The URL can be used to link to this page

Home My WebLink AboutXR2022-2974 - PermitsCity of Newport Beach 111111111111111111111111111111111111111lill1111111111111jj COMB Permit : XR2O22-2974 D� d Community Development Department- Building Division X R 2 9 2 2 2 9 7 4 1DO Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2832 D Permit Counter Phone: (949) 644-3288 Issued Date : 11/28/2022 u fin. T Inspection Requests Phone: (949) 644-3255 Inspection Area : 3 °q<rcoa"�P newportbeachca.gov/inspections Combination Type - SFP 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 : 1146 POLARIS DR Legal Desc : N TR 4224 BILK LOT 116 Description: SFR ALT (E) 2ND FLOOR (169 SF) DECK @ REAR. Owner: SHAMROCK HOLDINGS LP Contractor: PRIMECO PAINTING INC Architect Address : 3354 W ORANGE AVE Address: 220 OCEANSIDE BLVD Address ANAHEIM, CA 92804 OCEANSIDE, CA 92054 Phone: Phone: (800)881-8067 Phone: �a Con State Lie : 731584 State Lie Lie Expire : 01/31/2023 Applicant: PRIMECO PAINTING INC Sus Lie: BT30080131 Engineer : DUNN SAVOIE INC r T Address : 220 OCEANSIDE BLVD Bus Lie Expire : 11/30/2023 Address : 908 S CLEVELAND ST OCEANSIDE, CA 92054 OCEANSIDE, CA 92054 Phone: (800) 881-8067 Workers' Compensation Insurance Phone: (760) 966-6355 Carrier: DEPARTMENT OF INDUSTRIAL RELATIONS pay Owner/Builder : Policy No: 4503-0179 Designer : Aq Address : W. C. Expire: 1/1/2023 Address : �A� I -kJ Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $65,853.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 169 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone : AE, 8 FT; X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: LIQUEFACTION & AE8 FLOOD ZONE OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) Seellon 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior toits issuance, also requires the applicant for re permit to file a signed statement 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 'rofesslons Code) or that he or she is exempt from Ileensure 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 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 of proving that it was not built or nproved for the purpose of sale). 3 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not pply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). a 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 lagalh oil 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 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:l/wvny.leginfo.ca.govkalaw.html. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of penury that I am licensed under provisions of Chapter 9 (commencing with Se cti 0 0) Df Division 3 of the Business and Pro asi s Cade, d my license is In full force nd effect. License Class License. No Date ((`z4"•2cz.2C0ntractor SignatuI m� VORKERS' COMPENSATION DECLARATION i rARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL• AND SHALL SUBJECT AN EMPLOYER TO CRXINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7109 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penally of perjury one of the following declarations: I I 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 the Labor Code, for th ygrformance of the work for Which this permit is issued. Policy No. %4uv 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' compensatior Isurance carrier and policy number are: Policy Number of Agent Date JI certify that, inthe performance of the work for which this permit is issued. I shall not employ any person in any manner so as tobecome subject to the worke ' compensation laws of California, and agre rat, if I should Deco s bje to the w rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iignalure of Applicant _ Da l( IECLARATION REG STRUC - ON LENDING AGENCY hereby affirm under penally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 Ci 11 Cade). enders Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to 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 applicable city and oI my ordinances and state caws relating to building construction. I authorize representatives of this city or cou to enterth bove-Ide led property for inspection purposes, iidnature of Prooertv Owner or Authorized Agent .:,11 /L� Print Proeertv Owner's or Authorized ADent's Name 17,- to Z-c V ACTION DATE BY / t DE ULAATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I R..GTIONS PART 61 OFTITLE40ANDAQUID RULE PERMIT EXPIRED PERMIT C4NCELLEO PERMLT EXTENDED PERMIT FINAL `LO"'L� fLAfS7 UTIFI TIUN I5N IAPPCICA84E TO CERTIFICATE OF PROPOSE00 0 I N OCCUPANCYISSUED SIGNATURE. .JO