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Home My WebLink AboutXC2022-1959 - Permits (3)City of Newport Beach ��EWPO,?T 0 @m Community Development Department - Building Division F - 9 10D Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9C�i00.N`P newportbeachca.gov/inspections Combination Type - Work Class - Alteration COMB Permit : XC2O22-1959 Plan Issued e Check No : PC2022-2331 Inspection Area : 4 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: 2260 NEWPORT BLVD Legal Desc : N TR 6947 BLK LOT 5 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 Applicant: CHANDLER CLARK Address : 220 NEWPORT CENTER DR NEWPORT BEACH, CA Phone: (714)818-8034 Owner/Builder : Address : Phone Contractor: MIKE ROVNER CONST Address : 5400 TECH CIRCLE MOORPARK CA 93065, CA 93065 Phone : (805) 584-1213 Can 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 : NO Type of Construction : Fire Hazard Zone : NO Occupancy Groups : U No of Units : 0 Bldg Height : No of Stories Building Setbacks Flood Zone : X Use Zone : PC - Park Newport - UP 1412, UP 1557 PROCESSED BY: SPECIAL CONDITIONS: I it Architect Address Phone: State Lic Engineer: ALLANA BUICK & BERS Address : 990 COMMERCIAL ST. PALO ALTO, CA 94303 Phone : (650) 543-5600 Designer: Address Phone : Construction Valuation : $140,000.00 Added/New/Ti sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg : I 0 I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Lawfor 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 :he permit to file a signed statement that he or she is liconsed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (Commencing with Section 70D0) 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), El I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an Owner of property who, through employees' or personal effort, builds or improves the property, provided Ihat the Improvements are not intended or offered for sale. If, however, the building or impi ovement. is sold within one year of completion., the Owner -Builder will have the burden of proving that it was not built or Improvad for the purpose of sale). ❑ 1, 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). 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 legally sell a structure that I have built asan owner -builder if ithas not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044of the Business and Professions Code, is available upon request when this application is submitted or at the following Web sitelhttp://Wm .leginfo.ca.gov/calaw hunt. Signature of Property Owneror Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o Divisi 3 of the Business and Protess� s odeyand y license isInn full force and effect. License Class License No Date O _Z_ Contractor Signs WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 111DD,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTOFNEY'B FEES. hereby affirm under penalty of perjury one of the following declarations: V nave and wiVl maintain a cerlfficale of CODsenl 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, oar rmance of the work for which this permit is issued. Policy No. I ve 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 ins area ea,r{ter and policy number are'. C ter r—%1,^ofL ,� Policy Number cnT_ Sdi 3 9 � Expiration Date —7 S/ZO L-3 Name of Rgent Phone # JI certify that, in the performance of the work for which this permit is issued., I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and at, if I should become subject ttoff/FtefwzoJkerre, om�pens.,atioon�provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignalure of Applicant ECI.ARATEGN REP4ADING CONSTRUCTION LENDING AGENCY hereby affirm undo penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Section 3097, Civil Cade). endar'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 ordinances and state laws relating to building construction. I authorize representatives of this city or county toe r the above-identifle roperty for inspection purposes. tyy ionature of PrDOes QflriV Owner or Authorized ADan� � riot Prooertv Owner's or Authorized Aaent's Nam)Vn AY+ ZN-V C)1_t1V V-n,te 1 1 ACTION I DATE. PERMIT EXPIRED I PERMIT CRNCELLE0 PEA, T EXTENDED FCRMI i FITIAL CERTIFICATE OF �-�y Zk, OCCUPANCYISSUED I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 6.1 OF TITLE 40AND AQI RUIF U ASBESTOS NOTIEICA7ION IS NOT APPLICABLE TO PROPOSED DEMOLITION 2.-