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Home My WebLink AboutXC2024-0041 - PermitsCity of Newport Beach 4�EWoRr 0 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - Work Class - Alteration X, C 2024!!l�i 4 '!! COMB Permit: XC2024-0041 Plan Check No: PC2024-0228 Issued Date : 04119/2024 Final Date: Permit Status: Issued Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LA1 ER 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: 2071 SAN JOAQUIN HILLS RD Legal Desc : P BK 13 PG 41 PAR 1 IRVINE SUB LOT BILK 93 FOR OF B Description: COMM ALT ROOF ADD GUARDRAILS, GATES AND STAIR SYSTEM Owner: IRVINE COMPANY LLC Contractor: DIVERSIFIED FALL PROTECTION Architect Address : 111 INNOVATION DR Address : 28258 AVENUE STANFORD Address IRVINE, CA 92617 SANTA CLARITA, CA 91355 Phone: (949)720-3100 Phone: (818)565-5551 Phone: Con State Lic : 1090105 State Lic Lic Expire : 04/30/2026 Applicant: BRAD FOWERS Bus Lic: BT30084072 Engineer: JOHN SPEAR Address : Bus Lic Expire : 04/30/2025 Address : 1742 SAFFIN CIR LANDCASTER, PA 17601 Phone: (949) 263-1001 Workers' Compensation Insurance Phone: Carrier: GENERAL CASUALTY COMPANY OF WISCONSIN Owner/Builder : Policy No: 152000722 Designer: Address : W. C. Expire : 10/4/2024 Address : Phone: Phone Code Edition : 2022 Fire Sprinklers : Type of Construction : II-B Fire Hazard Zone Occupancy Groups : B No of Units : Bldg Height: No of Stories Building Setbacks : Flood Zone : X Use Zone: PC - North Newport Center PROCESSED BY: I SPECIAL CONDITIONS: HAULER: WASTE MANAGEMENT OF OC NO Construction Valuation : $436,701.00 NO Added/New/TI 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 t am exempt from lire Contractors Stale Llcedse �a,v for IRS reason(_) indicated below by the checkrnark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a oeimit to cvl Strout alter imorove, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisic.l ; o't:u Coutract�rs' 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 five hundred dollars ($500). 71 1, as owner of the property. or my employees with wages as their sole compensation, will do (_) all of cr `) porters 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 app;y to a, I owner of o,ope•ty woo, throunh 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's sole within one yea,, 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 Code: 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). 11 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 corpletion of the improvements covered by this permit, I cannot lega[]! sell a structure that 1 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:flwww:leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agentt _- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I ri licensed under provisions of Chapter 9 comrencing with Section 7 00 of "nisi n 3 of the Business and Prosic de. h ense is it force and effect. License Class 1Z License No 1,c t�6 Date contractor signature WORKERS' COMPENSATION DECLARATION ✓YARNING: FAILURE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH O DOLLARS tS10g000), IN ACOmON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following decEaratlons: I 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 th p2yiaLnmance of the work for which this permit is issued. Policy No. I a , 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 in nee arner and policy umber are: r Carrier V0.- �' �!f &el C kk-Z-1Policy Number i s 2 000 �ZZ Expiration Datee^ jD o `t Z a "L4 Name of Agent t7YL \ ill tyb 2X� Phone # 'I) \� 31 certify that. in the performance ofLwkerrs' for whioh 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 if I should becOrna,\s�u,bject to co {�pensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 4iai_re of APPI.grn,.r. ,..,..,.,., ..,,..,.... 3reby affirm under penalty of ppegi i?That there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). rider's Name Lenders Address 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter th2_aJ.ove-identified property for inspection purposes. T ,� ACTION I DATE BY DFCLATIONF ONS PAR Ol LI NNE 4WITH CODE OFVID RULEFEDERAL I FOR OFFICE USE ONLY PERMt7£XPIRED I I ! U&BMITTEDASBESTOS NOTIFICATION TO PERMr7CANCELLED EPA PERMIT FINAL CERTIFICATE CCCUPANCEPSUED I -/V �tlC` 1 SIG AFEO ENUOt IFI O 'ONI J"APPLI` APPLICABLE 70