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HomeMy WebLinkAboutX2022-1775 - Permits (2)City of CommunityDe oppOrt DDepaartment- Building Division 100 Civic IIIIII IIIIIIII IIIIIIIIII IIIII IIIIIIIIIIIII COMB Permit:X2022-1775 Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Plan Check No : 1625-2022 a.. r Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections q^- Lu 'I Issued Date : 06/28/2022 Inspection Area : 5 - RLABARE Combination Type - SFP Work Class - Alteration 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 : 30 WHARFSIDE DR Legal Desc : 477 171 30 Description: SFR ALT 35 SF TO REPLACE (E) DOORS/WIN DOWS W/ (N) BI-FOLD DOORS. Owner: BRIANBARRY Address : 30 WHARFSIDE DR Contractor: HARKINS CONSTRUCTION Architect NEWPORT BEACH, CA Address : 34167 PCH #D Address Phone : (949) 750-9511 DANA POINT, CA 92629 Phone : (949) 245-9028 Phone Con State Lic : 935372 State Lic Applicant : LUCAS SMITH Lic Expire : 03/31/2024 Bus Lic; BT30066134 Address : 39167 PACIFIC COAST HWY Bus Lic Expire : 02/28/2023 Engineer: BURKE LEO DANA POINT, CA 92672 Address : 34167 PACIFIC COAST HWY#D Phone : (949) 750-9511 Workers' Compensation Insurance DANA POINT, CA 92629 Owner/Builder : Carrier: NORGUARD INSURANCE COMPANY Phone: (949)226-7130 Address : Policy No : HAWC352110 W. C. Expire : 2/22/2023 Designer : BURKE ENGINEERING Address : 34167 PACIFIC COAST HWY Phone : DANA POINT, CA 92629 Phone: (949) 226-7130 Code Edition : 2019 Type of Construction : V-B Fire Sprinklers : YES Fire Hazard Zone : NO Construction Valuation : $60,000.00 Occupancy Groups : U,R-3 No of Units : 1 Added/New/TI sq. ft. Bldg : 0 Bldg Height : No of Stories ; 1 Alteration sq. ft. Bldg : 35 Added/New sq. ft. Garage: 0 Building Setbacks : - , I" Flood Zone : X " Use Zone PROCESSED BY: SPECIAL CONDITIONS: IRWD OWNER -BUILDER DECLARATION nt that requires a permit o construct alter, improve. demolish, or repair any structure, prior to its issuance, also requires the applicant for I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next o the applicable items action 7031.5, Business and Professions Code: Any ally or cbu yctors' State ofessi permit to file a signed that halo she is exempt froom licensu edpursuant to the end the basis forpthelsions of the Contraalleged exemption,Any violation lof Section 703151by any applicant ong rra permit subjecith Section Ols the applicant toivision 3 of le c8 t penalty ousiness f t more than five hundred dollar ($500). provided that the 1, as owner Of the property, or my employees with wages as their sole compensation, will do (_) all of rt f_) portions of the work, and the soot effort is not u intended or offered for safe (Section 7044, rsI, as and Professors Coda: The Contractors' State License Law does not apply to an owner of properly who, through employees'or personal eflort, builds or improves the Property, p Iprovemend are not intended or offered for sale. Jr. 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 of (proved for the purpose of sate).de: The ions Go I to an ownertof property who builds sor improves thereon, and who contracts for the prrojects struct with a licensed Contre project (Section actor pus uant to he Contracters' Sfale License rLaw) State License law does no P Y am exempt from licensure antler the Contractors' Slate License Lew for the folio ream: y my Signature below I have knobuilt le agethat,except owner-builder for my If i has not been oonstrveted In (dent entirely by licensed cmusthave resided ontractors. r at ors. I understand that a copy of the happl cable law, Section h' armit I cannot leaa :11 a structure rofys sions Coda, is available upon requestwhen this application nsubmitted d at the following Web site:hltpaiwww.legl�nfo.ca.gov/cRlew:htmY. Data Ignature of Property Owner or Authorized Agent ICENSED CONTRACTOR'S DECLARATION. hereby affirm under penalty of perjury that I am licensed under Provisions of Chapter 9 (commencing with Section 700Df i r4io f `Conti Contractor Signature Code, N t License Class License No r`�/ sp of the Business and and my license is' ull force Dole eC. VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (5106,000), IN PDDRION TO THE '.OST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have end will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations. as or for by Section 3700 of the Labor Code, for th arformance of the work for which this permit is issued. Policy No. of the work far whichthis permit is issued. My workers compansatio have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance . nsurance carder and policy number are: Expiration Date ^wirier _ _ _ Policy Number Phone H is of Agent caddy that. in the performance of the work for which this permit is issued, I shall not employ any Person in any manner so c as to become subject to the workers' compensation laws Of California, an agree It I should'. become Subject tot workers' compensation proton of Section 3700 of the Labor Code, I shall forthwith comply with those provisions Date_ of DECIJLFtATiUN KtivArauuva .,v,w•,... �...--.- - hereby affirm under penalty of perjury that Thera is a construction lending agency To Ltaders Address of the work for which this permit Is issued (Section 3097. CivilCode). Lender's Name By my skgnatue below, I. certify to each of the follow ri 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. -141 LacGS �^^- I agree to comply with all applicable oily and county ordinances and slate laws relating to building construction. 1 a lthorize, repnsEntatives of this city or county to enter bove-identified party far ins often purposes. biKura of Pro er[ Owner or Authorized A en[ Print Pro a Ovmar s or Authorized Agent's Name AC.IJN DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR �01FICENLY s RFG1ILATIONS PART 6] DF TITLE AD AND AOMD RULE Ana PCRTu FINAL i _.1 I� J i PROPOSED S NO DEMOLITION TION I NOT APPLICABLE CART( ICATE OF V ( PROPOSf.D OEMOUT40N L OCCUr ANCY 15,' SIGNATURE: