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HomeMy WebLinkAboutXR2022-2374 - PermitsD��EWPpRT City of Newport Beach A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 x Permit Counter Phone: (949) 644-3288 o• Inspection Requests Phone: (949) 644-3255 Cq[/FOpN�T newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Addition/Alteration jj111111111III 111111111111111111111111111111111111111111111COMB Permit : XR2022-2374 Plan Check No : PC2022-2229 Issued Date: 12/16/2022 Inspection Area : 2 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: 223 CORAL AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BILK 8 LOT 26 Description: MFR ADD 69 SF. REMODEL 1241 SF Owner: SHAWN WALTERS Contractor: C M D CONSTRUCTION INC Architect : CHILDS CYNTHIA Address : 716 WILKES ST Address : 9272 JERONIMO RD #102 Address : 2732 E COAST HWY #B i-,f[16NA DEL ALEXANDRIA, VA 22314 IRVINE, CA 92618 MAR, CA 92625 , Phone : Phone : (800) 406-3979 Phone : (949) 718-3528 Con State Lie : 981225 State Lie: Lie Expire : 02/28/2023 Applicant : C M D CONSTRUCTION INC Bus Lie: BT30076238 Engineer : ASKARIAN KYLE Address : 9272 JERONIMO RD #102 Bus Lie Expire : 08/31/2023 Address : 17595 HARVARD AVE #C;33A IRVINE, CA 92618 IRVINE, CA 92614 Phone: (800) 406-3979 Workers' Compensation Insurance Phone: (310) 404-1834 - Carrier: STATE FUND Owner/Builder : Policy No : 9207331 Designer Address : W. C. Expire: 3/25/2023 Address : = • • , , Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO n Constr ti crn� $159,000.00 Type of Construction : V-B Fire Hazard Zone : NO No of Units : 2 Add ed/New/TI im, Y�rr-y� A t Alteration sq. ft. Bldg : j''2 1 V t NpIsE Occupancy Groups : U,R-3 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 69 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 FH V V ��n�rVLs Flood Zone : X; AO 1 Use Zone: R-Bi - Two -Unit Residential, Balboa Island Tn�l PROCESSED BY: • ` SPECIAL CONDITIONS: HAULER: CR&R A01 FLOODZONE; LIQUEFACTION; HIGH DENSITY ZONE „� C N S1 LJ a�1 OWNER -BUILDER DECLARATION i hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 to 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 liceasure 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 at 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 7044, lusiri 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 nprovements 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 n roved for the purpose of sale)_ 3 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not pply 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). I I am exempt from licensure under the Contractors' State License Law for the Fallowing reason: _ ly 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 legalh ell a structure that I have built as an owner-buildar if it has not been constructed in its entirety by licoread contractors. I understand that a copy of the applicable law. Section 7044 of the Business and rofessions Code:, is available upon request when this application is submitted or at the follow1r i'eb site:http:liwwv+.leginfo.ca.govtcalaw.htmL llgnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under oer,alty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Ppfessie cerise is In full force rid effect License Cla,s License No Dale . ((o ZZ Contractor Signat e -ORKERS' COMPEG.SATION DECLARATION 'A1NINP: FAILURE TJ dECLRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOL 1f100,000), IN ADDITION TO THE OS. OF r oMPENSAnIi DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and will meiTtem a certificate of consent to se Nroure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth erformance of tie wc,k for which this permit is issued. Policy No. I h2'/e 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 nsr'ranpe carrier a.Id policy number are: ;oilier_ Policy Number Expiration Date rings of Agent Phone # :1, v,nify that: inthe performance of IhA4mTFT&V0Nch 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 ogre hat, if I should became 't to th 6e r�s'T.r npensaban previsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applican _ _ _ Date����-�-'_� DECLARATION R€G ONSTRUGT LADING AGENCY hereby affirm under penal of perjury that ere s a construction lending agency for the performance of the work for which this permit is issued QSection 3097, Civil Code). -ender's Name Lender's Address 3y my signature below, 1 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 c rty o dinanca laws relating to building construction. I authorize representatives of this city or cou to an rthe ve-i ified property for inspection purposes. Si II nature of Property Owner or Authorized A an Print Property Owner's or ADthorizetl A ants Name ate d t Z ACTION DATE. BY ECLARAT€O PLIANCE WITH CODE Or FEDERAL FOR OFFICE USE ONLY .OULATIONS PART fit OF IITLE 40 AND AQMID RULE 1403 PERMiTEXPIRED i UISUBMITTEDASBESTOS NOTIFICATION TO PEWIT EXTENDED AMICABLE TO CERTIFICATE OF PROPOS OCCUPANCY ISSUED I , cicraan