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HomeMy WebLinkAboutXR2022-1885 - Permits�Ewao�� City of Newport Beach II IIII I I II I II I III II II III II COMB Permit : XR2U22-1885 p4 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ' ? Permit Counter Phone: (949) 644-3288 Plan Check No: PC2022-1747 Issued Date : 08/04/2022 Inspection Requests Phone: (949) 644-3255 °"<iFoaN�a Inspection Area : 2 newportbeachca.gov/inspections Combination Type - MFP Work Class - 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: 6 RIPTIDE CT Legal Desc : TR 8835 LOT 3:UNIT 1 P-1, G-1, CP-1 OF PROJECT LOCATED ON AP 422-011-06T OGETHER WITH AN UND 1/28INT IN LOT 3 Description: MFR STRUCTURAL REMEDIATION OF SHEAR WALL Owner: JACK RAEDES Contractor: LONGMAN JEFF Architect Address : 6 RIPTICE CT NEWPORT BEACH, CA 92663 Address i �° OBO X 15372 NEWPORT BEACH, CA Address : a 9 ,� a Phone : (303) 495-8045 Phone: (949) 202 6029 Phone : IN 1 L Con State Lie : 885301 State Lie Applicant: LONGMAN JEFF Lie Expire: 10131/2022 Address : PO BOX 15372 NEWPORT BEACH, CA 92659 Bus Lie: BT30019621 =. Engineer: JOHN PAUL SIN Phone: (949) 202-6029 Bus Lie Expire :'05/31/2023 Address: 15425 SHERMAN WAY, 228 VAN NUYS, - CA 91406 Workers' Compensation Insurance Phone: (818) 245-0190 Owner/Builder: Carrier: CLEAR SPRING. CASUALTY Address : ... Policy No: CWC00561900 Designer Phone: W. C. Expire: 3/9/2023 Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $5,000.00 Type of Construction : V-B Fire Hazard Zone : No Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-2 No of. Units : 3 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 Building Setbacks Flood Zone: X Use Zone: PC - Newport Terrace - UP 1621 PROCESSED BY: `1 — SPECIAL CONDITIONS: a (:b Ofi.B P 60 of O u OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that) am exempt from the Contractors State License Law fo ,the ressori indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permitto construct, after. improve demolish, or repair any structure, prior to its Issuance, also requires the applicant for to permit to file a signed. statement Ihat 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 licensors and the basis for the alleged exemption. Any violation of Section 7031,5.by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 11, as owner of the property, or my employees with wages as their sole compensation, till do (_) all of or L) portions of the work'; and the structure Is not intended or offered for sale (Section 7044, �usiness 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-Buitderwill have the burden of proving that if was not built. or nproved for the purpose of sate). 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 ply 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 front icensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have residedfor at least oneyear prior to completion of the, improvements covered by this. permit, I.cannot legall7 ell 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Avww.€eginfo.ca.tjovicalaw.html. lignature of Property Owner or Authorized Agent. Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ).of D•'is'o' 3 of the Business and Pr sibn od , an r I)1i c ens is In full force Ind effect. License Class License No Date G 7: C Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL', AND SHALL SUBJECT. AN EMPLOYER TO CRIIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OVSAND DOLLARS iS100,0001. IN ADDITION TO THE can OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 3700 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: I 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 th yyetrearance of the work for which this permit €s issued. Policy No. I�f•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 Isurance earner and policy number are: Policy Number Date ne of Agent -enone R certify that, in the performance of the Work for Mich this permit is issued., I shall not employ any parson: in any manner so. as to become subject to the workers' compensation laws of California, and agre . if I should becoOD ubj act to the rker ' ompereation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. p L Z� iaiure of Applies .'LARATION RE $T cT70td LENDINts AGENCY reby affirm undealtyof perjury that there Is a cDnstruction teruiirtg agency for the performance of the work for which this permit is ad (Section 3097, Civil Code): ders Name. Lenders Address try 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. ° I agree to comply with all applicable city and oaun y ordinances WE relating to building construction. I authorize representatives of this cityJon counenter the ove-i n Ied pr rty for inspection purposes ______111111VVVLLL / /� Y �Y '>/ /✓ o,.. o.w--. ,nu��.r, .,.,n•nh,...vori e.,n..r•e M�n,u i nat �./� COMPLIANCE WITH CODE OF FEDEI TT 61 OF TITLE 40 AND AONID. RULE PER)VITEX7ENDED . . I..JAftM a` PERMIT FINAL •�rROP S P GERTtfIGATE OF �/� £ OLI OCCUPANCY ISSUED (/�/ J%� I, -_..� •--s...mr--e---- a • • s e s • N n•s a• •s r • eee ee FOR OFFICE. USE ONLY All required alarms., latches gates and fences. Which serve as part of a pooljspa barrier,. shall be In place priorto approval tofill pool/spa&shall remain in place & be maintained for the