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Home My WebLink AboutXR2022-3197 - Permits�EWP0", City of Newport Beach ,#C� C @ Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 v, \coaN�r Permit Counter Phone (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class -Addition/Alteration ��1111111111111111111111111111111111111111111111 jj COMB Permit : XR2022-3197 Plan Check No: PC2022-3068 Issued Date : 02/28/2023 Inspection Area : 5 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 : 2 WHARFSIDE DR Legal Desc : N TR 15850 BILK LOT 21 Description: SFR ADD 930 SF, REMODEL 673 SF, NEW BALCONIES 178 SF (28 SF/150 SF), ADD 513 SF TO GARAGE Owner: GROVE SCOTT C TR GROVE FAMILY REVOC TR Address : 2 WHARFSIDE DR NEWPORT COAST, CA 92657 Phone: Applicant: CROWLEYPATRICK Address : 31407 EL HORNO ST SAN JUAN CAPISTRANO, CA 92675 Phone : (949) 542-9205 Owner/Builder : Address : Contractor: TUSCANY CONSTRUCTION CO Address : 1560 SUPERIOR AVE #63 COSTA MESA, CA 92627 Phone : (949) 548-3355 Con State Lic : 494601 Lic Expire : 07/31/2024 Bus Lic : BT30051434 Bus Lic Expire : 06/30/2023 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INS CO Policy No: SWC1357232 W. C, Expire : 10/20/2023 Architect: CROWLEY PATRICK Address: 31407 EL HORNO ST SAN JUAN CAPISTRANO, CA 92675 Phone: (949)542-9205 State Lic : Engineer: WONG ARIV NATHANIEL Address : 180 S PROSPECT AVE #110 TUSTIN, CA 92780 Phone: (714)838-9898 Designer Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $425,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/NewITI sq. ft. Bldg : 930 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 851 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 513 TOTAL sq. ft. : 1,443 Building Setbacks Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: WASTE MGMT TO HAUL DEBRIS 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 iteri (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 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). F1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044, Business 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 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 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 7D44, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), I am exempt tram licensure under the Contractors' State License Law for the following reason By my signature below € 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 legak7 sell a structure that I have built as an owmor-buildor it it has not been constructed in its entirety 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:hltp:/iwww.leginfo.ca.govfcalaw.ntml, Signature of Property Owner or Authorized Agent —_ 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 Divi ' n 3 ofthis Business and Prof I C d , p my license is In full force and effect. License Class License No Date ,� Contractor Signaturo' '' WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI ALP LrieS AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADORION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, I hereby affirm under penalty of perjury one of the following declarations: 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 lh rmance of the work for which this permit is issued. Policy No. aye 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' compensatior ms ante carrier and policy number are: Policy Number of Agent Date ]I certify (bet, in the perforal 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 tat, if I should become Sul 'ect t e wor ors' co ensaflue provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant ECLARATION REG G CONSTRUdt1ON Lrzhai AGENCY hereby affirm under penalty of perjury that there is a con ruction lending agency for the performance of the work for which this permit is issued'. -(Section 3097, Civil Code). ender's Name Lender's Address y 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 r trances and state laws relating to building construction. I authorize representatives of this city or coun`t� io t thldr above- enntlflfT,d property, for inspection purposes, /^I�I^I /'+ ianature of ProDerty Owner or Authorized Aoant' Y \ Q �� X�1 i Print Property Owner's or Authorized Agent's Narr7'A,� Date ACTION DATE By V \ DECLARATIONOFCOMPt,�ANCO WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OIt TITLE 40 AND AQMD RULE j 1403 PERMi T EXPIRED I SUBMITTED ASBESTOS NOTI FI CATinm TO PERMIT CANCELLED t--I EPA FERMtT FXTENDFD L1,gQMD FERNHTFINAL T-Zy.Uk SBESTOS NOTINCA II Nl N01'APPLICABLE TO OCCUCERTIPICATEANCY Of— OPOSFD DE, L N I`,,,�-- OCCUPANCYISSt1@A SIGNATllR IY/�I