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Home My WebLink AboutX2022-1019 - Permits�,eWPoRT City of Newport Beach II III I II I II I III I III II I II COMB Permit : X2022-1019 0� d Community Development Department - Building Division y „�� '�' 100 Civic Center Drive; Newport Beach, CA 92660 Plan Check No : 0938-2022 0 r� S Permit Counter Phone: (949) 644-3288 Issued Date : 0912912022 .sue Inspection Requests Phone: (949) 644-3255 Inspection Area : 2 c'°�rooaN`' newportbeachca.gov/inspections,, Combination. Type - SFP Work Class - Alteration A PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OF NO CONSTRUCTION RELATED NOISE ON SATU//RDAY "V Job Address : 1005 BALBOA AVE Description : SFR INSTALL SPIRAL STAIRS TO ACCESS Owner: ELIZABETH MYERS Address : 1227 MONTGOMERY ST SAN FRANCISCO, CA 94133 Phone Applicant: RCC FRAMING INC Address : 4041 PEDLEY RD, 12 RIVERSIDE, CA 92509 Phone: (951)790-8215 Owner/Builder : Address : Phone: i�T VALID INSPEC DAY IN HIGH Desc : A`'r ALB( ECK 02 /!''(,�� RCC F4 ss`�f'. 4041 PEDII Phone Con State Lic Lic Expire Bus Lic : Bus Lic Expire 1) BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE TY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS ISLAND 9N� 3 BLK 7 LOT 23 BALBOA ISLAND SEC 3 LO T 23 BLK 7 E 38 FT .4 G INC '•xr Architect t.RD. 12 '§ Address 04/30/2023 BT30079796 09/30/2023 Workers' Compensation Insurance Carrier: BENCHMARK INS CO Policy No: CST5022298 W. C. Expire: 10/1/2022 Code Edition: 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS Phone: State Lic Engineer: HASSAN MOHAMED Address : 3621 HARBOR BLVD #125 SANTA ANA, CA 92704 Phone: Designer: Address Phone: Construction Valuation : $30,000.00 Added/New/TI sq. ft. Bldg: 0 Alteration sq. ft. Bldg : Added/New sq, ft. �Gjaariage, f: 0 �— OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt From the Contractors' State License Law for the reasons) indicated below by the eheckmark(s) I have ptacad next to the applicable item(s) 3eclion 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for in 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 rofossions Code) or that he or she is exempt from liconsure and the basis for the aileged exemption. Any violation of Section 7031.E by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500), 3 I, 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, usiness 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 nprcvemanLs are not intended or cifarad 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 I. ae 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 pply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I I am exempt from licensure under the Contractors' State License Law for lire following reason ,y 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 all 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 'rofessions Code, is available upon request when this application is submitted or at the following )Aob site:http,/AYA r.leglnfo.ca.gov/calaw.htmi. .ignature 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 Divi 7 n 3 of the Business and Prn s ....: C and my tCense ' in f force nd effect, License Class License No Date �2-WQentractor Signature G� 1 YORKERS' COMPENSATION DECLARATION ARNING; FAILURE TO SECURE WORKIERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED WOUSANa DOLLARS tE1 t/S,etl01. IN ADDITION TOTHE CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations, have and will mainly€h a Certificate of consent to seif.insure tot workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for anance 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 worts for which this permit is issued. My workers' carder and policy number are Policy Number of Agent Date I certify that, inthe 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 laws of California, and agre L if I should become subject to the w/a�c0/ co ponsahon provisions of Section 700 of the Labor Code, I shalt forthwith comply with those provisions. instals of Applicant !I �( D CLMA7'IOtN R6GARi)ING C RU�ENDtNGNCY araby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). irons 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 prop" owner's behalf. I have read this application and the information I have provided is correct,✓ / n�,�^ I agree to comply with all applicable city and county ordinances and state laws relating to building construction, A L. 43 ✓ I authorize representatives of this city or county arty for inspection purposes. /, d ACTION i GATE. BY [ DFCLARATION OF COMPLIANCE WIN CODE OF FEDERAL i REGLILATIONS PART 61 OF TITLE 40 AND ALI RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED I SUBMITTED ASBESTOS NOTi FICATIr1N TO _ PERMIT CANC€LIEp ---- E5�A "— --,_.._ _........... __. PERMIT EXTENDED �__._....._.._.. _.t .______..__. ._.,.._._.�____.._....__. L1pCtMD PERMIT fINA1 L_I A5aEST05 NOTIFICATION IS NOT APPLICABLE 10 CERNFICATEOF 07.11.23 3 PROPOSED DEMOLITION OCCUPANCYI53UED SIGNATURE: