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HomeMy WebLinkAboutXR2024-0471 - Permits�EwPoRr City of Newport Beach pR a' A Community Development Department- Building Division X R 2 0 2 4 0 4 7 1 COMB Permit : XR2024-0471 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO ` S Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Issued Date : 02/27/2024 C9(/F00.N�P Combination Type - MFP PL U A k Final Date: Work Class -Alteration Permit Status: Issued Inspection Area : 2 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: 1549 PLACENTIA AVE, 109 Legal Desc : A TR FIRST ADD TO NEWPORT MESA TR BLK LOT 815 FIRS Description : MFR PEX REPIPE Owner: NEWPORT VILLA APARTMENTS Contractor: ABSOLUTE AIRFLOW INC Architect Address : 1549 PLACENTIA AVE, 109 Address : 14122 WILLOW LN Address NEWPORT BEACH, CA 92663 WESTMINSTER, CA 92683 Phone : Phone : (833) 482-2626 Phone Con State Lie: 1049023 State Lie Lie Expire : 01/31/2025 Applicant : ABSOLUTE AIRFLOW INC Bus Lie BT30079754 Engineer Address : 14122 WILLOW LN Bus Lie Expire : 09/30/2024 Address �`- WESTMINSTER, CA 92683 Phone: (833) 482-2626 Workers' Compensation Insurance Phone: Carrier: PACIFIC COMP INS CO Owner/Builder : Policy No: 1026229 Designer Address : W. C. Expire: 1/27/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $22,0j3a06 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : , 0 Occupancy Groups : R-2 No of Units : 58 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 • . TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : RM - Multiple Residential PROCESSED BY: SPECIAL CONDITIONS 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 chockmark(s) I have placed next to the applicable items chon 7031-5, Business end 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 permit to file a signed statement that he or she is liconsed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing With Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from licensors 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 more than five hundred dollars (S500). 1, 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, Iiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, holds or improves the property, provided that the rovements 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 coved 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 €y to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law), I I am exempt from licensors under the Contractors' State License Law for the following reason —.-- y 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 covert all a structure that I have built as an ownor-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/lwww,loginfo.ca.gov/calaw.html. Date signature of Property Owner or Authorized Agent _m___ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 �qf D'via IT 3 of the Business and Prn, on e, ^yh my licenseisIn full force nd effect. License Class License No Date � Contractor Signature VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSANG DOLLARS ISY00,6001, IN AODfTION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY-3 FEES. hereby affirm under penalty of perjury one of the following declarations: J 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 ed rmance 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 INS permit is issued. My workers` compensatiol isuuance carrier and policy number are: Policy Number Date Business and no of Agent ..._.._ -. _.. certify that, in the performance of e Work for Io this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compansation laws of CGlifamia, and ogre 1, if I should become�s�,�STRU k c - cation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �J nature of Appkcarq t �G1ARnTiON R G i7. TIC LENDING AGENCY weby affirm under en3lty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 7 7, Ivil Coda). Ider E Name Lenders Address my signature below, I certify to each of the following: I an, the property owner or authorized to act on the properly owner's behalf. I nave read this dpp4cation and the information I have provided is correct. I agree to comply A LI all applicable city and coynty ordinances and state taws relating to building construction. 7 I authorize rep asentatives of this city or c8unl. to enter the eve-fd Ified property for inspection purposes. I i2t (d 1 Vale/%.'`7�?�'\Print Prooertv Owner's or Authorized Agent's Name t/ / f 1 ACTION DATE By/ I LARATION OFCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY vv REGULATIONS PART 51 OF TITLE 40 AND AQNIO RULE 1403 PERMtT EXPIRED PERA4JT EXTENDED I—wulwv .._.. _._......_�_..�__ �..—.—. TIFIC PROHJ t_....... _._-____._.____A__..._..__._— PERMtTFINAI AStIFS,TT,tyytl5N 14N15 NOT APPLICABLE TO CERTIFICATE OFOCCUPANCYISSUED eZi �� ��� I SIGNATURGD