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HomeMy WebLinkAboutXR2022-2351 - Permits��gWPORT City of Newport Beach o Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 tea•. x Inspection Requests Phone: (949) 644-3255 °gceFoa" �P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other II III I I I II I II I II II II I I II COMB Permit : XR2022-2351 Plan Check No : 2938-2016 Issued Date Inspection Area : 2 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 : 410 VIA LIDO NORD Legal Desc : N TR 907 BLK LOT 478 TR 907 LOT 478 SELY 15 FT AND NWLY 15 F T LOT 479 Description: DELTA 7 REVISION & ADD'L SCOPE: ADD FIREPIT, HEATERS, OUTLETS & KITCHENETT @ ROOF DECK. (X2021-2124) Owner: 410 VIACON LLC Contractor: CP MC CLARY CONSTRUCTION INC Architect Address : 410 VIA LIDO NORD NEWPORT BEACH, CA Address : 1013 LINDEN PLACE COSTA MESA, CA Address 92663 92627 Phone: Phone : (714) 271-1055 Phone: Con State Lie : 513053 State Lie Applicant : WALT BUSHMAN Lie Expire : 10/31/2023 Address: 2480 SANTA ANA AVE COSTA MESA, CA Bus Lie: BT00004228 Engineer : XIAO GANG 92627 Phone: (949) 642-3468 Bus Lie Expire : 08/31/2022 Address : 1520 BROOKHOLLOW DR #45 SANTA ANA, CA 92705 Workers' Compensation Insurance Phone: (714) 662-0510 Owner/Builder : Carrier: STATE COMPENSATION INSURANCE FUND Address : Policy No : 1300846 Designer : WALT BUSHMAN Phone: W. C. Expire : 6/1/2023 Address : 2480 SANTA ANA AVE COSTA MESA, CA 92627 Phone: (949) 642-3468 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $6,506.013' 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 : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 Building Setbacks : Front: 0, Front: 4 Flood Zone : X Use Zone : RM - Multiple Residential PROCESSED BY: ! NSP a t SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that t am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable fterr(s) (Section 7031,5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prier to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licereure 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 not more than five hundred dollars ($500). 11 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Lary does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Improvements 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 Improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and. Professions Code: The Contractors' State License Law does not apply to 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). L J I am exernpt from Ifeensure under the Contractors' Stale License Law for the fallowing reason 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 legall, sell 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 7C44 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: httpaiwwvLIeginfo. ca.govica law.htri Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) o q Df fsio 3 of the Business a. d Professi s Code d license is in full force and effect. License Class License No Date 1 �) 2 Contractor Sign re WORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUaJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). 1N ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: -11 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 tai�prmepco of the work for which this permit is issued. Policy No, Aandwill 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' compensatiol eance carrier and policy number are: ,.amer Policy Number Expiration Date Vane of Agent Phone If -1I certify that,in the pe0g ance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Oalifomia, and agree .hat. If I come subj A to me Wo ' ampensadon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applluiiq-,_ Dale Va' L ( ZZ 4.L-'�'—�,— DECLARATIONREGARO,414STI3.L LENDING AGENCnerevry affirm !ii luer pw.naltyat there is a construction lending agency for the performance of the work for w u; this permit is issued (Section 3097, Civil Code). _ender's Name - Lenders Address 3y my signature blow, I certify to each of the following.: I am the proper y owner or authorized to acton the property owner's behalf. I hrve read t'r€c Ppplication and the information 1 have provided Is correct. unt rd'Inances and state laws relating to building construction. I agree to comply with all applicable city and co I al.�thorize representatives of this city o ounty to e. err above -identified property for Inspection purposes. x >i nature of Property O+Nner or Authorized Agent Print Proper[ Owner's or Authorized A Ent'9 Name XY _Date ACTIOP( - DATE BY ARATIO OF CO ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY C KATIO 6t OF TITLE 40 AND AQMD RULE 1403 P6RNr1T k"XPIREi), iEl I SURMITTr.D A56ESTp5 NOTIFICATION TO PERMIT CANCELLED _ EP<, All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMiTEX7ENDED QMD be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the PERMIT FINAL E5TO5 NOT 'I FICATION IS NOT APPLICABLE TO life of the pool. CERTIFICATE OF /I OPOSED DEMOLIT€ON OCCUPANCY ISSUED �1�ith (Ir.NATlinP-