HomeMy WebLinkAboutM2022-0030 - PermitsEWPo Cityof Newport Beach IIII I I II I II I II II IIII II II
p� y" ' Community Development Department - Building Division Harbor Permit : M2U22-UU3U
.. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1983
U T+ S Permit Counter Phone: (949) 644-3288 Work Class : Alteration
cK Inspection Requests Phone: (949) 644-3255
ey<rcoaT'�P newportbeachca.gov/inspections Issued Date : D9/13/2022
Inspection Area : 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays.
Job Address : 36 HARBOR ISLAND Lega.
Description: SFR REMOVE & REPLACE (E) LEFT HAND FINGEF
Owner: LYONS PHILLIP N TR
Address: 36 HARBOR IS NEWPORT BEACH, CA
Phone
Applicant: MARISSA MORALES
Address: 6351 INDUSTRY WAY IN
WESTMINSTER, 92683
Phone: (949)631-3121
Code Edition : 2019
Type of Construction :
Occupancy Groups: U
Building Setbacks
Flood Zone
Use Zone :
Processed By:
Zoning Approval:
Grading Approval:
Y WAY
Front: 15, Front: 15, Front: 0, Side: 3
AE, 8 FT; X
R-1 - Single -Unit Residential
Contractor
Address E
C
Phone
Con State Lie
Lie Expire
Bus Lie :`
Bus Lie Expire
No:
Expire
2 802 BLK LOT36 TR 802 LOT-36 ALL -INC BET SAME & HIGH T IDE
ILEAND GANGWAY
/IFTSLIP 'DOCK/PIER '-BUILDERS
Architect:
51 INDUSTRY WAY WESTMINSTER,
Address
92683
9).631-3121
Phone:
797052
State Lie
07/31/2023
BT01122734
Engineer: PETROVPLAMEN
11/30/2022
Address:
28161 CASITAS CT LAGUNA NIGUEL, CA
92677
nd.Harbor Workers'. Insurance
Phone:
(714)717-7542
AMERICAN ALLIANCE INS CO
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1i30/2�s
Designer:p*,
Address
AV
t�
11.14�
Phone:
NO
Construction Valuation : $76,000.00
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JNSDPECTuh
Public Works A01proW$I: s F P a
6 ., ';p C J 4v4
Plan Check By: eL
6~ V� CVO 4 9 0
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Approval To Is6tae;
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i. hereby affirm Under
ction 7031:5, BUslnei
from. the Contractors' State License Law for the
or
laced next to
and
more than five hundred dollars.($500).,
I, as owner of the property, or my employees with wag" as their sale compensation, will do U all of or U portions ofthe work,: and the structure Is not intended or offered for sale: (Section 7044,
liness 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
Pavements 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
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors: t0 construct the project (Section 7044, Business and Professions Codw The' Contractors' Stale License Law does not
ply 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).
I am exempt tram licensure under the Contractors' Stake License Lawfor the following reason:
my signaturebelow 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 lec
a structure that I have built as an owner -builder if it has not been constructed in its entirgty by licensed' contractors. I understand that copy of the applicable law, $action.7044 of thp:Business and:
To under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 9000IG :of the Business and Prof sslonn¢�fq. O� is in full force
License Class. License. No Data�. Contractor Signatu d\
i' COMPENSATION DECLARATION
.URE TO SECURE WORKERS' COMPENSATION'. COVERAGE lS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS iS144,444I. IN ADDITION TO TI
•ENSATION. DAMAGES AS. PROVIDED FOR IN SECTION STQS OF THE LABOR CODE: INTEREST, AND ATTORNEYS FEES.'
hereby affirm. under penalty -of perjury one of the following declarations:
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 theLaborCode, for
arice of the work for which this permit is issued. Policy No.
hive 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' compensa
Tsui carder and policy number are:
'Policy Number
Date
no of Agent Frione 9
certify that, in the performance of the work for wh pemt t is issued, i shall not employ any person in any manner so as to become subject 10 the workers' compensation laws of California. and agree
t, if t should become subiec WZ4N:16��
IS'tin previions of Section 3700 of the Labor Code; IshalE forthwith comply with those provisions. i
nature of Applicant
CLARATION REGARD OGHeby affirm under penalty of pa a conending agency for the performance of the work for which this permit is issued (Section 309 ; Civil Code).
Iders Name Lenders Address
my signature below, I certify to each of the roltowing:
I am the property owner or authorizedto 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 appficabie city and county ordinance d state laws relating to budding construction.
I. authorize representatives of this city or county t -en kb ve- ffied: property for inspection purposes, v • 1 h n I
CERTIFICATE
.00CUPANCY
BY
DE AR 71ON OF MPLIANCE WITH CODE OF FEDEI
RE L14 TIONS PART 61 OF TITLE 40 AND AQ.MD RULE
1,
LSUBMWZW ASBESTOS 0;FI£OTJON TO.
t.. , PA.
•0 ASBESTOS NOTIFICATION 15 NOT APPLICABLE To
PROPOSED DEMOLITION.
"ONATURE: . • .
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