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Home My WebLink AboutXR2022-3219 - PermitsQ ��WPORT City of Newport Beach p 6 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 T Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq��F00.N�P newportbeachca.gov/inspections Combination Type - SFP ELEC PLUM Work Class - Other I1IIIIIIIII111111111111111111111111111111111111111111111111COMB Permit : XR2O22-3219 Plan Check No Issued Date : 12/12/2022 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 : 117 BAY FRONT N Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 2 LOT 5 Description: SFR -INSTALL (2) GAS LINE FOR BBQ/FIREPIT AND (1) ELEC OUTLET Owner: CAPPARELLI EDWARD TR THE CAPPARELLI Contractor: TONY VALENTINE CONST INC Architect FAM I LY TR Address : 10182 SQUIRES CIR Address : 567 SAN NICOLAS DR Address VILLA PARK, CA 92861 NEWPORT BEACH, CA 92660 Phone: Phone: (949)723-6449 Phone: Con State Lie : 467553 State Lie Lie Expire : 04/3012024 Applicant: TONY VALENTINE CONST INC Bus Lie : BT30071132 Engineer: " Address : 567 SAN NICOLAS DR Bus Lie Expire : 02/28/2023 Address NEWPORT BEACH, CA 92660 Phone: (949) 723-6449 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No: 1794693 Designer Address : W. C. Expire: 7/1/2023 Address Phone: Phone: " Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $300.boy u Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups: U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : AE, 8 FT; X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: it a r 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) 1 have placed next to the applicable items) 'action 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 Le 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 3blithe Business and rofessions Code) or that he or she is exempt from lieensure 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 of more than five hundred dollars ($500). ` 11, as owner of the property, or my employees with wages as their sole compensation, will 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-Builderwill have the burden of proving that it was not built or oproved for the purpose of sale). 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 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 from licensure under the Contractors' Mate License Law for the following reason: y 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 thispermit, I cannot legal oil a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand thata copy of the applicable law, Section 7044 of the Business and rofessions Code, isavailable upon request when this application is submitted or at the following Web site:http:liw w,leginfo.ca.gov/cafaw.html. ignature of Property Owner or Authorized Agent I Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section df 'visf n 3 of the Business and Professi nos Code and y li se' in 7000 nd effect. License Class License No Date Z 11 _t L- Contractor Signature 70RKERS' COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,0001, IN ADOrTION TO THE Car OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and wid nr hddin 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 E�Grman.:e of the work for which this permit is issued. Policy No. !ve and will maintam 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 anew carrier and policy number are: lamer Policy Number Expiration Date lame of Agent Phone # JI certify that, in 0..e performance of the work f r which 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 agre Tat, if I should becn ne wibjeotno the workers' o pens revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Z l evehvm of Applicant � / \) Date � ' ' IZ- bL hereby affirm under penalty of perjury that there is a construction lending agency for the performance of -the work for which this permit Is issued (Section 3097, Civil Code) enders Name Lenders Address ly my 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -Identified property for inspection purposes. iionature of Property Owner or Authorized Agent x— P _. Print Property Owner's or Authorized Agent's Name DATE BY ! DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED tJ I SUBMITTED ASBESTOS NOTIFICATION TO _ PERMITCANCELLED �MIEPA LJA PERMIFEXTENDED OMD _ PERMI7FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED� v 1 �J97. SIGNATURE: