HomeMy WebLinkAboutXC2022-1956 - PermitsCity of Newport Beach
Community 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 -
Work Class - Alteration
COMB Permit : XC2022-1956
Plan Check No: PC2022-2331
Issued Date :
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: 2230 NEWPORT BLVD Legal Desc : N TR 16594 BLK LOT 1 UN HOLD LOT 1 OF TRACT 16594; HOLD PARC EL FOR CONDO
Description: STRUCTURE REPAIR/RECOAT STAIRWELL AND ELEVATED DECKS
Owner: PENINSULA VILLAGE LLC
Address: 220 NEWPORT CENTER DR, STE11
NEWPORT BEACH, CA 92660
Phone:
(714)818-8034
Applicant:
CHANDLER CLARK
Address :
220 NEWPORT CENTER DR
NEWPORT BEACH, CA
Phone :
(714) 818-8034
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Contractor:
MIKE ROVNER CONST
Address:
5400 TECH CIRCLE
MOORPARK CA 93065, CA 93065
Phone:
(805)584-1213
Con State Lic
: 795729
Lic Expire :
0513112023
Bus Lic:
BT30041026
Bus Lic Expire : 10/31/2022
Workers' Compensation Insurance
Carrier: BENCHMARK INS CO
Policy No: CST5023928
W. C. Expire : 7/15/2023
2019 Fire Sprinklers :
Fire Hazard Zone
U No of Units :
No of Stories
Flood Zone: AE, 8 FT; X
Use Zone : MU-W2 - Mixed -Use Water
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address:
Phone:
State Lic
Engineer:
ALLANA BUICK & BERS
Address:
990 COMMERCIAL ST.
PALO ALTO, CA 94303
Phone :
(650) 543-5600
Designer:
Address :
Phone:
NO Construction Valuation : $140,000.00
NO Added/New/TI sq. ft. Bldg
0 Alteration sq. ft. Bldg:
Added/New sq. ft. Garage: 0
TOTAL sq. ft. Bldg : 0
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
'Section 7031.5. Business end 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 applicantfor
he permit to file a signed statement that lie or she is licensed pursuant to the previsions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
crofessions 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 applioant for a permit subjects the applicant to a civil penalty of
Tat 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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 [list It was not built or
mproved for the purpose of sale).
D I, as owner of the properly, 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 with a licensed Contractor pursuant to the Contractors' State License Law).
1 am exempt from licensure under the Contactors' State License Law for the following reason ___ _ ___, _
By my signalum 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 Iegaly
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:l/www.leginto.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent�w _,_.. _� Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division of the Business and Pr(((FIG I ns de, • tl y ense is In full force
and effect. License Class License No Date �'LcontraGtor Signatu ��
NORKERS' COMPENSATION DECLARATION
NARNIM FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, ANG SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (111110,0001. IN ADDRION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 th
lia ormance Oilha work for which this permit is issued. Policy No.
ave 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' compensatiol
is
ranee carrier and policy number are:
tier Policy Number Expiration Date
Name of Agent _ Phone H
31 certify that, in the performance of the work for which this permit is issued, I shall notemploy any person in any manner so as t0 become subject to the workers' compensation laws of Califomia, and ogre
that, if I should become bleat to the workers' cola Lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant _ C / /0,/OS/2AZL
DECLARATION F kRDI ONSTRUCTION LENDING pOENC'�
I hereby affirm under penally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Glvil Code).
Lender's Name Lender's Address
By 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 county ordinances and state laws relating to building.. construction.
I authorize representatives of this city or count. t ef1tar the above -Identified property for inspection purposes. l
Signature of Property Owner or Authorized Ageri C� C '-� Print Property Owner's or Authorized Agent's Name � V� h'v, i
ACTION DATE BY DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL ¢OR OFFICE USE ONLY
RF.GULA1ION5 PART 61 OF TITLE 40 AND AQMD RULE
1403
PfRMfi EXP)RED 151 IBM T'ED ASRE5T05 NOTIFICATION TO
PERMIT CANCELLED { n—
PERNFIT EXTENDED = 1Q AD
PCRb11r FINAL t_,.IASBESTCS NOI IF ]CAI ON 15 NOT APPLICABLE TO
CERT(FrCATE OF I "� � J PROP05ED DEMOLITION
OCCUPANCY ISSUED 5Tn0qPTL P_:
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