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Home My WebLink AboutF2023-0062 - Permits?EWPO/gT City of Newport Beach 0 @ Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 S Inspection Requests Phone: (949) 644-3255 Cy//F00.N�P newportbeachca.gov/inspections Combination Type - Work Class - New F 2 0 2 3 0 0 6 2�) II COMB Permit: F2023-0062 Plan Check No : PC2023-0241 Issued Date : 02/02/2023 Inspection Area : FIRE 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 CAOL-D'E O IZRCQl3\ Job Address : 217 MARINE AVE, B Legal Desc : A TR BALBOA ISLAND SEC 4 BLK 12 LOT 20 Description : HOOD SUPPRESSION SYSTEM (X2022-1015) Owner: FAR WEST HERITAGE LLC Contractor : D O R Architect Address : 2922 DAIMLER ST Address : 15701 SHERMAN WAY Address SANTA ANA, CA 92705 VAN NUYS, CA 91409 Phone: Phone: (800)625-5593 Phone: Con State Lic : 1027812 State Lic Lic Expire : 06/30/2023 Applicant: D 0 R Bus Lic : BT30080614 Engineer: Address: 15701 SHERMAN WAY Bus Lic Expire : 02/29/2024 Address VAN NUYS, CA 91409 Phone: (800) 625-5593 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No: 9165928 Designer: Address: W. C. Expire : 9/8/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : B No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks Flood Zone : X Use Zone : MU-W2 - Mixed -Use Water /, '�3'°"-r�"i -oNiSTRUCTION NOISE PROCESSED BY: e ,..,, �. .`)t...) SPECIAL CONDITIONS: t IN THE WEEKEND $1,50(06 - 0 0 0 FA OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I. am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Items$) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construcL, alter, improve, demolish,. or repair any structure, prior to its issuance, also requires the appilcant for the permit to file a signed statement that lie 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 7031.6 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 property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended oroffered for sale (Section 7044, Business and Professions Code: The Contractors' State. License Law does riot 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 or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not builtor improved for the purpose of sale). El 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate 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 licensure under the Contractors' State License Law for the following reason: By 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 logail sell a structure that I have built as an owner-buildor if it has not been. constructed in itsentirety by licensed contractors. I understand that a copy of theapplicable 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:liwww.leginfo.ca,gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed tinder previsions of Chapter g cbr marcing with Section 000) f Di ision of the Business and Prof asy+ rte �hd my license is in full force and effect. License Class 1 License No M��).L Date��a� � Contractor Sig�tyi�r � WORKERS' COMPENSATION DECLARATION WARNING; FAILURE TO SdUURE WORB.ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1DD.000), IN ADDITION TO THE COST OF COMPENSATIOu; DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ir-&';ere?w q,firm under penalty of perjury one of the following declarations: t...t 1 have and will Nlaintan 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 erforman ne of the work for which this permit is issued. Policy No. I have and will nluildain 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' compensatio insurnce carrier ar.d Fc;icy number are: Carrier Policy Number Expiration Date Name of Agent Phone # DI ^rriry tile[, 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 agre thrt, i, I should become subject to the worke. o anon provisions of Section 3700of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant,_ Datir_d-- 1 3 DECi.F.F'ATION RECARCIFIG C4N LADING AGENCY I hereby affirm under perelty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name Lender's Address By my signature below, 1 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 1 have provided Is correct. I agree to comply with all applicable city and county ordinances and state taws relating to building. construction. I authorize representatives of this city or county t an the above dents property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ��^�� ACTION DATE BY DECLARATEON OF C PLIANCE W17li CODE OF FEDERAL FOR OFFICE USE ONLY tf k REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED M p PERMI'PFINAL MD SBESTOS NOTIFICATION 15 NOT AP CABLE TO CERTINCATEOF PROPOSEDE OCCUPANCYI55UE0 SIGNATU