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HomeMy WebLinkAboutX2022-1775 - PermitsprWtor City of Newport Beach oIIIIIIIII�IIII�III�IIIIII�I�7 7 1 IIIIIIII�IIII�III�III�III��IIII��IIII st, 'J e Community Development Department -Building Division 5IIIII 11J22_1775 y 100CivicCenterDriveNewportBeach,CA92660 COMB Permit: Permit Counter Phone: (949) 718-1888- new ortbeachca.gov/civic Planpr Combination Type - SFP �ed Date : 12/20/2023 Final Date: _ WDrk Class -Alteration Permit Status: Reissued fnspertivn-Area :-5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, -`YEARS BUT NO LATER IHAN 3 FROM ORIGINAL ISS E DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLArAYS IN ALL ARE Job Address : 30 WHARFSIDE DR Legal Desc : N TR 15850 BLK LOT 35 Description: SFR ALT 35 SF TO REPLACE (E) DOORS/WINDOWS W/ (N) BI-FOLD DOORS. Owner: MANLEY MICHELLE LYN TR MLM LIVING TR Contractor Address : 30 WHARFSIDE DR NEWPORT COAST, CA 92657 Address Phone: Applicant: LUCAS SMITH Address: 39167 PACIFIC COAST HWY DANA POINT, CA 92672 Phone : (194) 975-0951 x1 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone: 2019 V-B U,R-3 X PC - Newport Coast Phone: Con State Lie Lie Expire Bus Lie : Bus Lie Expire HARKINS CONSTRUCTION 34167 PCH #D DANA POINT, CA 92629 (949)245-9028 935372 03/31/2024 BT30066134 : 02/28/2024 Workers' Compensation Insurance Carrier: SIRIUSPOINT AMERICA COMPANY Policy No: WC9013301 W. C. Expire: 2/22/2024 J?-e, L �3 I.A-f-, �Z l2o 12s Architect Address Phone : State Lie Engineer: BURKELEO Address: 34167 PACIFIC COAST HWY #D DANA POINT, CA 92629 INSURANCE Phone: (949)226-7130 Designer: BURKE ENGINEERING Address: 34167 PACIFIC COAST HWY DANA POINT, CA 92629 Phone: (949)226-7130 Fire Sprinklers : YES Fire Hazard Zone : NO Construction Valuation : $60,000.00 No of Units : 1 Added/New/Ti sq. ft. Bldg : 0 No of Stories : 1 Alteration sq. ft. Bldg : 35 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 PROCESSED BY: SPECIAL CONDITIONS: IRWD itarl ckmarl OWNER -BUILDER DECLARATION also requires the applicant for a) I have ced next to I hereby affirm under Penalty of Perjury thef t ad, ex,mP' ilea the Contractors' StateLicense Construct. alterrpmprayseademol stlbororepa rlany structure, Section 7000) of Division applicable Business and action 7031.5. cosines and Professan• Code .Any cib� or ca�nh' ihul requires i Permit a permit to file a signed statement that no or site is dconsad put suar.t tc the provisions of the Contractors' Stale Licenso Law (Chapter any rofessions Cade;) or that he or she is exempt from Iloeosure and the bass for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty o ]t more than five hundred dollars (b500). provided that the I, as owner of the property, or my amplCye�s with tvnges 2s their sole compensation, will do L) all of rt w portions of the work, and the structure is not Intended or offered for sale t Section t , usinass and Professions Code: The.-Contrar•lors Stele License �aa' does �,ot apply la an owner of property who, Through employees' or personal P.ftarl, builds or improves lire property. p nprowemands are not Intended or offereU for Sale. If, h�weva the boil ling or Improvement is Sold within one year of completion, the owner -Builder will have the burden of proving that It was not hull! or nproved for the purpose of Sale). builds iv ly roves thereon, and who contracts for the projects with a licensed Contractor pursuant [o the Contractors' State License Law). I, as owner of the property, am exclusively contracting with licensed Contractors to construct lire project (Section 7044, Business and Professions Gods: The Contractors' State License Law does not_ pply to an owner of proPerty who bull P —_ — this ermR' I cannot legal) I am exempt from Bcensure under the Contractors' Stale License Law for lire following reason: _____.-- applicable taw, Section 7044 of the Business and 3y m}• signature below t acknowledge that, except for my personal residence in which I must have resided For at least one year prior to completion the the improvements covered by p :ell a structure that I have knobuilt le an ohat, axe if Il. has not been constructed in its entirety by licensed contractors. I understand that a copy of tiro app Date -- —� ?rofessions Coda, is available upon rowror-quest b ild if i application is been or at the following Web situ.hltp:llwww-G9mfo.ca.govicalaw.litmL Signature of Property Owner or Authorized Agent ^,�,� -- LICENSED CONTRAC penalty of DECLARATION Date -�1 ° -Contractor Signature E hereby affirm under penalty of rjury that 18 licensed under provisions of Chapter g (Commencing with Section 7000) of Ivlsi n 3 of the business and Signature de, and n license is In full once and effect. License Class L -u License No THE WORKERS' COM.PENSATIO DECLARATION IL AND WARNING COMPENSATION, TO11 URE WOs AS PROVIDEDTION IN SECTION GE IS UNLAWFL THE LABOR CO E SHALLSUBJECT AN' ATTORNEY'S FFESRIMINAL PENALTIES AND CIVIL FINES OP TO ONE NUNORee THOUSANa DOLLARS lStOe,VWj, 3N ADDITION TO FOR 'il hereby affirm under penalty of perjury one of the following declarations: Q I have and will maintain a cedilicale 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 Cfi Ianea of the work for which this pannit IS issued. Policy No. hav end will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the an Date this permit. is issued. My workers` compensator nsur ce carrier and policy number era'. policy Number PhoneH arier Name of Agent Person In any manner so as to become subject to the workers' compensation laws of C2lifomta an ogre I certify that, in the performance of the work for which this permit Is issued, I shall not employ any P cz — I a that, if I should become subject��tyy the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with loose provisions. Data KGrenS�ne _ Signature of Applicant r l%...�....---- DECLARATION REGA G CONSTRUCTION LENDING AGENCY he afiftrm under penalty of penury that theta Is a construction lending agency for the performance of the work forvfiich this permit is issued (Section 3D97, Civil Code. Lender's Address Lenders Name By my signature below, I certify to each of the following: I air the Property owner or authorized to act on the properly owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with 2II applicable city and county ordinances and s ate fawn relating [o building construction. (.t- Date 1 authorize representatives of this city or county to on er, the above-td rift 'ed progeny for inPrint Pip ertP Owner's or Authorized Agent s Na Signature of Pro eft Owner or Authorized Agen ACTION t DATE BV DECLARATkON OF COMP Lail WITH CODE OF FEDERAL FOR OFFICE USE ONLY y REGULATIONS PART fit OF TITLE 40 AND AQMD RULE 'ERMITEMENDED_ -- af5T05 NOTIFICAT'1 NOT AP P CABLE TO QERIvHi FlNA1 _ _ POSED DEMOLITION CERTIFICATE OF 54 SIGNATURE. OCCUPANCYISSUEO