HomeMy WebLinkAboutXR2022-2053 - Permits"EWPORT
City of Newport Beach
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Community Development Department - Building Division
100 Civic Center Dive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - MFP ELEC MECH PLUM
Work Class - Alteration
II I III i IIII II II COMB Permit : XR2022-2053
Plan Check No : PC2022-1881
Issued Date : 08102/2022
Inspection Area : 6
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 : 414 NARCISSUS AVE Legal Desc : P BK 334 PG 5 PAR 1 UN 1 PM 334-05, PAR 1 OF PROJECT 938-01 LOCATED ON
Description: MFR INT REMODEL 360 SF
Owner: JIAHUI LI Contractor: PACIFIC WEST CONCRETE INC Architect
Address : 30781 VIA CONQUISTA SAN JUAN Address: 3672 PROVINCETOWN AVE IRVINE, CA Address
CAPISTRANO, CA 92675 92606
Phone : Phone: (714) 396-0088 Phone
Con State Lic : 639232 State Lic
Applicant: ELIZABETH HOWELL Lic Expire : 05/31/2023
Address : 20561 SUBURBIA LN HUNTINGTON BEACH, Bus Lic: BT30071085 Engineer : MCCORMICK GREGORY LYNN
CA 92646
Phone: (714) 963-4600 Bus Lic Expire : 12/31/2022 Address : 18015 BRIAR ST FOUNTAIN VALLEY, CA
92708
Workers' Compensation Insurance Phone: (951) 315-1081
Owner/Builder : Carrier :
Address : Policy No : Designer : ELIZABETH HOWELL
Phone: W. C. Expire: Address : 20561 SUBURBIA LN HUNTINGTON
BEACH, CA 92646
Phone: (714) 963-4600
Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $55,000.00
Type of Construction : V-B Fire Hazard Zone : No Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : R-3 No of Units : 2 Alteration sq. ft. Bldg: 360
Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone : X _
Use Zone: R-2 - Two -Unit Residential '
1 PROCESSED BY: v'OPIZIC -OR
SPECIAL CONDITIONS: **HIGH DENSITY ZONE**
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 cheekmark(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 licensors and the basis for the alleged exemption. Any violation of Sectlon 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
111, as owner of the property, or my employees with wages as their sole compensation, Wilf do (_) ail 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
improvements 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
ar�pfply to an owner of properly who builds or improves thereon, and wive contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I�t I am exempt from Ifcensure 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 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 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
Professions Code, is available upon request when this application Is submitted or at the following Web site:http:t/w 'w.leginfo.ca.gov/calaw.himi.
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 0 11 of Division 3 Of the Business and Pro Si ode. license Is in full force
and effect. License Class License No Dat 16"Z-'-z,-z_, Contractor Signore
WORKERS' COMPENSATION DECLARATION
NARNING: 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 ($ 00,000), IN ADDITION TO
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-5 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
ormance 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:
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 lays of California, and agre
L If I should become : bfMC-ONSTRUCT1601ill-VINIDING
ker' pensatlon provisions of Section 3700 Of the Labor Code, I shall forthwith comply with those provisions.
nature of Applrcan Dat g"CI.ARATiONREG DINAGENCY
ereby 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 ode).
Iders Name Lender's Address
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 1 have provided is correct.
I agree to culopiy with all applicable city and county ordinances and stale laws relating to building construction. `
I adthorize tap, esentatives of this city or cou tty�o enter the above -identified property for inspection purposes. •ice 1 I I (1 /p z_ ZZ
nature of ProDe,tr Owner or Authonzed Aoarti X Print Property Owner's or Authorized Aoent's Nam�eelVl(CC( rc" l iJW HoV L11,17Qi/' DA -
AC'P)N
DATE
BY ' DECLARATION OF COMPLIANCE WITN CODE OF FEDE.
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FOR OFFICE USE ONLY
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 pool/spa & shall remain in place & be maintained for the
life of the pool.