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HomeMy WebLinkAboutX2022-0344 - Permits��,EweoRr City of Newport Beach II III I II I II I II IIII II II II COMB Permit : X2022-0344 p @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0308-2022 Permit Counter Phone: (949) 644-3288 Issued Date : u Inspection Requests Phone: (949) 644-3255 Inspection Area : 2 CqC/F00.N`p newportbeachca.gov/inspections Combination Type - 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 : 2641 CIRCLE DR Legal Desc : N TR 1102 BILK LOT 28 Description: SFR DEMO/RE-BUILD 2-CAR GARAGE 608 SF W/ LIVABLE ABOVE (under separate permit) Owner: MENNINGER WILLIAM E TR Address : 2641 CIRCLE DR NEWPORT BEACH, CA 92663 Phone Applicant: BURGERTHOMAS Address : 33751 PEQUITO DR DANA POINT, CA 92629 Phone: (949)376-2126 owner/Builder : Address : Contractor: CP MC CLARY CONSTRUCTION INC Address : 1013 LINDEN PLACE COSTA MESA, CA 92627 Phone : (714) 271-1055 Con State Lic : 513053 Lie Expire : 1013112023 Bus Lie: BT0000422B Bus Lie Expire : 08131/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 1300846 W. C. Expire : 5/1/2023 Architect : BURGER THOMAS Address: 33751 PEQUITO DR DANA POINT, CA 92629 PF�one : (949) 376-2126 State Lie: E Igineer : SABERI MEHDI Address : 2182 DUPONT DR #202 IRVINE, CA 92612 Phone: (949)833-9900 Designer: Address : Phone Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Added/New/TI sq. ft. Bldg : 0 Type of Construction : V-B Fire Hazard Zone : NO 1 Alteration sq. ft. Bldg : Occupancy Groups : U No of Units: No of Stories: 2 Added/New sq. ft. Garage: 0 Bldg Height Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 10 Flood Zone : Use Zone : X R-1 - Single -Unit Residential �e; F �y1 9 .b�, r PROCESSED BY SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION 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 item(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,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' Stale 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 fore permit subjects the applicant to a civil penalty 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 L) 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 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 'mproved for the purpose of sale). El I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does net apply 10 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). D I am exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature below I acknow led go that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements cove rod by this permit, I cannot legall; Soil a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofassions Code, Isavailable upon request when this application is submitted or at the following Web site:http:ttwww.leginfo.ca.gov/cataw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED 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 Bu ess and Ptofes5(Ons o , .tall my license i5 In full force and effect. License Class License No Dot •t7'f • 2 Z Contractor Signat"F / NORKERS' COMPENSATION DECLARATION' YARNING: 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 1$100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 211 have and Wil maintain a ceriflcata 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 lerfa(mance of the work for which this 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: Policy Number Expiration Date is of Agent _ I certify that, perto f th in the e work for which this permit Is issued, I shall not employ any person in any planner so as to become subJect 10 the workers' compensation laws of California, and agre t, If I should be D sult ject to the w ers compensation provisions of Section 3700 of the Labor Code. Ishall forthwith comply with those provisions. nature of Applicant dq , �, Z CLARATtON REGA TRUCTION LENDINli AGENCY �--- )reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is is Bad (Section 3097, ivfl Code). iders Name Lenders Address 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 r�tt' y�a r finances and state laws relating to building construction. I authorize representatives of this city or coup a ter t above -identified property for inspection purposes, nature of Property Owner or Authorized Aqe Print Property Owners or Authorized Agent's Nam r>N a B:C R^^ ..w Date ACTION ---- c':;Go� Zi EXTENDED CERTIFICATE OF OCCUPANCY ISSUED DATE BY —'i DECLARATION OF COMPLIANCE WITH CODE OF FEDE'. REGULATIONS PART fit. OF TITLE 40 AND AQMD RULE 1403 ASBESTOS NOTIFICATION TO _ —EPA AQMD _ Qwf—r- ASBESfDSNOTIFICATION ISNOT APPLICABLE TO re� PROP B FOR OFFICE USE ONLY