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Home My WebLink AboutX2022-0289 - PermitsWPok City of Newport Beach II III I II I II I II II I II I I I II os F Community Development Department- Building Division COMB Permit : X2022-U289 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0261-2022 Permit Counter Phone: (949) 644-3288 Issued Date : 07/28/2022 Inspection Requests Phone: (949) 644-3255 Inspection Area : 4 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 : 2615 BUCKEYE ST Legal Desc : N TR 4892 BLK LOT 76 Description: SFR ADD 320 TO FIRST FLOOR, CREATE SECOND FLOOR 2890 SF 8. ADD TO GARAGE 116 SF Owner : CONQUEST LLC Contractor: BRYAN PACIFIC BUILDERS Address : 2615 BUCKEYE ST NEWPORT BEACH, CA Address : 413 CALLE DELICADA SAN CLEMENTE, CA 92672 Phone: (714)272-1624 Phone: (714)360-4488 Con State Lic : 585047 Applicant: ART KENT Lic Expire : 02/29/2024 Address : 619 16TH HUNTINGTON BEACH, CA 92648 Bus Lic: BT30066161 Phone: (714) 272-1624 Bus Lic Expire : 11/30/2022 Workers' Compensation Insurance Owner/Builder: Carrier: PRE FERRED+PROFESSIONAL+INSURANCE +COMPANY Address : Policy No: ON1212001 Phone: W. C. Expire: 12/18/2022 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : Y Occupancy Groups : U,R-3 No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: �4� SPECIAL CONDITIONS: Architect Address Phone : State Lic Engineer: Address Phone Designer: ART KENT Address: 619 16TH HUNTINGTON 92648 Phone: (714) 272-1624 Construction Valuation : $537,418640 Added/New/TI sq. ft. Bldg : 3,210 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 116 i 1 i9 S Y IL..., V T®1 I 9� �C 4, +CA 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(sj (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 lieensure 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 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 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' Stale License Law). ❑ 1 am exempt from licensure under the Contractors' State 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 Iegalb sell a structure that I have built as an owner -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://www.leginfo-c .gov/calaw.htmi. 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 7�,0 of D'vlsiorA 914he Business and Pr as 'o q , al r tense is in full force and effect. License Class License No Dai nLe—Contractor Signature I WORKERS' COMPENSATION DECLARATION i WARNING: FAILURE TO SEJI.RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby e) fm under penalty of perjury one of the following declarations: 1J I h"94ee and wi;l 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 thi pc-fof4lan:e of the v ork for which this permit is issued. Policy No. and will it minlam 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' -arrier and poli-,y number are: Policy Number Expiration Date me of Agent Phone # I ^.rrify,that, in the performance of the wor or 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 C. ii I Auld begbmP subject to the nwort • compen fit' ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. rla,ut of Applicant < / Da I� should REGA.RCIN C10115iltffRUCTION LrNDING AGENCY Bracy 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). Tder's 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 provide 's Correct. agree to comply with all applicable city and county ordina,P6 and St t laws relating to building construction. �1 q 1 authorize representatives of this city or county to> ante r I If�perty for inspection purposes. a„o.,I V PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY f DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION ISANOTAPPt1CABLE TO FOR OFFICE USE ONLY 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.