/New/Tl sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 200 Added/New sq. ft. Garage: 0 • • ° • 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 placednext to the applicable. item(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 he 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 $eclion 7000) of Division 3 of the Business and Irofessions Code) or that he or she is exempt from ticensure 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 rive 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, 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 reproved 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 ty 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 IIcensum under the Contractors' State License Law for the following reason: ry my signature below 1 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 legaill ell a structure that I have built as an owner-buitder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:lty .leglnfo.oa.govfcalaw.html, signature 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 p1vlrn 3 of the Business and'. Professions C de+aR my license is in full force Ind effect. License Class License No Date /L`v 2 L Contractor Signature PORKERS' COMPENSATION. DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRMIMAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SH0,000), IN ADDITION TO THE 'AST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEY'$ FEE& hereby affirm under penalty of perjury one of the following declarations: 11 have and tail 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 tabor Code, for th etformance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: to of Agent _ certify that, in the or , if I should become lature of Applicant; Policy Number Expiration Date 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 ,kers compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. Date. IrLZ— !mby affirm under penalty of perjury that theca is a Construction lending agercyfor the performance of the work for which this permit is issued (Section 3097, Civil Code), ider's Name Lender's Address my signature Wow, 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 rgpmsentatives of this city or county to enter the pbpyg•ideni fied property for inspection purposes. • AC71ON • •• DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ••• • •. • • • REGULATIONS PART 61 OF TITLE 40AND AQMD RULE • •• ?403 ••• •Pr!RMlT EXP1. D I SUBMITTED ASBESTOS NOTIFICATION TO All required alarms, latches gates and fences which serve as part of spool/spa barrier, shot! gERMITCFA Co.EU PA �• • MR EXTENDED gNTD be In place prior to approval to fill pool/spa &. shall remain in place & be maintained for the • • • life of the pool. •RERMiT RAIAL • • BESTOSNOTINCA ION fS NOT APPLICABLE TD �• •rERTIRCATEO�F • l'7n ROPOSED pEMOUjlO ego eeeeee •• e o•ee •es