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Home My WebLink AboutX2022-1164 - Permits?EWPO,F7 City of Newport Beach O @ Community Development Department- Building Division F �'y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u Inspection Requests Phone: (949) 644-3255 c9C�FppH�p newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Addition/Alteration iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii COMB Permit : X2O2,2-1164 Plan Check No : 1071-2022 Issued Date : 02/16/2023 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 : 227 LUGONIA ST Legal Desc : N TR 772 BILK 6 LOT 5. Description: SFR ADD 670 SF (N) MASTER BEDROOM & BATH W/ ROOF DECK OVER (E) GARAGE. Owner Address Phone: FANTICOLA NATALIE PHAM TR THE N P Contractor: WEIR A CONSTRUCTION INC Architect : FANTICOLA LIVING 227 LUGONIA ST NEWPORT BEACH, CA 92663 (949)413-5800 Applicant: PHILLIPBUDOVEC Address: 22246 SUMMIT HILL DR LAKE FOREST, CA 92630 Phone: (949)283-0199 Owner/Builder : Address : Phone: Address : 206A 43RD STREET NEWPORT BEACH, CA 92663 Phone: (949)678-6021 Con State Lie : 844746 Lie Expire : 11/30/2024 Bus Lie: BT30069514 Bus Lie Expire : 10/31/2023 Workers' Compensation Insurance Carrier: EXEMPT Policy No: EXEMPT W. C. Expire : Address : Phone: State Lie Engineer: SILVACHRISTINA Address: 24482 MUELA MISSION VIEJO, CA 92692 ' Phone : (949) 795-6256 ' Designer: PHILLIPBUDOVEC ',�.,' Address : 22246 SUMMIT HILL DW " LAKE FOREST, CA 92630 Phone : (949) 283-0199 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. : Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: ROBERT'S WASTE $150,000.00 670 0 670 I hereby affirm under penalty of penury 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 applicableitem(s) (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 the 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 Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 13 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 Improvements 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). ❑ 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 ,a.P,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). L_I I am exempt from [Denature under 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 resided for at least one year prior le completion of the improvements covered by this permit, I cannot legally sell 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:/Iwww.leginfo.ca.gov/colaw,fitmi. Signature of Property Owner or Authorized Agent Date LICENSED CCIJ 1 RACTOR'S DECLARATION I hereby affirm ua::Lr penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 00 ) r f 'visio 3 of the Business and Professions C rn " onsets in full force. and effect. License r;'ass License No Date Contractor Signatur7s i .�/�l NORKERS' COMPENSATION DECLARATION r y NNRNING' FAILURE Tr` SECURE WORKERS' COMPENSATION COVERAGE la UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE 4OST C' COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYa FEES. hereby affirm er.da. I Lnalty of perjury one of the following declarations: ;I I nave and w91 r'tnintain 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 Coda, for thl -e-fxr.,ance of he work for which this permit is issued. Policy No - :I nave and will rialmain 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` compensatior r.s,i.'oo.:e carrier and lrc'icy number are! :;amier Policy Number Expiration Date ,auir, -of Agent Phone #f nify that, h. ,he, performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and Agra( hat, if I should become subject to the s' compensation provisions of Section 3700 of the Labor Code, I shall fonhwilh comply with those provisions. k Signature of Applicant y-^-��- Da��4e2 DECLARATION REGAO' TRLICTION LENDING AGENCY r 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 Cade). _enders Name Lender's Address Sy 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 applicablecity and county ordinance d state laws relating to building construction. I authorize representatives of this city or count. to a ter th-idenffied property for inspection purposes. 5i nature of PropertypOwner or Authorized Agent �/, `� Print. Property Owner's or Authorized Agent's Nam C/ t )C Dat r ACTION DATE BY DECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED MEPA PERMITEXPENDED MO PERMIT FINAL }� r J� TfON IS N l' APPLICABLE TO SBESTOS N TIFICA CERTIFICATE OF l r� PROPOSED DE IFICA OCCUPANCYISSUED sa[:.NanraF �A _