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Home My WebLink AboutXC2022-2011 - PermitsCity of Newport Beach F',WPDRr 0 _ e, Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 e. Inspection Requests Phone: (949) 644-3255 c4,rFopN�P newpertbeachca.gov/inspections Combination Type - ELEC PLUM 111111111111111111 ��0. ��111111111111111111111111 jjCOMB Permit : XC2022-2011 Plan Check No : PC2022-2546 Issued Date : 02/17/2023 Inspection Area : 7 Work Class - Other ! s , , - 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: 4700 VON KARMAN AVE, 102 Legal Desc : Description: COMM - TI INSTALL (2) SINK INACCESSIBLE MILLWORK Owner: AYLA CAPITOL GROUP LLC Address : 535 E MAIN STREET TUSTIN, CA 92780 Phone Applicant: CAROLYNDOYLE Address : 12 MAUCHLEY, E IRVINE, CA 92618 Phone : (919) 290-4420 Owner/Builder : Address : Contractor: VM CONSTRUCTION SPECIALTIES INC Address : 17120 BEACH BLVD, 108 HUNTINGTON BEACH, CA 92683 Phone: (714) 725-4233 Con State Lic : 991180 Lic Expire : 03/31/2024 Bus Lic : BT30080754 Bus Lic Expire : 02/29/2024 Workers' Compensation Insurance Carrier: WESCO INSURANCE COMPANY Policy No : WWC3606056 W. C. Expire : 9/22/2023 Architect: WILLIAMLUSHBAUGH Address : 17191 CITRON IRVINE, CA 92612 Phone: (949) 584-2166 State Lic : CO24867 Engineer: Address Phone: Designer: Address : Phone: Phone: Code Edition: 2019 Fire Sprinklers : YES Construction Valuation : $12,000.00 Type of Construction : III-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks : - Flood Zone: - Use Zone : PROCESSED BY: V� '.. SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ftem(s) 'Bolton 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 io permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions 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 of more than five hundred. dollars ($500). 1 1, 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 or offered for sale (Section 7044, ,usiness 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 -Builder will have the burden of proving that it was not built or n'fproved for the purpose of sale), J 1, 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 ply 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 from licensure under the Contractors' Slate License Law for the following reason ,y my signature below I acknowledge thet, except for my personal residence in which I must have resided for at least ore year prior to completion of the improvements covered by this permit, I cannot legal, ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors- I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted orat the following Web site:htip:/Iw .leginfe.ca.govlealaw.html. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION. hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section TODO) f is ion of the Business and Professions Code license is In full force ad effect. License Class License No Date Contractor Signature JORKERS' COMPENSATION DECLARATION (ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE KUNOU0 THOUSAND D LLARs ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the fallowing declarations: I 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 erforrnance of the work for which this permit is issued. Policy No. .have 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 rance carrier and policy number are: "ier Policy Number Expiration Date ie of Agent Phone N certify that, in the performance of the work. for w 'ch 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 if I should become subject to the workers.' 0 ensatiorl provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iature of Applicant_,.„ Date `I .1D /.TFfF\I DCILADffI\Ili !`/YF.YCYDIII+Y \ D\ITII.1f,F!!cAl!`V --��'._� hereby affirm under penalty of perjury thattrnere is a construction lending agency for the performance of the work for which this permit is issued (Section 3D97, Civil Code). enders Name Lenders Address ly my signature below, I certify to each of the following: I am the rrpperty 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 sgree to coii. with all applicable city and county ordinances and sl laws relai to building construction. I authorize, epresdntaov lives of this city or county to enter the ab�R tified property for inspection purposes. _ Owner or Authorized Agent Print Property Owner's or Authorized A ent's Name GATE BY DECLARATIO' OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART ES OF TITLE 40 AND A( RULE PER!✓!T EXPiR4' 0 1 SUBMITTF,D ASBESTOS NOTIFICATION TO ERA IT EXTENDED __ —1 —��— _ fir OMD PERMITFINAL T)��) —i-n ASBESTOS NOTIFICATION 15 NOT PP (CABLE TO CERI ICATE('F i PROPOSED DEM 0l1TI0/N OLLUPANCYIiStJfD I SIGNATURE: 19 (? IV: