HomeMy WebLinkAboutXC2022-1977 - Permitso� EWPOR Community
nit Newport Beament- BuildingDivision IIIIIIII I IIII' IIIIIIIII III II II II (I COMB Permit : XC2022-1977
F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2444
Permit Counter Phone:. (949) 718-1888 Issued Date : 07/19/2023
U T newportbeachca.gov/civic Final Date:
cq<icoaN�p Combination Type- Permit Status: Issued
Work Class - Other Inspection Area : 4
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: 1 PARK NEWPORT DR Legal Desc : N TR 6947 BLK LOT 8
Description: EMERGENCY REPAIR DRAIN PIPE/ BACK FILL SINKHOLE AND REPLACEMENT OF RIPRAP
Owner: PARK NEWPORT LAND LTD
Address : 201 FILBERT ST STE700
SAN FRANCISCO, CA 94133
Phone:
Applicant: DANIEL VILLINES
Address : 4675 MACARTHUR CT
NEWPORT BEACH, CA 92660
Phone: (949)322-8195
Owner/Builder :
Address :
Phone
Contractor:
EMPIRE EQUIPMENT SERVICE INC
Address:
PO BOX 532
MIRA LOMA, CA 91752
Phone :
(951) 377-0417
Con State Lic
: 876696
Lic Expire :
04/30/2024
Bus Lic:
BT30080132
Bus Lic Expire : 11/30/2023
Workers' Compensation Insurance
Carrier: EVEREST NATIONAL
Policy No: 7600012894231
W. C. Expire : 3/1/2024
Code Edition :
2019
Fire Sprinklers :
Type of Construction :
Fire Hazard Zone
Occupancy Groups :
U
No of Units :
Bldg Height:
No of Stories:
Building Setbacks
Flood Zone :
X
Use Zone:
PC - Park Newport
- UP 1412, UP 1557
PROCESSED BY:�
SPECIAL CONDITIONS
Architect:
Address :
Phone:
State Lic:
Engineer: DANIEL VILLINES „
Address: 4675 MACARTHUR CT '
NEWPORT BEACH, CA f)2f63,
Phone: (949)322-8195 " I.
Designer:
Address
Phone:
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg : 0
0 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION
f hereby affirm under penalty of perjury that f am exempt from the Contractors' State License Law for the raason(s) indicate below by the checkrnark(s) I have placed next to the applicable item(s)
coon 7031.5, Business and Professions Code; Any city or county that requires a permit to construct. after, improve, demon h. or repair any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors` State License La (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
passions Code,) or that he or she is exempt from Ncensure and the basis for the alleged exemption_ Any vidlation 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 L) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
dnass and Professions Code. The Contractors' State License Law does not apply to an owner of property who, through employeesor personal effort, builds or improves the property, provided that the
rovements 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). I
J I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,
�pV to an owner of property who builds or improves thereon; and who contracts for the projects with a licensed Contractor
I urn axanlpt from licensee under the Contractors' State License Law for the following reason
fy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one y
oil a structure that I have built as an owner-buildor it it has not been constructed In its entirely by licensed contractors. I Lin
'rofassions Code, is available upon request when this application is submitted or at the fallowing Web sRErhttp:llwwwdeginl
i grature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I nor licensed under provisions of Chapter 9 (commencing with Section op�i
rid effect. Lice.T-L Class License No Date
CO,AFE:NSATION DECLARATION
V1PN't' FAILUR_ TO �ECdRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL'.
:OST OF .;OMPENVAlnON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES_
rarefy affirm under penalty of perjury one of the following declarations:
„J I nave and W'F mai,nam a certificate of consent to salt -insure for workers' compensation, Issued by the Director of
�e foin,ence of me wod- for which this parnut Is issued. Policy No.
have and will, plantain workers compensation insurance, as required by Section 3700 of the Labor Code, for the pe
YYYisuranc , carrier r rd policy number are:
,s of Agent _
cen`rfy that, in the pe
, If I s:routd becgm@
lalure of Ap p licant�
Policy Number
for which this permit is Issued. I shall not employ any person in any manner so
compensation provisions of Section 3700 of the Labor Code, I shell forthwith c
rreuy affirm under pAal of perjuryihat there is a construction lending agency for the performance of the work for which
,der s Name _ _ __ Lender's Address
any signature bBIOW� Ce�tiay to each of the following;
I am the property owner Or authorltnd to act on tire property owner's behalf.
i have read this appllcahon and the information I have provided is correct.
I agree to comply with all applicable city and 5"'
ordina s and stale laws IBlating to building construction.
I authorize representatives of this city or Gount a6o nnhed property for inspection purposes.
mature of Prooertv Owner or Authorized AdenPrint Property Owner's or Antl
ACTION
PERMIT CAP,('ELrF0
A€tihR77 EX l ENDED
PCRNifI FINAL
CERIIhCiI?t OF
OCCUPANCY ISSUED
15F COMPLIANCE WITH CODE Or FEOEI
PART St OF TITLE 40 AND AWAIT RULE
TO
TO
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the Improvements Covered by this permit, I Cannot
i that a copy of the applicable law, Section 7044 of the Business and
date
iision 3 of the Business and Prate I a, IT y license is in fail force
Contractor Signature,
AND CIVIL PINES UP TO ONE HUNDREQ'j'FIOUSANO DOLLARS (E100,000), IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers`
Date
to become Subject to the wOrkars' compensal'IOn laws of California. and agre
ply with those provisions.
permit Is issued (section 3097, Civil Code).
FOR OFFICE USE ONLY