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Home My WebLink AboutXC2022-1957 - Permits�gWPORT City of Newport Beach II IIII I I II Permit:XC2022-1957 I II I III IIII I II II Community Development Department- Building Division COMB D� p y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2331 Permit Counter Phone: (949) 644-3288 Phone: 644-3255 Issued Date : Inspection Requests (949) Inspection Area : 7 newportbeachca.gov/inspections Combination Type - 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 : 2240 NEWPORT BLVD Legal Desc : N TR 16594 BLK LOT 1 UN HOLD LOT 1 OF TRACT 16594; HOLD PARC EL FOR CONDO Description: STRUCTURE REPAIR/RECOAT STAIRWELL AND ELEVATED DECKS Owner: PENINSULA VILLAGE LLC Address: 220 NEWPORT CENTER DR, STE11 NEWPORT BEACH, CA 92660 Phone: (714)818-8034 Applicant : CHANDLER CLARK Address : 220 NEWPORT CENTER DR NEWPORT BEACH, CA Phone: (714)818-8034 Owner/Builder : Address : Phone: Contractor: MIKE ROVNER CONST Address : 5400 TECH CIRCLE MOORPARK CA 93065, CA 93065 Phone : (805) 584-1213 Con State Lie : 795729 Lie Expire : 05/31/2023 Bus Lie: BT30041026 Bus Lie Expire : 10/31/2022 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 : AE, 8 FT; X Use Zone : MU-W2 - Mixed -Use Water PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie 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 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. Bldg: 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 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 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 Business 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 penalty of not more than five hundred dollars ($500). M I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not 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 gala). ❑ 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). El I am exempt from licensure under the Contractors' State License Law for the following reason By my signature below 1 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 legally sell a structure that I have built as an owmor-builder if it has not been constructed in its entirely 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:I!w .ieginfo.ca.gov/calaw.html, 'Signature of Property Owner or 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 7000) of ivis3 n 3 of the Business and of Sionod§/a y license is In full force and effect. License Class License No Date ontrador Signal (WORKERS' COMPENSATION DECLARATION (WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAwrUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (510(1,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEE& hereby affirm under (penalty of perjury one of the following declarations: I have and will maintain a certificate of consent In self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi or lance of the work for which this permit Is issued. Policy No. _ve 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 nce came and policy number area her r—ci V Policy Number GS7"5-0239 Z?5 Expiration Date %/15 /ZOZ 3 Te of Agent Phone.# 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 agrel if I should become subject 10 the workers' c W pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (attire ofApplicant _ /13 _ Data��D :LARATtON REL OI NG CONSTRUCTION LENDING AGEN I 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). Lender's Name Lender's Address By 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 enterthe above -identified prope b r inspection purposes. ll w :cC Signature of Properly Owner or Authorized Ay ri Print Property Owner's Or Authorized Agent's Nam e.to otttv UG In ate _ ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY '. REGULATIONS PART 61 OFTITLE 40 AND AQMD RULE PERMIT EXPIRED L.., 15 JBMITTED AS BFSTOS Norn FICATION TO PERT iTGgNCE1lED Cv!• PERMIT EXTENDED I .GA'2MD PERiLfiT F7NA1 (_p.,-L� VV ___ ____ `2 ❑ ASBESTOS NOI I HCAIION IS NOTAPPLICABLE TC cJ CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED 3iG IIRE: Z