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Home My WebLink AboutX2022-1106 - Permits�aEWPo�T City of Newport Beach p - d Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 ,= Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq//FORN�P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Addition/Alteration COMB Permit : X2022-1106 Plan Check No : 1016-2022 Issued Date : 08/11/2022 Inspection Area :5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGI ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND YS IN ALL AREAS Job Address : 1 B ARCHIPELAGO DR Legal Desc : N TR 15817 BILK LOT 4j Description: SFR ADD 1,360 SF, REMODEL 350 SF, ADD/GARAGE 429 SF Owner: DEMIA INVESTMENT GROUP LLC Contractor: AMERICAN CONSTRUCTION MANAGEMENT GROUP Address : 43 BRIDGEPORT RD NEWPORT COAST, CA Address : 26081 MERIT CIR, 114 LAGUNA HILLS, 92657 CA 92653 Phone: Phone: (949)297-4621 Con State Lic: 949438 Applicant: SALAT JOHN A Lic Expire : 06/30/2024 Address : 22386 WOODGROVE RD LAKE FOREST, CA Bus Lic: BT30071161 92630 Phone : (949) 235-4847 Bus Lic Expire : 02/28/2023 Workers' Compensation Insurance Owner/Builder : Carrier : Address : Policy No: Phone : W. C. Expire: Code Edition : 2019 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : R-3 No of Units : Bldg Height: No of Stories Building Setbacks Flood Zone: X Use Zone : PC -Newport Coast PROCESSED BY: SPECIAL CONDITIONS Architect: SALAT JOHN A Address: 22386 WOODGROVE RD LAKE CA 92630 Phone: (949)235-4847 State Lic : Engineer: BURKE THOMAS Address : 151 KALMUS DR #14Q COSTA 92626 Phone : (949) 494-0776 Designer: Address Phone: YES Construction Valuation : No Added/New/TI sq. ft. Bldg 1 Alteration sq, ft. Bldg : 2 Added/New sq. ft. Garage $850,000.00 1,360 CA 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 checkrnark(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' 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 licensureand 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). ❑ 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 not intended or offered for sale (Section 70", 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). 0 1, 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) - — D I am exempt from licensure under the Contractors' Slate License Law for the following 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 legally sell a structure that I have built as an owrker-bulidar if 1. has not been constructed in its entirety by licensed contractors. I understand that 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://www,leginfo.ca.govlcalaw.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 700 6 ivi ion of the Business and Profession ode, and m se is in full force and effect. License Class License No Data 2 Contractor Signature_ WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECCRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE COST OF COMPENSAnOd, DAMAGES AS PROVIDED FOR IN SECTION 3TIM OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I-ha,aby affirm under penalty of perjury one of the following declarations: D I hive 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; penormance of the work for which this permit Is issued. Policy No. and war c.rilnT,am 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 Lnir , cf Agent. Date certiy that, in the nerformance 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 taws of Calffomia, and agre11 e If I Jhould Leco,ne, su ect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. L ' naluie of AppEcan _ Date / Z ... _........ ...:� :;F. ., rn..n nnnrvnu . u,n un Ane.,ry 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 (Sectlon 3097, Civil Code) ender s Name Lender's Address ly 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. 1 agree to comply with all applicable city and county Gro/in/$�`,�ee-s and $late laws relating to building construction. I authorize representatives of this city or county to ent ;(// above-de tified property for inspection purposes. t/ tNil^t h� tiunalure of Prooertv Owner or Authorized Anent / Print Property Owner's or Authorized Agent's Name � ILi U'I IVI Oil 5[u f ACTION DATE f Ry- DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY l REGULATIONS PART 61 OFTITLF, 40 AND AUMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool. PERMIT CANCELLED I EPA PEAMlT ExrEnDED OMD --_,_ - PERMIT F{NAi 1-� I APPLICABLE TO SBESTUS NOTIFICATION �� CERTIFICATE �N.,UT OCCUPANCYIOSSUED SIGNATURE:EM{�LI