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Home My WebLink AboutS2022-0156 - PermitsWv� City of Newport Beach II I III II I II III III COMB Permit : S2022-0156 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1783 Permit Counter Phone: (949) 644-3288 Issued Date Cq CiF00.H�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections INSPECTOR Inspection Area : 5 p Combination Type - Work Class - Other 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 : 514 ACACIA AVE, 1/2 Legal Desc OF LOT 18- Description : MFR INSTALL (N) PREFAB SPA @ ROOF DECK (UNIT B) Owner : 514 ACACIA LLC Contractor Address : 1 CORPORATE PLAZA DR #110 NEWPORT Address BEACH, CA 92660 Phone Applicant: NICHOLSON CONSTRUCTION CO Address: 1 CORPORATE PLZ #110 NEWPORT BEACH, CA 92660 Phone: (949)872-6637 Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2019 tl6 tpr NUE4 Front: 15, Side: 4, Side: 4, Rear: 5 X R-2 - Two -Unit Residential 5 CORONA DEL MAR TR BLK 529 LOT 16 AND NELY 13FT OF LOT 14 AND LOT 18-EXNELY Phone: Con State Lic Lic Expire Bus Lic: NICHOLSON CONSTRUCTION CO 1 CORPORATE PLZ #110 NEWPORT BEACH, CA 92660 (949)B72-6637 660295 12/31/2022 BT98032850 Bus Lic Expire : 04/30/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9074255 W. C. Expire: 10/1/2022 Fire Sprinklers : Qc ` e3 Fire Hazard Zone : Y No of Units: 2 No of Stories : 3 Architect : Teale Architecture Address : 2900 BRISTOL ST BLDG A203 COSTA MESA, CA 92626 Phone: (949)933-8428 State Lic Engineer Address Phone: Designer: Address Phone : Construction Valuation $12,OGOxUU Added/New/TI sq. ft. Bldg : 0 Added/New sq. ft. Garage : 0 NO CONSTRUCTION NOISE SPECIAL CONDITIONS: ON THE WEEKEND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that Iam exempt from the Cuntractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Rem(s) (Section 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 the pormn t to fife 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 lho Businass and Professions Code) or that he or she is exempt from ticensureand the basis for the alleged exemption. Any violation. or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). El I, as owner of the properly, or my employees with wages as their sole compensation, will do i_) all of dr _ portions of:the work, and the structure Is not intended Or offered for sate (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who through employees' or personal effort, builds or Improves the property, provided (hat the Improvements are notlnlended or offeredforsale. 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 Cade: 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), I am exempt from Rcensure under the Contractors' Slate License Lew for the following reason- _...___....._____.w...._....._..... ....-_.._.,„_.....____.... _. _. ._._.__ _� .,.....r._.-.-_..�.._.. By my signature below I acknowledge that, except for my personal residence In which I must have melded for at least one year prior to completion of the improvemonts covered by this permit, I.cannot legall7 sell a structure that I have builtas an owner hullder if It has not been constructed in its antlrely 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 [lie following INell sire:h0p:liv�v.leginfo.ca.govicalaw.html, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby'afflren under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Professions Code, andmy license is In full force and effect. License Class License No Date `f —)q- Contractor Signature )C Sf./A➢A w.3�^ Y�A� WORKERS' COMPENSATION DECLARATION NARNINO: FAILURE TO SECURE WORRERW COMPENSATION COVERAGE, IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$VW,0001, dN AbDr"ON TO THE C DST OF COMPENS A 10: 1,, DAMAGES AS PROVIDED FOR IN SECTION 5705.OF THE LABOR CODE, INTEREST, AHD ATIFTeNey's FEES.. hereby affirm under penalty of perjury one of the following declarations: Id�o and .vill to,d,ilain a cenihcata 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 .performance o€'".e work for which this permit Is issued. Policy No. Ctil hale and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. My workers' compensatior insurance carrier .Ind pclicy number are: Car. ler Policy Number Expiration Date Nams of Agent _ _ Phone 9 D c2:^,ify 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 egret Ih--f IhOLdd become subjects. too �the� workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r� Slgna(uleof ApplicII[, % ✓��y ��--Data_K'�R �l �— DLO:_, :I'ATION REGARDING CONSTRUCTION LENDING AGENCY I he-rhy affirm under penalty of perjury that -there Is a Donstruetion lending agency for the performance of the work for which this permit IS issued tSectlon 3097, Civil Code), Lender's Name Lender's Address By my signature below, I certify to each of [he 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 ail applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above-fdenti d property for Inspection purposes. Pr1trsOwar'saAtaizadAySi natureofPro ert OvnerorAuthodzedAgent enFs Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFO ULATIONS PART 61 iO F TITLE 40 AND AQMD RULE. 1401 PERMIT EYPIgEp 1 SBNIITTED ASBF.5TO$ NOTIFICATION TO PERMIT CANCELLED - - -- - ERA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMITECTE DED LACMD be In place prior to approval to fill pool/spa & shall remain In place & bemaintainer) for the PEibVilT FIMAL t +L� j7tj (ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO life of the pool. CERTIFICATE OF ROPOSED DEMOLITION OCCUPANCYISSUED I SIGNATURE: X