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Home My WebLink AboutXC2022-1921 - PermitsCity of Newport BeachCommunity Development Department- Building Division 04'. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Addition COMB Permit : XC2O22-1921 Plan Check No : 0596-2022 Issued Date : 08/25/2022 Inspection Area : 7 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 : 3110 NEWPORT BLVD Legal Desc : A TR LANCASTERS ADD BLK 431 LOT NCASTERS ADD LOT 3 BILK 4 31 AND LOTS 4, 5, 6, 7 Description : COMM TI ADD 372 SF AND TENANT IMPROVEMENT 2753 SF 'PALMILLA' Owner: NBPL REAL ESTATE LLC Contractor: STD CONSTRUCTION Architect: HILL JOHN STEVEN Address: 703 PIER AVE STEB815 HERMOSA BEACH, Address : 703 PIER AVE #297 HERMOSA BEACH, Address: 3195-B AIRPORT LOOP DR COSTA MESA, CA 90254 CA 90254 CA 92626 Phone: Phone: (310)648-4547 Phone: (714)825-8888 Applicant : Maria Hallimore Address : 3195-B Airport Loop Costa Mesa, CA 92626 Phone: (714)825-8888 Owner/Builder : Address: Phone: Con State Lie : 904930 Lie Expire : 09/30/2023 Bus Lie: BT30074162 Bus Lie Expire : 01/31/2023 Workers' Compensation Insurance Carrier : Policy No : EXEMPT W. C. Expire: Code Edition : 2019 Type of Construction : V-B Occupancy Groups : S-2,A-2,B Bldg Height : Building Setbacks Flood Zone : AO 1; X Use Zone : CV - Commercial Visitor -Serving PROCESSED BY SPECIAL CONDITIONS: State Lie : Engineer: Address Phone: Designer Address Phone: Fire Sprinklers : YES Construction Valuation : $680,000.00 Fire Hazard Zone : No Added/New/TI sq. ft. Bldg : 0 No of Units : 0 Alteration sq. ft. Bldg : No of Stories : 2 Added/New sq. ft. Garage : 0 j01 u VY.. .. OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkrnark(s) I have placed next to the applicable items) (Section 7031 _S. 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' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that 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 a 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' State License Law), I am exempt from licensure antler the Contractors' State 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors.) understand that a copy of the applicable law, Section 7044 of the nosiness and Professions Code, is available upon request when this application Is submitted or at the following Web site:httpJ/,Amw,leginfo.ca.gov/calaw.htmt. Signature of Property Owner at Authorized Agent N Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section of Division 3 of the Business and ProfessC d nlylkae a is full farce and effect. License Class License No Dart _ 22 Contractor Signature NORKERS' 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 THDU DOLLARS U1100,000). IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 Cade, for th, 3erformance 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 31 certify that, m [he perormanco of a work f0 which t is 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 agre Fat., if I should beca I I) ct to fil Orkera' C mpen lion revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. kal __ I ECLARATION REGA CO RU ON LEIhereby affirm under p- ally of p that there is a construction fending agency for the performance of the work for which this permit is issued (Section 309ode). ander's Name Lenders 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 and c0 nt rdina es and state la1 relating to building construction. I authorizu representatives of this city or county enter tt} oove _idkntifie`trpropery for Inspection purposes. ACTION PER".417 FXPIAIO PE,L TCANCFU.FD PiHM1T fXTENOEU PEHMIT FINAL Cfrf i IrfCArE OF OCCUFANCYIS5UEL DATE BY / I DECVTIOf COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART Fl OF TITLF 40 AND AQMD RULE 14tl I SUBMITTED ASBESTOS NOTIFICATION TO PROPOSED Owner's or Authorized A0 I FOR OFFICE USE ONLY a 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 TO life of the pool.