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HomeMy WebLinkAboutXR2024-0679 - Permits�Q.W PORT City of Newport Beach IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2024-0679 +�A Community Development Department- Building Division X R 2 0 2 4 0 6 7 9 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0553 Permit Counter Phone: (949) 718-1888 Issued Date : 0311912024 L) S newportbeachca.gov/civic Final Date: Combination Type - MFP Permit Status: Issued Work Class -Alteration Inspection Area : 4 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 : 3078 RIVOLI Legal Desc : N TR 15584 BLK LOT 6 Description: MFR -WATER DAMAGE REPAIR, INSTL DRYWALL IN MASTER BATHROOM 3 SF Owner: NEWPORT BLUFFS LLC Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: (714)720-2521 Applicant: ONE STEP AHEAD CONSTRUCTION INC Address: 2139 NATIONAL AVE COSTA MESA, CA 92627 Phone: (949)499-4598 Owner/Builder : Address : Phone Contractor: ONE STEP AHEAD CONSTRUCTION INC Address : 2139 NATIONAL AVE COSTA MESA, CA 92627 Phone: (949)499-4598 Con State Lie : 1095730 Lie Expire : 08/31/2024 Bus Lie: BT30083876 Bus Lie Expire : 03/31/2025 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No: CWC01176001 W. C. Expire : 9/22/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-2 No of Units : 1 Bldg Height : No of Stories : 2 Building Setbacks : Flood Zone : X Use Zone: PC - Bonita Canyon PROCESSED BY: _ M SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address Phone Designer: ONE STEP AHEAD CONSTRUCTION INC Address: 2139 NATIONAL AVE COSTA MESA, CA 92627 Phone: (949)499-4598 - Construction Valuation : $574.97 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : , , Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 , OWNER -BUILDER DECLARATION I hereby alfimt under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the oheckmark(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 Ie 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;. 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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 lire nprovemenls 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). 3 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 �Iply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 I am exempt from licensureunder 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 feast one year prior to completion of the improvements Covered by this. permit, I cannot legal[, all 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 'rofesslons Code., is available upon request when this application is submitted or at the following Web site;http:(/www,leginfo.co.go�dcalaw.btmL .ignature of Property Owner or Authorized Agent _ _ _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (cemmerii with Section 7000 If Division 3 of the Business and Professions Code, nd my license is In full force nd effect License Class License No Date Contractor Signature fir//isss� VORKERS' COMPENSATION DECLARATION 'ARNINGo FAi RE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLA.WF UL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO. ONE HUNDRED THOUSAND DOLLARS 15100,000I.IN ADOi TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYB 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 Ih kerr once of the work for which this permit is issued. Policy No. I 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' compensatiol isuuance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which thispermit is issued. I shall notemploy any person in any manner so a$ to become subject to the workers' compensation laws of California, and if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Alin those provisions. nature of Date 3-/9— 2 <f hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for vi itch this permit Is issued (Section 3097, Civil Code). .ender's Name Lender's Address_ ly my signature below, I certify to each of the following: I am the properfp owner or authorized to act on the property owner's behalf. I have read ,his application andthe information I have provided is correct, I agi to comply with all applicable city and county ordinances and state laws relating to building construction. I aut'lorize rnoresemalives of this city or county to eypterth�e �DI/D/,y/e� Identified pro.erly for inspection purposes. //q / (/^ :iYnahL e of Property Owner or Authorized Agent_mm(p�/t6ljH l�il�!/ Print Property Owner's or Authorized Agents Name /d17� / j ! �iU rCO Date fXTIGN ' DATE BY DECLARATION OF COMPLIANCE VJITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE i 1403 P1'ff T FXPfRED —� _ _ _ _ ISURMITTED ASBESTOS NOTIFICATION TO P°.^I f i ANCE[LED EP� A .—..__._ P_;; ,T cn'FENDED 3 LJA4M6 P,.RYf7T EuVAL NJ ASBESTOSNUTINCAnUNI5NOTAPPLICABLE TO C.TT.6LATE OF ��// PROPOSfO DEMOLITION OCr!'F 9'JCY l55UE0 ✓ rl SIGNATURE: I�>rdiO