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Home My WebLink AboutXC2023-0463 - PermitsaEWnoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2U23-0463 o� @ Community Development Department - Building Division X C 2 0 2 3 0 4 6 3 F q,' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1789 6 >~+ z Permit Counter Phone: (949) 718-1888 Issued Date : 11/13/2023 .s. newportbeachca.gov/civic Final Date: C,(/FORN�p Combination Type - Permit Status: Issued _ Work Class - Other Inspection Area : 7 PERMITS EtXS{I AYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION -RISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 1200 COP,S��VUJ4` 9, Legal Desc : N TR 1210 BILK LOT 39 TR 1210 LOT 39 ALL -SLY OF MW Description : COMM - 3 DETAC NY9TRUCTURES (C, D, E) @ 827 SF EACH. 1 DETACHED SHADE STRUCTURE 1507 SF (A) Owner: GOLDEN MARDIKIAN LLC Address: 45 GOLETA POINT DR CORONA DEL MAR, CA 92625 Phone : (949) 910-1167 Applicant: NIALLSAUNDERS Address: 2700 W COAST HWY #200 NEWPORT BEACH, CA 92663 Phone : (949) 721-0730 Owner/Builder : Address: Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: Contractor: UNIVERSAL RENOVATION CONSTRUCTION LLC Address : 133B S TOWNER STREET SANTA ANA, CA 92707 Phone : (024) 987-4387 Con State Lic : 870568 Lic Expire: 08/31/2025 Bus Lic : BT30082993 Bus Lic Expire : 11/30/2024 Workers' Compensation Insurance Carrier: ZURICH AMERICAN INSURANCE COMPANY Policy No: WC169089301 W. C. Expire : 12/31/2023 2022 Fire Sprinklers : Fire Hazard Zone U No of Units : No of Stories X CG - Commercial General SPECIAL CONDITIONS: Architect: NIALLSAUNDERS Address: 2700 W COAST HWY #200 NEWPORT BEACH, CA 92663 Phone : (949) 721-0730 State Lic : Engineer: MORRIS KYLE Address : 1401 DOVE ST #520 NEWPORT BEACH, CA 92660 Phone : (949) 502-5323 Designer: Address : Phone : NO Construction Valuation : $5,000.00 NO Added/NewITI sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg: 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft, : 0 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 item(s) ;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 Thu permit to file a signed statement that he or she is liconscd pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exemptfrom licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant io a civil penalty of not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not Intended cr 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-Sulider will have the burden of proving that it was not built or mproved for the purpose of sale). 1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project. jSection 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of propertywho, 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 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 legal sell a structure that I have builtas an ownor-buildor if it has not been constructed in its entirely, by licensed Contractors.) 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 siterhttp://www.leginfo.ca.govlcalaw.btml. Signature of Property Owner or Authorized Agent _ D' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 00) f I isfon o the Business nd Pr s ons Code, nd my license is In f roe and effect. License Class License No Dat Contractor S natur WORKERS' COMPENSATION DECLARATION ' NARNINGI FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO 100,000)., IN CRIAS ON TO TH'. 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: have a *11 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 tl oorf rm a of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number to of Agent Date JI certify that. In the performanc a work for IC- armlt 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 rat, if I should become sub a kers' Compensation visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. gnature of App' nl ,Date ECLARATION` 0 STR.UCTION G AGENCY hereby affirm under penalty era is a construction lending agency for the performance of the work for which this permit is issued (Section 3097�Code). enders 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 propertyovrner's behalf. I have read this application and the information I have provided is correct. agree to Comely with all applicable city al uty_o antes and slate laws relating to building. construction. I authorize representatives of Lhis-cil"y or count. n e y ve- d property for inspection purposes, anature of Properly Owner or Auttibrized.Bner L _ J Pnni Property Owner's or Authorized Agent's Name ACTION DATE. BY \�- ORATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY U� REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE 403 PERMIT EXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCITUED EhPA -' M-- .--.--_ j D w- PERMIT FIPlAL rr�J� i LJ ASBESTOS NOTIFICA1ION 15 NOT APPLICABLE TO CERTIFICATE OF �-� / PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: