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Home My WebLink AboutXR2022-2745 - Permits6`x'PO City of Newport Beach Community Development Department Division COMB Permit : XR2022-2745 O P 9 X R 2 0 2 2 2 7 4 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2587 u > S Permit Counter Phone: (949) 644-3288 Issued Date: 10/17/2022 c . r Inspection Requests Phone: (949) 644-3255 Inspection Area : 6 '�GrF00.N� newportbeachca.gov/inspections p Combination Type - MFP Work Class - Alteration 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 : 18 DAUPHINE Legal Desc : N TR 14588 BLK'OT 9 UN 58 TRACT 14588, LOT 9 OF PROJECT 936 -46 LOCATED ON Description MFR R/R WATER DAMAGED DRYWALL 110 SF Owner: JOHN LIN Address : 1602 PEACOCK AVE SUNNYVALE, CA 94087 Phone Applicant: SUPERIOR RESTORATION Address : 27890 CLINTON KEITH RD, D467 MURRIETA, CA 92562 Phone : (951) 219-1550 Owner/Builder : Address: Phone: Code Edition : 2019 Type of Construction : V-B Occupancy Groups: R-2 Bldg Height: Building Setbacks Flood Zone c Use Zone : PROCESSED BY: PC - Newport Ridge SPECIAL CONDITIONS: - Contractor: SUPERIOR RESTORATION': [. Architect Address.: 27890 CLINTON KEITH RD, D467 Address MURRIETA, '.. CA 92562 Phone:. (951)2191550 Phone: Con State Lie : 983759 State Lie Lie Expire : 05/31/2023 Bus Lie Engineer: Bus Lie Expire ...... .Address: °°°• ° Workers` Compensation Insurance Phone Carrier.•. .. Policy No: cWC1060893041 Designer: SUPERIOR RESTORA?10 a W. C.'Expire: 4/1/2023 Address; 27890 CLINTON KEITH RD, rD467 MURRIETA, CA 92562 ' 3 Phone:-..(951)219-1550 ° ° ° • Fire Sprinklers ; NO Construction Valuation : $20,OC P.90' • Fire Hazard Zone f NO Added/New/Ti sq. ft. Bldg No of Units : 6 - Alteration sq. ft. Bldg No of Stories : 2 - Added/New sq. ft. Garage : 0 - TOTAL sq. ft. Bldg : 0 I hereby affirm under penalty of perjury that i am exempt from the Contractors! State License Law for thereason(s) indicated below by the checkmark(s) I have placed next to the applicable items) 3ecilon 7031.5, Business and 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 fie permit to fife a signed statement that he or she is licensed pursuant to the provisions of the £ontractors' State License. Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions Code) or that he or she is exempt from hoeneure and the basis forthe alleged exampdon. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty, of of more than five hundred dollars 000), 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, .us€ness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' orpemonal 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 or proving. that it was not builtor nprovedfor the purpose of sale). 3 I, as owner of the property, am exclusively contracting with licensed Contractors to conatructthe 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 forthe projects with a licensed Contractor pursuant to the Contractors' State License Law), i am exempt from Iicensure 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 covered. by this permit, I cannot legally ell 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: applicablalaw, Section 7044 of the Business and. 'mfessiohs Code, is available upon request when this application is submitted orat the following Web site:httpl/www.ieginfo.ca.govtcalaw.html. signature of Property Owner or Authorized Agent Date. .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of penury that am licensed under provisions of Chapter 9 (commencing with Section 7000) f Division 3 of the Business and Profe ons Code, and my license is In full force nd effect License Class License. No Date Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL,. AND SHALL SUBJECT AN EMPLOYER TO CRIMIKAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS fS100,00R, IN ADDITION TO THE DST OF COMPENSATION. D WGES AS PROVIOPQ FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES: �hTe.reby affirm under penaty of perjury one of the following declarations: .irAJV%:and wUl1A:iM�in. 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 Coda, forth, prm�rsca of the wo0b orwhich this perrnit is issued. Policy No. haws and will m'aintein workers' eompensation insurance, as required by Seddon 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensator uranc8 carrier got4t:go Ir y number are: :eater•. • • Policy Number Expiration Date loafooliAgent ' ••• Phone# PC@R7fy that, in the performanc he work for which this permit. is issued, I shall not employ any person in any manner so as to become subject to the workers.' compe ation laws of California, and agree ;gt,f •Iskould become subject a workers ompensation provisions of Section 3700 Of the labor Code: I -Shall forthwith comply with those provisions. 'ignaivre of APPnrap4 • • Date IkA59A9rtnrJ acre tN .nttsTtx r N I nwntmr; e[aPNry f there is a construction lending agency for the performance of the. work for which this permit€s issued (Sectdr13097, Civil Code). ider's Name • // __ Lenders Address.___ my signature below, I Certify to each of the following:. I am the property owner or authorized to act on the on I have read this applicationand the Information I have I agree to comply with all applicable city and county of I authorize representatives of this city or county to enj ACTION correct of state laws relating to building Construction. ified property for inspection purposes. tNCE WITH CODE OF FEDERAL I FOR TITLE40 AND ACLUID RULE TO CERT F CATE t055UED j 2—'y� P OSED EMOU NOTIFICATION IS N//� — iE TO