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HomeMy WebLinkAboutX2022-1096 - PermitsCity of Newport'Beach`,- mII IIIIIII III III I IIIIII II p� d Comunity Development Department- Building Division COMB Permit:X2022-1096 F m,m y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1007-2022 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Combination Type: SFP ELEC ME( JH PLUM °"c�FonNjP newportbeachca.gov/inspections Work Class : Addition/Alteration O/ Issued Date : 07/112022 .® Inspection Area PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE D, NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL Job Address : 204 PEARL AVE Legal Desc : Description: SFR ADD 192 SF LIVABLE AND GARAGE ADDITION 46 SF, INTERIOR REMODEL 1805SF 122-0400 Owner: SHELLEY STARR Contractor: DUPUY CONSTRUCTION Architect : SKELTON LOUIS E Address : 204 PEARL AVE NEWPORT BEACH, CA 92662 Address : 5827 PEARCE AVE LAKEWOOD, CA Address : 2537-D PACIFIC COAST HWY #168 Phone: 90712 TORRANCE, CA 90505 °°°° Phone Phone: �....� Con State Lie : 1035848 State Lie Applicant : Lie Expire: 02/29/2024 ..° ° Address : Phone : Bus Lic: Engineer: NNADOZIE NF DIKE Bus Lic Expire : Address : 5251 VINELAND AVE WE$T HOLLYWOOD, CA91601 0°°° Workers' Compensation Insurance Phone : (310) 596-0625 Carrier:. o ... a ° Policy No : Designer: W. C. Expire: Address : .. Phone: ° . .. Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $180,00i* O+. ° Type of Construction : V-B Fire Hazard Zone s. N Occupancy Groups : R-3 No of Units : 1 Added/New sq. ft. Bldg: 322 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 Building Setbacks Flood Zone: Use Zone: Processed By: Zoning Approval: Grading Approval: SPECIAL CONDITIONS: Public Works Approval: Plan Check By: Approval To Issue: OWNER -BUILDER DECLARATION * z 1 hereby affirm under penalty of perjury that I. am exempt from the Contractors'State License Law forthe resson(s) indicated below (Section 7031:5. Business and Professions Code: Any city or county that requires a,permit td construct, alter, improve, demolish, or Cal the permit to file a signed statement that he or she is licensed pursuant to the. provisions of the Contractors' Stets License Law (Chapti Professions. Code) or that he or she is exempt from Iicensure and th..ebasis turthe alleged exemption. Any violation of Section 7031.5.1 the checkmark(s) I have placed r any structure, prior bits lssuant MM items) for and yof 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, iness and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through iemployees' or personal effort, builds or improves the property, provided that the revements 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).. 1; as owner of the property, am exclusively contracting with licensed Contractors W construct the project (Section 7044� Business and Professions Goda:. The Contractors' State License Law des not ly to an owner of properly who builds orImproves thereon, and who contracts for the projects with a licensed Contra ctDr pursuant to the Contractors' State License Law). I am exempt from licensors under the Contractors' Stale License Law for the following reason. my signature below I acknowledge that, except for my personal residence in which I must have res€dedfor 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 entirely by licensed contractors. I understand that a copy of the applicable law. Section .7044.of the Business and fessions Code, is available upon request when this application is submitted or at the following Web site:htip:Omw.legirII to.ca.govicalaw.html. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(Commencing with Section 7000) and. effect. License Class License No Date. NORKERS' COMPENSATION DECLARATION NARNING FAiLYAWID SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT. AN EMPLOYER TO CRIMINAL. PEN, COST OF CONPE.%AT15U,, DAMAGES AS PROVIDED. FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. II..htereby affirm uDdeir penalty of perjury one of the following declarations: W f have 3nrt..will maintain a Certificate of consent to self -insure for workers' compensation, issued by the Director performance otthe Work for which this permit is issued.. Policy No, Pl�ave and- will rRalntem workers' compensation insurance, as required by Section 3700 of the Labor Code, for the Policy Number 'Fame of Ageait . :genifythat,'fn-tbepertormance [hawork for which this permit issued, I strati not employ any person in any iatAf I should beedma subj ct workers' compensation provi ' of3action. 3700 of the Labor Code, I -shall Igindure of Applicant i �LARAT{pN IA'C;A IN ST CTtoN LENDING AGENCY hereby affirnf Cadet Renal f perjury that there is a construction lending agency for the performance of the work I Ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on theproperty owner's behalf. I have read this application and the Information I have provided in correct, t agree to comply with all applicable city and county ordinances and state laws: rate log to building Construction. I authorize representatives of this CRY or countyA enterJ4 above-ideniifi opedy for inspection purposes. ACTION CERTIFICATE or OCCUPANCY ISSUED CODEOFFEDERAL I FOR ei the Business and Pr e s Code, and my license is in full force G L-Contractorr r--- CIVIL FINES UP TO ONE NUNp THOUSAND DOLLARS (5100,000). iN ADDITION TO THE Industrial Relations as providedi for by Section3700 Of the Labor Code, for the work for which this permit is issued. My workers' o as to become subject to the workers' compensation laws of California, and agre comply with those provisions. Data — this permit: is issued (Section 3097, Civil Code).. MrCry t� per. Data All required alarms; latches gates and fences, which serve as part of a pool/spa barrier, shall be in place! prior to approval to fill pool/spa &'shall remain in place & be maintained for the ISNOTAPPLICABLE TO. life of the pool.