HomeMy WebLinkAboutXC2022-1960 - PermitsEWpo"T City of Newport Beach COMB Permit : XC2022-1960
II III I I I II I II II I I II II
O� Community Development Department - Building Division
"Iy 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2331
Permit Counter Phone: (949) 644-3288 Issued Date
u T Inspection Requests Phone: (949) 644-3255 Inspection Area : 7
cg4�cp0.N�P newportbeachca.gov/inspections
Combination Type -
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: 2270 NEWPORT BLVD Legal Desc : N TR 16594 BLK LOT 1 UN HOLD LOT 1 OF TRACT 16594, HOLD PARC EL FOR CONDO
Description: STRUCTURE REPAIR/RECOAT STAIRWELL AND ELEVATED DECKS
Owner: PENINSULA VILLAGE LLC
Address : 220 NEWPORT CENTER DR, STE11
NEWPORT BEACH, CA 92660
Phone : (714) B18-8034
Applicant: CHANDLER CLARK
Address: 220 NEWPORT CENTER DR
NEWPORT BEACH, CA
Phone : (714) 818-8034
Owner/Builder :
Address :
Contractor:
MIKE ROVNER CONST
Address :
5400 TECH CIRCLE
MOORPARK CA 93065, CA 93065
Phone :
(805) 584-1213
Con State Lie
: 795729
Lie Expire :
05/31/2023
Bus Lie:
BT30041026
Bus Lie Expire : 10/31/2022
Workers' Compensation Insurance
Carrier: BENCHMARK INS CO
Policy No : CST5023928
W. C. Expire : 7/15/2023
Architect
Address
Phone:
State Lie
Engineer: ALLANA BUICK & BERS
Address : 990 COMMERCIAL ST.
PALO ALTO, CA 94303
Phone : (650) 543-5600
Designer:
Address :
Phone:
Phone:
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation : $60,000.00
Type of Construction :
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 :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. Bldg: 0
Building Setbacks
Flood Zone :
AE, 8 FT; X
Use Zone :
MU-W2.j-Mixed-Use Water
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -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 checkmark(s) I have placed next to the applicable ftem(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 Ilia 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 any applicant for a permit subjects the applicant to a civil penalty of
not 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 (_) 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, ilia building or improvement is sold within one year of ccmpletion, the Owner -Builder will have the burden of proving that It was not built or
Improved for the purpose of sale).
L-1 I, 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
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).
0 I am exempt from licensure 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 to completion of the improvements covered by this permit I cannot legal];
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety 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!IiWmw.leginfo.ca.govlca]aw.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 Section 7000) of ivisi n Z 3 of the Business and Prof � Code nd Ilcey�7y rise is In full force
and effect. License Class License No Date D 5 Contractor Signatu WORKERS' COMPENSATION COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tS100,000L IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES.
Ilihereby affirm under penalty of perjury one of the following declarations:
71 1 have and will maintain a. cerlifeate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
p4rmanco of the work for which this permit is issued. Policy Nou
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'
carrier and policy number are:
Policy Number
of Agent
Date
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 to become subject to the workers' compensation laws of California, and agre
if I should become •ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
talure of Applicant DEi/J
ILARATION R6 ARD G CO tlN 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 3097
ender's Name Lander's Address _
y my signature below, I cadify 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 andthe information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building eopstruction.
I authorize representatives of this City or county to emerthe above -identified property for inspection purposes,
icnature of Prooertv Owner or Authorized AoentJ �1� ✓ � Print Prooenw Owner's or Authorized ADent's Name
ACTION DATE I -SY DECLARAILON REGULATIONS OF COMPLIAT 61 OF NCE
F 40 ANT) ODE OF RFEDERAL I FOR OFFICE USE ONLY
PERNHTCANCELLED —( _- u6Ar RED ASBESTOS NOTIFICATION TO
PERMIT EXPIRED
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CERTIFICATE OF l �� PROPOSED OEMOLITIOf1 [ON IS N01 APP41CAaLE 1'O
OCCUPANCY ISSUED ( 1313,iA;,.LRE:
Civil Code).
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