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Home My WebLink AboutXC2022-1907 - Permitsr�71D,,, City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.govfinspections Combination Type - Work Class - Other COMB Permit : XC2O22-1907 X C�� II Plan Check No : PC2022-2047 Issued Date : 02/10/2023 Inspection Area : 7 5� 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: 2823 NEWPORT BLVD Description : COMM PATIO 131 SF "SESSIONS" Owner: 2825 NEWPORT BOULEVARD LLC Address : 2618 SAN MIGUEL DR #265 NEWPORT BEACH, CA 92660 Phone: (855)675-4630 Applicant: MATT MEDDOCK Address: 2823 NEWPORT BLVD NEWPORT BEACH, CA 92663 Phone : (714) 457-9747 Owner/Builder : Address: Legal Desc : A TR NEWPORT BEACH SUB OF BLK 227 SEC A BLK LOT 18 SUB OF BL K 227 SEC A NEWPORT BEACH LOT 18 AND Contractor: CONCRETE CONCEPTS Architect Address : 320 MARGUERITE AVE #C Address CORONA DEL MAR, CA 92625 Phone: (949)400-6639 Phone: Con State Lic : 928875 State Lic Lic Expire : 02/28/2023 Bus Lic: BT30055432 Engineer: Bus Lic Expire : 06/30/2023 Address Workers' Compensation Insurance Phone: Carrier : Policy No: EXEMPT Designer: W. C. Expire: Address : Phone: Phone MEDDOCK CHRISTOPHER H. 42 SEABIRD CT NEWPORT BEACH, CA 92663 (949)510-4059 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $5,000.00 Type of Construction : Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg: 130 Bldg Height : No of Stories : Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X , Use Zone : CV - Commercial Visitor -Serving PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby aPflrm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason($) indicated below by the checkmark(s) I have placed next to the applicable item(s) Seclion 7031.5, Business and Professions Code: Any city or county that requires a perolll to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicantfor is permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Liconse Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from lieensure 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 I, 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, iusiness 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 nproved for thepurpose of sale), 1 L 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 pply 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), 1 i am exempt from licensure under the Contractors' State License Law for the following reason: _ ly 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 all a structure That I have built as an owner-buildcr if it has not boon constructed in its entirety 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 Aleb site:http:/lwww.leginfo.ce.gov/calaw.btml, signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of peq'ury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of qivision 3 of the Business and Profes ` as Code, and my license is In full force rid effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS (MD0,0001, IN AODrrION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3746 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following 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 the orformance of the work for which this permit is issued. Policy No. 11 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' compensatior isuuance carder and policy number are: rier Policy Number Expiration Date re of Agent Phone q certify that, in the qKormanco of the work for which this permitis issued, I shall not employ any person in any manner so as to become subject to the workers' o npareation laws of California, and agre if I should becom s ject to the workers' com ensallon provisions of Section 3700. of the Labor Code, I shall forthwith comply with those provisions. rature of Applicant Date hereby affirm under 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 Code). Andar's Name Lender's Address ly 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 informa M I have provided is correct. I agree to comply with all applicable city an cc my ordinances and slate laws relating to building construction. I authorize rep: asentat:ves of this city or corlDty t enter the above-fdentifi roparty for inspection purposes. .ig„ature 0` Property Owner or Authorized Agent��"_\ __.. Print Property Owner's or Authorized Agent's Name _N+v PC✓ IA Date AC, ION DATE By DECLARATION O} EAgMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE 1403 I SURMITTED PEh WJrFEA CELLED PErtMrf E..7ENOEO PENMr fFI'NAL CE:, it ILATZ OF OCXPANC:'15SUEL NOTAPPUCAKE TO