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Home My WebLink AboutXR2022-3142 - PermitstiwPo� City of Newport Beach Community Development Department Division COMB Permit : XR2022-3142 O m Y P P 9 X R 2 0 2 2 3 1 4 2 y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1940 S Permit Counter Phone: (949) 644-3288 Issued Date: 12/06/2022 Inspection Requests Phone: (949) 644-3255 Inspection Area : 4 newportbeachca.gov/inspections Combination Type - SFP ELEC MECH 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 : 2637 VISTA ORNADA Legal De! Description: SFR NEW MECH SYSTEM, DUCTING, \'/ A AND RECES s \. Owner: HIROSHI MAEDA Contracts Address : 2637 VISTA ORNADA '.. Address'. NEWPORT BEACH, CA 92660 Phone: Phone:' Con Statt Lie Expiry Applicant: DAVID BAILEY Bus Lie:::. Address : 23183 LA CADENA DR, #101 Bus Lie E LAGUNA HILLS, CA 92653 Phone: (949) 573-1050 Workers` Carrier Owner/Builder : Policy Nc Address : W. C. ExT Phone: TR 7082 BILK LOT 3 LIGHTING jr' p•2 iu ANCE FUND Code Edition : 2019 Fire Sprinklers :, NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units Bldg Height: No of`Storios :. 2 Building Setbacks Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: /"< SPECIAL CONDITIONS: Architect : DAVID BAILEY Address : 23183 LA CADENA DR, #101 LAGUNA HILLS, CA 92653 Phone : (949) 573-1050 State Lie WALEJEREMY 25561 INDIAN HILLS hN let,;. LAGUNA HILLS, CA 926`53 e (949)463-3095 'Phone: Construction Valuation Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : w,0b®.dd 0 . . i Qsµ 0 �• 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perury that l am exempt from the Contractors State License Law for the reason($) indicated below bythe checkmark(s) I have ptact (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its:issu improvements are not intended or offered for sale. if, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving thai-dwas not builtor improved for the purpose of sale}. ❑ I, as owner of the property,: am exclusively. contracting with licensed Contractors to construct the project i8echan 7044, Business and: Professions Code, The Contractors state License Law do" note a plyto an owner of property who builds or Improves,thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors`State License Law for the fol€owing teas on: By my signature below I acknowledge that, except For my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) sell a structure that I have built as an owner -builder if it has not been constructed in its enfroty by licensed contractors. I. understand that copy of the: applicable law, Section 7044 ofthe Business and Professions Cade,: is available:: upon request when this application is submrded oretthe following. Web site:hVtiwww.ieginfo.ca.govtcalaw.htmi,: Signature of Property Owner or Authonzed:Agent: Date. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pgryurythat I am licensed under provisions of kbtes icogrmencing with Section o00) of ' isio 3 of the Business and Professi' ode en§e:is In full force: and affect. License Class P7 License No 5 d0 £fly Date d-. (i d.Cootractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE la UNLAWFUL, AND.$HALL. SUWFXT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO'- -.ONE HUNDRED THOUSAND DOLLARS($100A00),: IN. AOD€rION TO THE COST OF COMPENSATION, DAMAGES" PROVJGEO FORIN SECTION 3706 OF THE LABOR COOP, INTEREST„ ANO ATTORNEV S FEES I hereby affirm unde6- pwk4y of perjury one of the following declarations.- e 3ind VAR palWain 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 th rSorm "Ift f9w%mor4firwhlGnthisparmrtisissued, Policy No. .. •and wIII.;Zptpin 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` compensatio EZI;Ji;-that, ranceGaniep�nld•icynumberare; ner• • Policy NumberExpiration Date ' 'Agent.:Phone # in3t.�riormance of the which parmit is issued, I shall not employ any person many manner sir as to became subject lathe workals'eompensaticn laws of California, and ogre itatt i� should beggL89suD,leatto the m ion Provrsrans'. of Section 3700 of the Labor Code, I shall Connwllh comply with those provisions. lignalura�f Appfy^arl�",aZ� Date '\,r r:LAB�TION RL`EIARHING CONSTRUCTION NDINC, AGENCY 11T3'e`,p;I6•ym'firm under barratry tzf penurytfiatthere Is a COrIStiLCtibn lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code);. rIar's Name. ' ` ` .Lender's Address . •i-aR the propgVlov^4er or authorized to act on the property owner's behalf, Chave read this application the information I haveprovi ed' donna' I agree to comply with all applicab€e city and county onf a and. laws relating to building construction. I authorize representatives of this, city or county to e th bo entitled property far inspection purposes, ld-1 �. Signature of P erty Owner or Authorized Agent Print Pro e Owner's or Authorized Agent's Name W i :Dates ACTION DATE BY DfCLARAT. NOFCOMPUANGE wITIi CODE OF FEDERAL I FOR OFFICE USE ONLY PERANrTEXFENDED 4 4 0q EIAOMD: PERA41TFINAt f/T'25 IJASBIESTOS NOTIFICATION IS'NOTAPPLICAELE TO CERTIFICATE OF PROPOSED DEMOLMON OCCUPANCy15SUEA SIGNATURE: