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HomeMy WebLinkAboutXR2022-2778 - Permits��EWPORT City of Newport Beach 1111111111111111111111111111111111111111111111111111111111111 COMB Permit: XR2022-2778 @ Community Development Department - Building Division X R 2 0 2 2 2 7 7 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2628 U= Permit Counter Phone: (949) 718-1888 r n\ M g..a, yn, ,� ,..�_ +� �. Issued Date : 06/09/2023 w.• newportbeachca.gov/civic r d Inspection Area : 5 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 : B SIDNEY BAY DR Legal Desc : N TR 15445 BILK LOT 21 Description: SFR ADD 935 SF, REMODEL (E) 3000 SF (APPROX). (N) COVERED PORCH ATTACHED AT REAR 226 SF.(N) 2ND FL BALCONY AT MASTER BEDROOM 143 SF. Owner: DANIEL ROBINSON Address : 8 SIDNEY BAY DR NEWPORT COAST, CA 92657 Phone: Applicant: ERIC TRABERT Address: 9521 IRVINE CENTER DR IRVINE, CA 92618 Phone: (949)861-2244 Owner/Builder: Address: Phone Contractor: FLUEGGE CONSTRUCTION INC Address : 27762 ANTONIO PKWY L-1 #422 LADERA RANCH, CA 92694 Phone: (949)275-7311 Con State Lic : 844285 Lic Expire: 08/31/2024 Bus Lic: BT30080202 Bus Lic Expire : 12/31/2023 Workers' Compensation Insurance Carrier: EXEMPT -NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Code Edition : 2019 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : YES Occupancy Groups : U,R-3 No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks: Flood Zone: X Use Zone: PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: Architect: JEFF PARKHURST Address: 25512 CALLE JARDIN SAN JUAN CAPISTRANO, CA 92675 Phone: (714)545-2263 State Lic : Engineer: MANSHADI FARHAD Address : 1800 E 16TH ST UNIT B SANTA ANA, CA 92701 Phone: (714)835-2800 Designer: ERIC TRABERT Address: 9521 IRVINE CENTER DR IRVINE, CA 92618 Phone: (949)861-2244 Construction Valuation : $500,000.00 Added/New/TI sq. ft. Bldg : 935 Alteration sq. ft. Bldg : 3,000 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 935 OWNER -BUILDER DECLARATION I hereby affirm under penally or perjury that I am exemptfrom the Contractors' State. License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable hems) (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 theprovisions of the Contractors' Stale License Low (Chapter 9 (commencing With Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031 b. by any applicant for a permit subjects the applicant to a civil penalty of not 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 (_) 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 are year of completion, the Owner -Builder will have the burden of proving that It was not bullt or Im roved 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' State License Law). I am exempt from Ilcensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legallI sell 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 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:hUp://www.leginfo.ca.gov/calaw.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 7000} Of D)vision 3 of the Business and Prof i r ^ Ede, snit my license is In full force and effect. License Class License. No Date i P ^ �� 2 Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL: AND SHALL. SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS (STIIAso), IN ADDITION TO THE COST OF COMPENSATION; DAMAO" AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNErs FEES. hereby affirm under penalty of perjury one of the following declarations: -11 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 m )erformance of the work for which this permit is issued. Policy No. 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' compensatioi rance carder and policy number are: ter Policy Number Expiration Date is of Agent Phone # certify that, in the perfor once of the work for which this permit. is Issued. I shall not employ any. person in any manner sous to became subject to the workers' compensation laws of California, and agro If I should become su �t,Ip the w/orks�s' mpensation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. /� q lalure of Applicant /I I Date �!� 12-3 hereby affirm under penalty ofiparjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Section3097, Civil Code). enders Name Lenders Address y my signaturebelow, I certify to each of the following: I am the pmperty 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 og.ee to cmarny with all applicable city and county dinances and slate laws relating to building construction. I authorize representatives of this city or county to ter a above-i fad property for Inspection purposes. igLtatut e. of Property Omer or Authorized Aoent _... Pool ProDarty Owner's or Authorized Anent's Nam. '? !�fr-'� I DATE By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATONS PART SI.OF TITLE 40 AND AQMD RULE MIT :TXPIREb I i 1 L3 I SUBMITTED ASBESTOS NOTIFICATION TO DERV ?T FI NAL ( I �ZS JQ "To' N CATION IS NOT ROPOSEODE LIION OCCUPANCYISSDEJ I SIONATI1REz