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Home My WebLink AboutXR2023-2722 - Permits04-� City of Newport Beach 11111111111111111111111111p11111111111111111pll 111111111111 COMB Permit : XR2O23-2722 Community Development Department- Building Division X R 2 0 2 3 2 7 2 2 100 Civic Center Drive, Newport Beach, CA 92660Plan Check No : PC2023-2382 Permit Counter Phone: (949) 718-1888 Issued Date : 09/28/2023 newportbeachca.gov/civic Final Date: CoCombination Type - MFP ELEC PLUM Permit Status: Issued Work Class - Other Inspection Area : 4 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: 138 WESTPORT Legal Desc : N TR 11604 BLK LOT 2 UN 78 TR 11604 LOT 2 UNIT 78 Description : MFR SUB SLAB DEPRESSURIZATION SYSTEM Owner: Address Phone: Applicant Address Phone : BAYRIDGE PARK HOMEOWNERS Contractor: ASSOCIATION 1 HARTFORD DR Address NEWPORT BEACH, CA 92660 (949)706-4544 Phone: Con State Lic Lic Expire ENGINEERING AND ENVIRONMENTAL Bus Lic; CONSTRUCTION INC 7171 WARNER AVE STE B404 HUNTINGTON BEACH, CA 92647 (760)803-9389 Owner/Builder : Address : ENGINEERING AND ENVIRONMENTAL Architect: CONSTRUCTION INC 7171 WARNER AVE STE B404 HUNTINGTON BEACH, CA 92647 (760) 803-9389 883727 09/30/2024 BT30082135 Bus Lic Expire : 07/31/2024 Workers' Compensation Insurance Carrier: ACE AMERICAN Policy No: C51450152 W. C. Expire : 10/1/2023 Address Phone State Lic Engineer: CHARLESBLANCHARQ, Address : 555 12TH ST STE 215 , OAKLAND, CA 94607 Phone: (925)580-2754 Designer Address Phone: Phone: Code Edition : 2022 Type of Construction : V-B Occupancy Groups : U Bldg Height: Fire Sprinklers : Fire Hazard Zone : No of Units : No of Stories : NO NO 0 0 Construction Valuation Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage: TOTAL sq. ft. : Building Setbacks Flood Zone : X Use Zone: PC - Aeronutronic Ford PROCESSED BY: (� i SPECIAL CONDITIONS: $40,000.00 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 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 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 ContractorsState 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 orimprovement 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 apply to an owner of property who builds or improves thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law). 0 I am exernpt born licensure under the Contractors' State License Law for the following reason By my signDWro 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 ownor-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 siteihttp:liwww.leginfo.ce.govlcalavr.html. Sionature of Properly Goner or Authorized Agent _ Date LICENSED CON -'.'(:ACTOR'S DECLARATION---�""'- hereby affirm under p��alty of perjury rt I am licensed under provisions of hat 9 co ncing with § e io [ 'vi I yyf the 6u sand Profes ns Cod�P and my license is In full force anrt effect License Class License No to } Con[r r Signature NORKERS' COMPENSATION D •CLA'RATION NAZNNG: F %ILURE TO. SSCUPc WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANO DOLLARS ($100,000t. IN ADDRION TO THE 203T Ot LOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370S OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES. ha, 2by affirm under pen.nity of perjury one of the following declarations: nave and �'If maintain a certificate of conserll. to self -insure for workers' compensatlon, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for yln,^ance-6f the work for which this permit is issued. Policy No. and will mnimam workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' .carrier and policy number are! Policy Number of Agent Date Jl 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 laws of California, and ogre -at, if I shoult ome s ject to the work compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n , ram% �� liynature of pII nI O te_ "lJ i/ "' IECLARATION REGARDING CONSTRUCTION LENDING AGENCY _ —' hereby 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 tinder's Name _ Lenders Address ly my signature bow, elcenffy 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 representatives �entatives this ci Dr count e g r the -identified property for inspection purposes. ^ A ,, � nature of Propen Owner or A nzed A Brit _ Print Prooert, Owner's or Autho iz cent's Nema GA`l� ACTION I DATE I By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE EONL RFGIAATIONS PART 51 OF TITLE 40 AND AQNID RULE 1403 PERMIT EXPIRED PLJ I SUBMITTED ASBESTOS NOTn FICATION TO PERMITEXTENOED _ LIAQMD ...._...... ._..__...._.,.... _..._. ._/../�� / p.._.. .. I ____ _._ PERMfT FINAL. Iy(/ZJ L„I ASBESTOS NOTi HLA I ION 15 NOl APPLICABLE To CERTfFlCAIE OF LL !� a PROPOSED DEMOLITION OCCUPAPJCY15SUED , SIGNATURE: Civil Code).