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Home My WebLink AboutX2022-0528 - PermitsCity of Newport Beach II it I II I II III I II I II COMB Permit : X2022-0528 C�,'d,;Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0475-2022 n Permit Counter Phone: (949) 644-3288 Issued Date : 0811812022 Inspection Requests Phone: (949) 644-3255 Inspection Area : 3 y?cicpnT"P, newportbeachca.gov/inspections " Combination Type - SFP ELEC MECH PLUM Work Class - Addition/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 : 5 PARK PL Legal Desc : N TR 12873 BLK LOT 5 Description: SFR ADD 426 SF. REMODEL 2474 SF. Owner: NORMAN & COLLEEN BERES Contractor: TEAM ULTIMO REAL ESTATE Address : 5 PARK PL NEWPORT BEACH, CA Address : 1529 MAXWELL WAY COSTA MESA, CA 92627 Phone : (949) 903-6602 Phone : (949) 689-5293 Con State Lic : 964742 Applicant : Martin Bard Lic Expire : 08/31/2023 Address : 470 Old Newport Blvd Newport Beach, CA 92663 Bus Lic: BT30036733 Phone: (949) 645-5854 Bus Lic Expire : 08/31/2022 Owner/Builder : Address Phone: Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9051279 W. C. Expire: 4/1/2023 Architect : JEANNETTE BRION S Address : 470 OLD NEWPORT BLVD NEWPORT BEACH, CA 92663 Phone : (949) 645-5854 State Lic Engineer: MANSHADI FARHAD Address: 1800 E 16TH ST UNIT B 92701 Phone: (714)835-2800 Designer: Address Phone : SANTA ANA, CA Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $336,000.00 Type of Construction : V-B Fire Hazard Zone : No Added/New/TI sq. ft. Bldg : 426 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 2,474 Bldg Height: No of Stories : 3 Added/New sq. ft. Garage : 0 Building Setbacks Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY.. t SPECIAL CONDITIONS: HAULER: WASTE MGMT LANDSLIDE & LIQUEFACTION OWNER -BUILDER DECLARATION. I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the appllcable,trt' rM (Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, altar, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant "3r the 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 D:rslness and Professions Code) or that he or she is exempt from licensure 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 penary of not more than five hundred dollars ($500) ❑ I, 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 net intended or offered for sale (Section 7044, Business 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 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). Ll 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 5ply 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), 1 am exenipl front licensure under the Contractors' State License Law for the following reason. By my signature below I acknowledge dial, 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 legally 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 7044 of the Business and Professions Code, Is available upon request when this application Is submitted or at the following Web site, http:Ifw .[eginfo.ca.gov/calaw.html. Signature of Property Owner at Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION �. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7006 1 1 ion 3 of the Business and Profession 1 and Ir license is in full force and effect. License Class License No Date �� Contractor Signature \ WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU84 OOLLARS i)0,000I, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 IN mance of the work for which [his permit is Issued. Policy No. 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' carrier and policy number are: ie of Agent certify that in the performance of the work if I should become subject to tIje wow Policy Number Expiration Date permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and I provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature or Appbcant _,� >/...__.. Date �ZZ C LARATION REGARDING CONST UCTION LE DING AGENCY -reby affirm under penalty of perjury at there is onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). tdor's Name Lender's Address my signature below, I certify to each or the following; I am the property owner or authorized to act on the properly 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 county ordinan rid slate lawsrelating to building construction. I authorize representatives of this city or county to the ab ve-Identified property for Inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or .Authorized ACTION PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL. CERTIFICATE Or OCCUPANCYISSU£D DATE Z BY 51 OF TITLE 40 AND AOMD RULE SUBMITTED ASHIST05 NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE TO FOR OFFICE USE ONLY All required alarms, latches gates and fences which serve as part of a poollspa barrier, shall bp in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.