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Home My WebLink AboutXR2023-2266 - PermitsW City of Newport Beach 111111111111111111111111111111111111111111111111111111111jj COMB Permit : XR2O23-2266 a@ Community Development Department- Building Division X R 2 0 2 3 2 2 6 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1985 S Permit Counter Phone: (949) 71 B-1888 Issued Date : 08/17/2023 newportbeachca.gov/civic Final Date: Combination Type - ELEC PLUM Permit Status: Issued w mw Work Class - Other Inspection Area : 4 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: 41 HARTFORD DR Legal Dose: N TR 12164 BILK LOT 2 UN 17 TR 12164 LOT 2 UNIT 17 Description : MFR SUB SLAB DEPRESSURIZATION SYSTEM Owner: BAYRIDGE PARK ASSOCIATION Address : 1 HARTFORD DR NEWPORT BEACH, CA 9266C Phone: (949)706-4544 HOMEOWNERS Contractor: ENGINEERING AND ENVIRONMENTAL Architect: Applicant: GREG SHERMAN Address: 7171 WARNER AVE STE B-404 HUNTINGTON BEACH, CA 92647 Phone: (760)803-9389 Owner/Builder : Address : CONSTRUCTION INC Address: 7171 WARNER AVE STE B404 HUNTINGTON BEACH, CA 92647 Phone: (760)803-9389 Con State Lie : 883727 Lie Expire : 09/30/2024 Bus Lie : BT30082135 Bus Lie Expire : 07/31/2024 Workers' Compensation Insurance Carrier: ACE AMERICAN Policy No : C51450152 W. C. Expire : 10/1/2023 Address ^r7 Phone: State Lie Engineer : CHARLES BLANCHARD , , Address : 555 12TH ST STE 215 ' OAKLAND, CA 94607 , Phone: (925)580-2754 Designer Address Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg: Bldg Height : No of Stories : 0 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks Flood Zone : X Use Zone : PC - Aeronutronic Ford PROCESSED BY: SPECIAL CONDITIONS: $40,000.00 0 0 0 ER -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 checkrnark(s) I have placed next to he applicable iteri 'Section 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 :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 Drofassions Code) or that he or she is exempt from 17O80adre 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 not more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or I portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and professions Code: The Contrertcrs' State License Law does not apply to an owner of property who, through employees' or personal effort. builds or improves the property, provided that trip. merovements 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 improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coda: The Contractors' State License Law does not apply 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). 1 am exempt from Itaensure under the Contractors' State License Law for the following reason By my signature below] 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 legaly cell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se io?1!1AETI11 f iyY�"sion 3 of the 'n es and Profes ' ns tr, 'dl5tl my license is In full force and effect. License Class License No `� ConVa rSignaluro NORKERS' COMPENSATION DECLARATION NARNING: -AILLRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO GRIMI ANO CIVIL FINES UP ONE HUNDRED THOUSAND DOLLARS 1E100,000), IN ADDITION TO THE C1rT CF C JMPENSATIOi` nAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS, INTEREST, AND ATTORNEYS FEES. ''' hereby affirm uri p malty of perjury one of the following declarations: :1 I have and will ,nairrtaio a certificate of consent to self -insure for WofkerS Compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th 3Arformance of the wmk•for which this permit is Issued. Policy No hPve 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' sore carrier and policy number are: 1 of Agent emit, that, iv, the be. 'I I s`rould_become s Policy Number Date of the work for which this permit is issued'.., I shall notemploy any person in any manner so as to become subject to the he',vorke��ipensaticn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Fnalura of App"t=aW /(Jy .__..._-_,__.�.__,_.______— - _______ rCLARATtO.WR�IGARDING CONSTRUCTION LENDING AGENCY 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 Ender's Name _ _ _ _ _ _ _ Lender's Address Iy my signature below, I certify toeach of the following: T I am tine 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 applicablo city and county ordinances and state laws relating to building construction. I authorize representatives of this c' or c9ii t alter above -Identified property for inspection purposes. ,,� lionature of P(ODertV Owner or Authorizz l Print Prooertv Owner's er Authorized Acent'v` Notate U n� ACTION DATE f/ )BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGLI(ATION5 PART 61 OF TITLE 40 AND AQI RULE compensation laws of California, and Gode). PERMITEXPfRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO P€RMIT CANCELLED - (..... CPA FERMYT EXTENDED PCR'MIf E1NAL .. i Li AQMD LJ ASBESTOS NO] IFILA 410N IS NOl APPLICABLE t0 CERT(FiCATE OF PROPOSED DEMOLITION OCCUPANCY$SUED SIGNATURE: