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HomeMy WebLinkAboutXC2022-1959 - PermitsEWPORT City of Newport Beach II IIIII IIII IIIIIIII II IIII III III I I I �I COMB Permit : XC2O22-1959 C� I@ Community Development Department -Building Division X C 2 0 2 2 1 9 5 9 = y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2331 Permit Counter Phone: (949) 718-1888 Issued Date : 10/05/2022 newportbeachca.gov/civic Final Date: 01/0a/2024 / Combination Type - Permit Status: Final Work Class -Alteration Inspection Area 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 : 2260 NEWPORT BLVD Legal Desc : N TR 6947 BLK LOT 5 Description: STRUCTURE REPAIR/RECOAT STAIRWELL AND ELEVATED DECKS Owner: PENINSULA VILLAGE LLC Address : 220 NEWPORT CENTER DR, 11 NEWPORT BEACH, CA 92660 Phone: (714) 818-8034 Applicant: CHANDLER CLARK Address: 2250 NEWPORT BLVD, 101 NEWPORT BEACH, CA 92663 Phone : (714) 818-8034 Owner/Builder : Address : Phone Contractor: MIKE ROVNER CONST Address : 5400 TECH CIRCLE MOORPARK, CA 93065 Phone : (805) 584-1213 Con State Lic : 795729 Lic Expire : 05/31/2025 Bus Lic : BT30041026 Bus Lic Expire : 10/31/2023 Workers' Compensation Insurance Carrier: BENCHMARK INS CO Policy No: CST5023928 W. C. Expire : 7/15/2023 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: ALLANA BUICK & BERS Address : 990 COMMERCIAL ST. PALO ALTO, CA 94303 Phone : (650) 543-5600 Designer Address Phone: NO Construction Valuation : $140,000.00 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 I hereby affirm under penalty 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 applicable item(s) iection 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 issuance, also requires the applicant for to 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 'rofessions 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 penalty of of more than five hundred dollars ($500). 7 1, 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, ,usiness 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). 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 pply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 'y 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 Iegall) ell 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:/lwww.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0001, IN ADDITION To THE CST 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: 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 the erformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number of Agent Date JI certify that, in the performance 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 California, and tat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date_ _ IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address y 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. vner's or Authorized AGent's Name Date ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTI FICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED UAQMD PERMIT FINAL `mil ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF OO PROPOSED DEMOLITION OCCUPANCY ISSUED 'SIGNATURE: