HomeMy WebLinkAboutXC2022-2060 - Permits�aEwPogr
City of Newport Beach
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Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type -
Work Class - Other
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COMB Permit : XC2O22-2060
Plan Check No : PC2022-2849
Issued Date: 1111812022
Inspection Area : 1
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 : 720 BAY AVE W
Description: COMM HANDRAIL REPAIRS (122-1351)
Owner: NEWPORT HARBOR YACHT CLUB
Address: 720 W BAY AVE
NEWPORT BEACH, CA 92661
Phone:
(949)723-6870
Applicant :
JOHN PESCHELT
Address :
420 E 15TH ST
NEWPORT BEACH, CA 92663
Phone:
(949)254-5734
Owner/Builder :
Address :
Phone :
Legal Desc : EAST NEWPORT BLK A LOT 169 ALL -INC BET SAME & HIGH TIDE LIN E- THE REOF(AND ALL
-INC BET SAME & HIGH TIDE LINE- LOT 170
Contractor:
D B A C INC
Address :
101 SHIPYARD WAY #A
NEWPORT BEACH, CA 92663
Phone:
(949)723-0147
Con State Lie
: 637651
Lie Expire :
02/29/2024
Bus Lie :
BT00016282
Bus Lie Expire: 10/3112023
Workers' Compensation Insurance
Carrier: INS CO OF THE WEST
Policy No: WSD5051828
W. C. Expire : 11/11/2023
Architect
Address
Phone :
State Lie
Engineer
Address
Phone :
Designer: RAKESTRAW ARCHITECTS
Address: 515 EL MODENA AVE
NEWPORT BEACH, CA
Phone :
Code Edition: 2019
Fire Sprinklers :
NO Construction Valuation :
$1,200.08
Type of Construction :
Fire Hazard Zone :
NO Added/New/TI sq. ft. Bldg :
0 - -
Occupancy Groups : U
No of Units :
D Alteration sq. ft. Bldg
Bldg Height:
No of Stories :
Added/New sq. ft. Garage :
0 o
TOTAL sq. ft.
0
Building Setbacks :
• ^ °
Flood Zone : AE, 8 FT; X; AO 1
Use Zone: PI - Private Institutions
-
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NO CONSTRUCTION NOISE
PROCESSED BY :
SPECIAL CONDITIONS: HIGH DENSITY ZONE
LIQUEFACTION, AE8 & A01 FLOOD ZONE
ON THE WEEKEND
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) 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, after. improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for
he 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 ponalty of
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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 properly, provided that the
Tlprovements 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
Tlrproved for the purpose of sale),
..i 1, 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
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a. licensed Contractor pursuant to the Contractors' Stale License Law).
I am exempt from licensure under the Contractors' Slate License Law for the following 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 legail)
all a structure that I have built as an owner -builder if it has not boon constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
>r❑fesslons Code, is available upon request when this application is submitted or at the following Web ske:http:/IvrNw.leginfo.ca.gov/ealaw.htmi.
Signature of Property Owner or Authorized Agent .ate
%1�/ g
.ICENSED CONTRACTOR'S DECLARATION ,/
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 O) f v' i of the Business and roles Ion' 6de., an r license' Yt u
and effect. License Class License No Dete Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUN 0 THOUSAND DOLLARS ($100,000), IN ADDRION TO THE
.DST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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
erfoavce of the work for which this permit is issued. Policy No.
he 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' compensatool
Isurance carrier and policy number are:
1anrler Policy Number Expiration Date
lame of Agent ! /^ Phone#
certify that, in the ispliformance Pf the wo&wKh 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 agra
if I should becom subject to eey�rken prow tons of Section 3701 of the Labor Code, I shall forthwith comply with those provisions.
istore of At /f Dale
3reby affirm, under pin y of perjury that there is a construction lending agency for the performance of the work forwhich this permit Is issued (Section 3097, Civil Code).
lder's Name _ Lender's Address
signature be , I certify to each of the following:
1 ern the props ,y owner or authorized to act on the property owner's behalf.
1 have read this application and the lnForma119p44WfVe provided is con
I agree to comply with all applicable city an county rdi nces an t aws ling to building construction.
I authorise ;=,�re�sentatives of this city or c unty to the ab ntifed pe action purposes.
Pr3, aalureofPro a OwnerorAuthozedAePrint Property Owner's or A r i ri
ACr+ON DATE B DECtARATIONOF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART fit OF TITLE 40 AND AQMD RULE
PFPvit-EXPiREO I v U I SUBMITTED ASBESTOS NOTIFICATION TO
7MITCANCELLEO—❑EpA-_-_-_._-__.-----___
F_RMIT EXiENOFD MD
CERTIFILATE OF OP uRFE TO
5NOTIFIC T{ ISN`Vii OCCUPANCY ISSUED S
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