HomeMy WebLinkAboutX2022-1775 - Permits (2)City of
CommunityDe oppOrt DDepaartment- Building Division
100 Civic
IIIIII IIIIIIII IIIIIIIIII IIIII IIIIIIIIIIIII
COMB Permit:X2022-1775
Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Plan Check No : 1625-2022
a.. r
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
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Lu 'I
Issued Date : 06/28/2022
Inspection Area : 5 - RLABARE
Combination Type - SFP
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 : 30 WHARFSIDE DR
Legal Desc : 477 171 30
Description: SFR ALT 35 SF TO REPLACE (E) DOORS/WIN
DOWS W/ (N) BI-FOLD DOORS.
Owner: BRIANBARRY
Address : 30 WHARFSIDE DR
Contractor: HARKINS CONSTRUCTION
Architect
NEWPORT BEACH, CA
Address : 34167 PCH #D
Address
Phone : (949) 750-9511
DANA POINT, CA 92629
Phone : (949) 245-9028
Phone
Con State Lic : 935372
State Lic
Applicant : LUCAS SMITH
Lic Expire : 03/31/2024
Bus Lic; BT30066134
Address : 39167 PACIFIC COAST HWY
Bus Lic Expire : 02/28/2023
Engineer: BURKE LEO
DANA POINT, CA 92672
Address : 34167 PACIFIC COAST HWY#D
Phone : (949) 750-9511
Workers' Compensation Insurance
DANA POINT, CA 92629
Owner/Builder :
Carrier: NORGUARD INSURANCE COMPANY
Phone: (949)226-7130
Address :
Policy No : HAWC352110
W. C. Expire : 2/22/2023
Designer : BURKE ENGINEERING
Address : 34167 PACIFIC COAST HWY
Phone :
DANA POINT, CA 92629
Phone: (949) 226-7130
Code Edition : 2019
Type of Construction : V-B
Fire Sprinklers : YES
Fire Hazard Zone : NO
Construction Valuation : $60,000.00
Occupancy Groups : U,R-3
No of Units : 1
Added/New/TI sq. ft. Bldg : 0
Bldg Height :
No of Stories ; 1
Alteration sq. ft. Bldg : 35
Added/New sq. ft. Garage: 0
Building Setbacks :
- , I"
Flood Zone : X
"
Use Zone
PROCESSED BY:
SPECIAL CONDITIONS: IRWD
OWNER -BUILDER DECLARATION
nt that requires a permit o construct alter, improve. demolish, or repair any structure, prior to its issuance, also requires the applicant for
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next o the applicable items
action 7031.5, Business and Professions Code: Any ally or cbu yctors' State
ofessi permit to file a signed
that halo she is exempt froom licensu edpursuant to the end the basis forpthelsions of the Contraalleged exemption,Any violation lof Section 703151by any applicant ong rra permit subjecith Section Ols the applicant toivision 3 of le c8 t penalty ousiness f
t more than five hundred dollar ($500).
provided that the
1, as owner Of the property, or my employees with wages as their sole compensation, will do (_) all of rt f_) portions of the work, and the soot effort
is not u intended or offered for safe (Section
7044,
rsI, as
and Professors Coda: The Contractors' State License Law does not apply to an owner of properly who, through employees'or personal eflort, builds or improves the Property, p
Iprovemend are not intended or offered for sale. Jr. 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 of
(proved for the purpose of sate).de: The
ions Go
I to an ownertof property who builds sor improves thereon, and who contracts for the prrojects struct with a licensed Contre project (Section actor pus uant to he Contracters' Sfale License rLaw) State License law does no
P Y
am exempt from licensure antler the Contractors' Slate License Lew for the folio ream:
y my Signature
below I
have knobuilt le agethat,except
owner-builder for my If i has not been oonstrveted In
(dent entirely by licensed cmusthave resided ontractors. r at ors. I understand that a copy of the happl cable law, Section h' armit I cannot leaa
:11 a structure
rofys sions Coda, is available upon requestwhen this application nsubmitted d at the following Web site:hltpaiwww.legl�nfo.ca.gov/cRlew:htmY. Data
Ignature of Property Owner or Authorized Agent
ICENSED CONTRACTOR'S DECLARATION.
hereby affirm under penalty of perjury that I am licensed under Provisions of Chapter 9 (commencing with Section 700Df i r4io f `Conti Contractor Signature
Code,
N t License Class License No r`�/
sp
of the Business and
and my license is' ull force
Dole eC.
VORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (5106,000), IN PDDRION TO THE
'.OST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have end will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations. as or
for by Section 3700 of the Labor Code, for th
arformance of the work for which this permit is issued. Policy No.
of the work far whichthis permit is issued. My workers compansatio
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance .
nsurance carder and policy number are: Expiration Date
^wirier _ _ _ Policy Number Phone H
is of Agent
caddy that. in the performance of the work for which this permit is issued, I shall not employ any Person in any manner so c as to become subject to the workers' compensation laws Of California, an agree
It I should'. become Subject tot workers' compensation proton of Section 3700 of the Labor Code, I shall forthwith comply with those provisions Date_
of
DECIJLFtATiUN KtivArauuva .,v,w•,... �...--.- -
hereby affirm under penalty of perjury that Thera is a construction lending agency To Ltaders Address of the work for which this permit Is issued (Section 3097. CivilCode).
Lender's Name
By my skgnatue below, I. certify to each of the follow ri
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. -141
LacGS �^^-
I agree to comply with all applicable oily and county ordinances and slate laws relating to building construction.
1 a lthorize, repnsEntatives of this city or county to enter bove-identified party far ins often purposes.
biKura of Pro er[ Owner or Authorized A en[ Print Pro a Ovmar s or Authorized Agent's Name
AC.IJN DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR �01FICENLY
s RFG1ILATIONS PART 6] DF TITLE AD AND AOMD RULE
Ana
PCRTu FINAL i _.1 I� J i PROPOSED
S NO DEMOLITION
TION I NOT APPLICABLE
CART( ICATE OF V ( PROPOSf.D OEMOUT40N
L OCCUr ANCY 15,' SIGNATURE: