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Home My WebLink AboutXR2022-2724 - Permitso��e`wr'ORT City of Newport Beach Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U r Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - Other II III I I I I I II I I III I II II COMB Permit : XR2022-2724 Plan hecko/1 : PC2022-2569 I Inspection Area . 5 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: 4633 0RRINGTON RD Description : SFR DEMO POOL "METHOD B" Owner: 4633 ORRINGTON ROAD LLC Address : 4633 ORRINGTON RD CORONA DEL MAR, CA 92625 Phone Applicant: NICHOLSON CONSTRUCTION CO Address : 1 CORPORATE PLZ #110 NEWPORT BEACH, CA 92660 Phone : (949) 756-8393 Owner/Builder : Address : Phone Legal Desc : N TR 3357 BILK LOT 65 Contractor: NICHOLSON CONSTRUCTION CO Address : 1 CORPORATE PLZ #110 NEWPORT BEACH, CA 92660 Phone: (949)756-8393 Con State Lic : 660295 Lic Expire : 12/31/2022 Bus Lic : BT98032850 Bus Lic Expire : 04/30/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9074255 W. C. Expire : 10/1/2022 Pf- Architect Address: „ _,- Phone: State Lic Engineer: Address Phone : Designer Address Phone: 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 No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage: TOTAL sq. ft. Bldg : Building Setbacks : Front: 6, Front: 30, Side: 6, Side: 6 Flood Zone : X Use Zane: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: $6,000.00 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penally 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 item(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 fife 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 any applicant fora permit subjects the applicant to a Civil penalty of not more than five hundred dollars ($500). 0 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)- 0 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, 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). El 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 orat the following Web site:htip:liwww.leginto.ca.gavlcalaw.html. Signature of Prorerty Cwner or Authorized Agent _� _y�,�,______,�__,_ Date LICENSED CLNN7 knCTOIl DECLARATION ' hereby affirm under nenaltyy, of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) of Division 3 of the Business and Prof Sio Code. nd license is In full force Pnd efte.t. Licanse Class License No Date l Contractor Signature WORKERS' COMPENSATION DECLARATION IF OARNI91: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIVINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS S100,000), IN AC017ION TO THE COST OF COMPENSA-*In N, O NMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES_ I herahv affirm under penalty of perjury one of the following declarations: 111 heve and eAlf maintain 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 Code, for th pgrforma:'nce the work for which this permit is issued. Policy No. 13 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' compensatioi insurance carrier and pol.cy number are: Crrrinr _ _ Policy Number Expiration Date Name �f Agent _ _ _ Phone # 01 certify that, in the pert rmance of the work for which this permit Is issued, I Shall not employ any person in arty manner so as to become subject tD the workers' OmpBnsat(on laws of California, and ogre that, if I should become s bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �1—, Signature of Appliean \\ Da —� 3--- DECLARATION REGR ING CONSTRUCTION LENDING AGENCY I 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 ode). tenders Name Lender's Address By my signature below, I certify to each of the following: I am 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 all applicable city and cou it ordinances and state laws relating to building construction. I authorize representatives of this city or co o nlerthe abanspecten purposes. . Signature of Property Owner or Authorized Agen v entffied property (or iPrint Property Owner's or Authorized A ent's Nam P+< D ACTION DATE BY DFQ.RATION. OF COMPLIANCE WITH CODE. OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 of TITLE AO AND AOMD RULE 1403 P€RMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED -- - �[PA,,,777��,,, _ WwrlF PERMIT FINAL DED _ __ r- n' f PROR3 O3�I ITI AI APPLICABLE TO CERTiflCATE OF b �3 x/(- FFF111� \�\ OCCUPANCY ISSUED ,. SIGNATUR .