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Home My WebLink AboutXR2022-1907 - Permits�EwvoRT City of Newport Beach II III I I I II I II I III III II II II p� & Community Development Department- Building Division COMB PermitXR2U22-19U7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1763 ` Permit Counter Phone: (949) 644-3288 G }9 T Inspection Requests Phone: (949) 644-3255 Issued Date : 9/12/2022 cqC/FOAN�P newportbeachca.gov/inspections Inspection Area : 6 Combination Type - SFP 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: 5 HILLSBOROUGH Legal Desc : N TR 10151 BILK LOT 19 Description: NEW REAR DECK 1%35 Sf Owner: AUSTIN HILL - Contractor: SOUTH POINT BUILDERS CORP Architect Address : 5 HILLSBOROUGH Address: 120 EAVENIDA CORNELIO. j:Address NEWPORT BEACH, CA 92660 SAN CLEMENTE, CA 92672' Phone : Phone: (949)374-6072 Phone Con State Lic : 879281 . State Lic Lic Expire : 06/30/2024 Applicant: GUY PIZZARELLO Bus Lic': BT30079463 '` Engineer Address : 946 CALLE AMANECER, N Bus Lic: Expire : 08/31/2023 s. Address SAN CLEMENTE, CA 92673 Phone: (949) 388-3332 Workers'. Compensation Insurance Phone: Carrier: CLEAR SPRING PROP & CASUALTY CO . Owner/Builder : e Policy No: CWC00885000 Designer: GUY PIZZARELLO Address : W. C. Expire: 6/14/2023 Address: 946 CALLE AMANECER, N SAN CLEMENTE, CA 92673 Phone: Phone : (949) 388-3332 Code Edition : 2019 _ Fire Sprinklers : -- NO Construction Valuation : $32,018.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Tl sq. ft. Bldg: 0 Occupancy Groups : R-3 -' No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : Added/New sq. ft. Garage: 0 Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 5 Flood Zone: X Use Zone : PC - Harbor View Hills PROCESSED BY: Qo SPECIAL CONDITIONS: E I herebyaf{irm under penalty of perjury that I am exempt from the Contractors' State. License Law for the teason(s) indicated below by the checkmark(s) I have placednext to the applicable item(s) ction 7031.5, Business and Professions Code: Any city or county that requiresa: permit to construct, alter, improve, :demolish, or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of theGontractors' State License Law (Chapter 9 (commencing With Section 7000) of Division 3 of the Business and Passions Code) or that no or she is exempt from Iinensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, iness 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 rovements 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 ofproving that it was not built or roved for thepurposeof sate). 1, as owner of the property,am exclusivelycontracting: with licensed Contractors to construct the project (Section 7044, Business and Professions Code; The Contractors' State License Lawdoes not ly to an owner o€properly who builds or improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Contraetors' State License Law for the following reason: ny signature below I acknowledge that; except for my personal residence in which I must have resided form least one year prior to completion of the improvements covered by this permit, i cannot lac a -structure that I have built as an owner -builder if it has not baen constructed in its entirety by licensed Contractors. j understand that a copy of the: applicable law, Section 7044 of the Business and fessions Code„ is available upon request when this application is submitted or at the following Web site;hhp�liwww.leginfo.ca.gov/calaw.html. hereby affirm under penalty of perjury that I am ficensed under provisions of Chapter (Commencing with" nd effect, License Class: License No PORKERS' COMPENSATION DECLARATION In full force: ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,. AND. SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED MOUSAND DOLLARS t6t00,000)., IN AUimON TO THE OST OF COMPENSATION, DAMAGES. AS PROVIDED FOR IN SECTION 3TO6 OF THE LABOR CODE; INTEREST, AND ATTORNEYS. FEES, hereby affirm under penalty. of perjury one of the following declarations: k1h ve and will maintain a certificate of Consent to.self-Insure for workers'compensation, Issued bythe Director of Industrial Relations as provided for by Section 3700 of the. Labor Code, for thance of the work for which this permitis issued. Policy No. 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. Myworkers' compensaiooi ce carder and policy number are, ie of Agi3•••.nt _ certify that, In the if I should bacon iature of AuDlican neby affirm under penalty01 perjury that theca is a ider's Name. my. signature below, I oarWy to each of the followit I am the property owner or authorized.' to act on: a I have read this application and the information I.. I agree to comply with cif applicable City and: coin I authorize representatives of this city or county,i+ ACTION Policy Number Expiration Date ued. I shall not employ any person in any manner soas to become subject to the workers' compensation laws of California.. and of Section 3700 of the tabor Code, I -shall forthwith comply With those provisions. Date 61' 17 7022— agency for the performance of the. work for which this permit is; issued (Section 3097, Cl 11 Lender'sAddress to building construction.. or inspection purposes.. `�(' ppASn� //� �c 12• Print Property Owner's or Authorized Apart's Name V V . mJ Date CODEOFFEDERAL I FOR OFFICE. USE ONLY 3D AQMD RULE PERMIT EXPIRED L_IJ SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA- . . • . • - • : • • a PERbriTEXTENOED QMO • ° • • ! ` • • • • • , PERMIT FINAL pp'' � � ASBESTOS NOTIFICATION 15.NOT APPLICA81lE TO CERTIFICATE Or «f%E'2Z {mow.+ PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE:. • i • • • • • • • • • • a