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