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Home My WebLink AboutXR2022-2590 - Permits�EwPoRr City of Newport Beach II III I I I II I II I III III I I II Community Development Department- Building Division COMB Permit: XR2022-2590 > y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2422 ~ n Permit Counter Phone: (949) 644-3288 u p�,1j T Issued Date Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 q<rcoa�'� 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 : 707 LIDO PARK DR Legal Desc : P BK 235 PG 25 PAR 1 UN 1 P M 235-25 PAR 1 ll'I OF PROJECT LOCATED ON AP Description: MFR - R/R DRYWALL DUE TO ROT & MOLD APPROX 600 SF \o�_ Owner: FREDERICK OREILLY Address : 11541 HEATHCLIFF DR SANTA ANA, CA 92705 Phone : Applicant: MICHAEL CAMPO Address: 1529 MAXWELL WY COSTA MESA, CA 92627 Phone: (714)235-0775 Owner/Builder: Address : Phone Contractor: TEAM ULTIMO REAL ESTATE Address : 1529 MAXWELL WAY COSTA MESA, CA 92627 Phone : (949) 689-5293 Con State Lic : 964742 r' Lic Expire: 08/31/2023 Bus Lic: BT30036733 Bus Lic Expire : 08/31/2022�`vO Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9051279 W. C. Expire : 4/1/2023 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 No of Units : 2 Bldg Height: No of Stories : 2 Building Setbacks Flood Zone Use Zone: PROCESSED BY: Front:20 X RM - Multiple Residential SPECIAL CONDITIONS: Architect, GB Architecture ''��` Address - 9855 SKY PARK CIR, G IRVINE, CA 9 2614 Pho �\\ (714) 486-3318 Wtic : ngineer Address Phone Designer: Address Phone: v IR Construction Valu8 0 Added/New/Ti sq. 0 Alteration sq. ft. Bldg : 600 Added/New sq. ft. Garage: 0 i hereby affirm under penalty of perjury that tam exempt from the Contractors State License Lawlor the reasons) indicated flat Section 7031.5, Business and Professions Code; Any city or county that requires a permit to construct, after, improve, demolish, or he permit to file a signori statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (C he 'rofesswrts Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 70 it rot more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the wok, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through entpla aes' or personal effort, builds or improves the properly, provided that the in rovements are not intended or offered for sale. 11, 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 mproved for the purpose of sale)_ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Businias a ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor purrs or I am exempt Prom llcensure unner the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have rOsided for ai 10nst one year p ioi sell a structure that I have built as an owner -builder If it has not been constructed in its entirely by licensed Contractors. I undorst n( Professions Code, is available upon request when this application is submitted or at the following Web site:hUp hilwm aginto.ca, to, Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000'Lof ME to and effect. License Class _. License No NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A D COST OF COMPENSATION, DAMAGES As PROVIDED FOR 1N SECTION 3M OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: by the checkrmark{s) I have placed next to the applicable item{s) pair any structure, prior to its issuance, also requires the applicant for er 9 (commencing with Section 7000) of Division 3 of the Business and by any applicant for a permit subjects the applicant to a civil penalty of and Professions Code: The Contractors' Stale License Law does not to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of theapplicable law, Section 7044 of the Business and Date 3of the Business and Professions Code, dial my license is In full force ZZ Contractor Signalu _ _ CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 11000A00), IN ADDITION TO THE RI and will maintain a certificate of Consent to self insure for workers wmpensatioo, issued by the Director of Indu trial Relationsas provided f r b Secton 3700 of the Labor Cale, for e� fprmance of the work for which this permit is issued. Policy No, ve and will maintain workers compensation insurance, as required by Section 3700 of the Labor Code.. for the perforn nsur OCR carrier and policy number are Policy Number ne of Agent certify that, In the performance of the work for which this permit is issued. I shall not employ any person in any manner so as if I should becomresubject to the�wor ra` compensation provisions of Section 3700 of the Labor Code, I shall forthwith Corr Nature of APPI'war4z/ hereby affirm under penalty of perjury that there is a Construction tending agency for fill performance of the work for which this endar's Name Lenders Address iy my signature below, I certify to each of the followingg I am the property owner or authorized to act on the property owner's Derail. 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 ddenfihed property for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owners orAuthoriz ACTION DAT€ BY DECLARATION OF CONIPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE REGULATIONS PART 6:1 OF TITLE 40 AND AQMD RI,I If PEANfiTEXPrREO I I I " I SUBMITTED ASBESTOS NOTIFICATION TO PER,MiTFINAL 0,(L-3 )V. W ASBESTOS NOTIUCATON IS NOT APPLICABLE TO OCCUPANCY ISr PROPOSED DEMO.LLl ,—� GCCUPANCY ISSUED t SIGNATURE. of the work for which this permit is Issued. My Workers' Date become subject to the workers' compensation laws of California, and ogre, with those provisions. Do z mit is issued (Section 309