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Home My WebLink AboutXC2022-1961 - Permitsv,E�x'PoRr City of Newport Beach ` II II I I II I II I III II I I I I II COMB Permit : XC2O22-1961 0� Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2331 Permit Counter Phone: (949) 644-3288 Issued Date : Inspection Requests Phone: (949) 644-3255 Inspection Area : 7 Cq(./pp RN�P newportbeachca.gov/inspections Combination Type - 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 : 2210 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______---� Applica CHANDLER CLARK Addre 220 NEWPORT CENTER DR NEWPORTBEACH,CA Phone . Owner/Builder : Address : Phone Contractor: MIKE ROVNER CONST Address : 5400 TECH CIRCLE MOORPARK CA 93065, CA 93065 Phone : (805) 584-1213 Con State Lic : 795729 Lic Expire : 05/31/2023 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 Code Edition : 2019 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks : 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 : $40,000.00 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 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 no 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 Irofessions Code) or that he or she is exempt from fieeirsure 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 iot more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_j all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044, lusiness 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 nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Sunder will have the burden of proving that It was not built or reproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not Ippty 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 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: iy 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 legall, ,oil 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 Irofess ons Code, is available upon request when this application is submitted or at the following Web site:htip:/iWw r.leginfo.ca.gov/calaw.html, >ignature of Property Owner or Authorized Agent Date ACEN'.SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) f OMF 3 of the Business and PPrrgfe ior7q Cpde�/an y license is In full farce Ind effect. License Class License No Dat Ds Contractor Signo r VORKERS' COMPENSATION DECLARATION rARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE :OST 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 I have and will meintam a certificate of consent to self -insure for workers' compensation, Issued by the Diredlor of Industrial Relations as provided for by Section 3700 of the Labor Code, for th Xformance of firework for which this permit is issued. Policy No. _ %Llil 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 nsur re' nce carrier and policy number a arr r Policy Number Expiration Date me of Agent Phone N :1I 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 agre hat, if I should become subject to the workers' co grlsahon provisians of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant _ / _ Dat �C�OJ 02? )1;CLARATfON ftEGARG NS� LENDING AGENT. hereby affirm under penalty of per}urythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 vll Code). _ender's Name lender's Address 3y my signature below. I certify to each or 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 ail applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county toe ter the above -identified property for inspection purposes. Si nature of Properly y Owner or Authorized Agent —�_ Print Property Owner's or Authorized Agent's Name I' i- Date ACTION DATE. BY k ECLARAT{ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I R, UtATIONS PART 51 OF TITLE 40 AND AQMD RULE i 1403 PERMIT EXPIRED _ �_ I s9B`A'TTFD ASBESTOS NOTt FICATION TO PERMIT CANCELLED PERMIT EXTENDED _ L�.AQ,SG PERMIT FINALt o DEMOLITION 15 NOT APPLICABLE TO---- CERTIFICATE OF POSED 11��t'i OCCUPANCY ISSUED SICK A FLIFE: