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HomeMy WebLinkAboutXR2022-2725 - Permits�jtiWPORT City of Newport Beach II III I I I II I II I III I III II I II p� 3 ep Community Development Department- Building Division COMB Permit:XR2U22-2725 > 100 Civic Center Drive, Newport Beach, CA 92660 � Plan Check No ; 2261-2020 ? Permit Counter Phone: (949) 644-3288 >+®^ Issued Date : Area : 5 2022 � Inspection Requests Phone: (949) 6443255 c"��FoaN�P newportbeachca.gov/inspections Inspection Area 5 Combination Type - Work Class - Other 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 : 514 ACACIA AVE Legal Desc : A TR .CORONA: DEL MAR BILK 529 LOT 16 CORONA DEL MAR TR BLK 529 OF Description: SFR DESCRIPTION CHANGE (DUPLEX TO CONDO) Owner: 514 ACACIA LLC Address : 1 CORPORATE PLAZA DR #110 NEWPORT BEACH, CA 92660 Phone Applicant: NICHOLSON CONSTRUCTION CO Address: 1 CORPORATE PLZ #110 NEWPORT BEACH, CA 92660 Phone : (949) 756-8393 Owner/Builder : Address : LOT 16 AND NELY 13FT = O OJulp y�, ° Contractor: NICHOLSON CONSTRUCTION CO .Architect : Teale Architecture Address : 1 CORPORATE PLZ #110 Address : , 2900 BRISTOL ST BLDGe•�20 %.OSTF>;""® NEWPORT BEACH, CA 92660 MESA, CA 92626 Phone :-. (949) 756 8393. Phone : ° (949) 975-0123 Can State Lie : 660295 State Lie Lie Expire: 12/3112022 Bus Lie : BT98032850 Engineer: HAKIM FADY Bus Lie :Expire : 04/30/2023 Address : J;q p, °33°• 124 PEONY Workers' Compensation Insurance ;. Phone: „ IRVINE, CA 92618 (310) 422-1536 Carrier: STATE FUND Policy. No : 9074255 Designer: ��`�,,��� W. C. Expire : 10/112022 Address Phone: Phone Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $0.00 Type of Construction : V-B Fire Hazard Zone :.. NO Added/New[TI sq. ft. Bldg Occupancy Groups : R-3 No of Units : '' 2 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg: 0 Building Setbacks : Front: 15, Side: 4, Side: 4, Rear: 5 " Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: of perjury; that lam exempt from. the Contractors State License Law: for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable-Rem(s) mfessions Code: Any cityor county lhat requires a permit to Construct, alter, improve, demolish, or repair any structure, prior to: its 'issuance, :also requires the applicant for ant that he or she is licensed pursuant to the provisions of the Contractors` State License. Law (Chapter 9. (commencing with Section 7000) of Division 3 of the Business and ;he 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 ($500)+ 1, as owner of the property, or my employees with wages as their sole compensation will do.0 all of or U portions of the work, and the structure is not intended or offered for sale (Section 704, >iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effod, builds or improves theproperty, provided that the Irovements are not intended or offered for sale. If,: however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it: was not built. or (roved for the purpose of sale). 1, as owner of the property, am exclusivelycontracting with licensed Contractors to Construct the project. i$echon 7044, Business and Professions Code; The Contractors' State License Lawdoes not Ay to an owner of property who builds or improves thereon, and who contracts for: the projects with a licensed Contractor pursuant to the Contracors' State License Law). i am exempt from licensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I most have resided for at least one year pnorto completion of the improvements covered by this permit, I cannot lei a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 at the Business and ,fessions Code,. is available upon request when this application is submitted or at the following Web site;bttpJlWww.leginfo.ce.gov/calaw.html, nature of Property Owner or Authorized Agent. — - __._.._._ ___--- Date. -LASED CWNTR ACUTOK'S DECtARA t ION Shy affrr 1ln er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Division 3 of the Business and Profs n Code, and irppttyyyycen��se is in full force 3ifect Lice;tieClass License No Date 1 ContractorSignatu€e .IKERS' C9VAENSATION DECLARATION ZING: FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (SIOD Win, IN ApDrrION TO THE i fICOµPENSATION,:DAMAGES AS PRWDEV FOR IN SECTIONa70S Of THE LABOR CODE, WTEREST, AND ATTORNEY s FEES. soy affirm LLrdesIH;nalty of perjury one of the following Darts rations: 41*ve and will maintain a -certificate of consent to self -insure for workers' compensation, issued by. the Director of Industrial: Relations as provided tot by Section 3700 of the Lobar Code, for th, �;9Mn a of . aw( rtor which this permit is issued. Policy No. wili 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 ar;N:r carrier:%no ppycy number are.. Policy Number. in *e peff rmance of the work for which this permit is Issued. I shall aecmrrtie`s?bjectrt6 the workers' comp nsa@ion provisions of Section; =.reby affirm under penalty of perjury that there is tder's Name. my signature below. I car* to each of the follov I am the property owner or authorized to act on I have read this application and the information I agree to comply with all applicable cAy and co I authorize representetivesof this city or county ACTION EXPIRED BY Fending agency for the per Lender's vner's behalf, 1 incorrect. s and state lawsrelatingto Date any person in any manner so as to become subject to the workers' compensation laws of California, and agre; Labor Code, I shah forthwith comply with those provisions. mane of the work for which this permit is issued (Section 30 AMCoda}, RULE PERMIT FINAL UASBESTOS NOTIFICATION IS NOT APPLICA13L'.F TO CERIVICATE OF ,p�j3�yJ� PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: FOR