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Home My WebLink AboutX2022-1841 - PermitswPORr City of Newport Beach II III I III o�,; ii ❑::e -` Community Development Department- Building Division F �n; 100 Civic Center Drive, Newport Beach, CA y2660 ''- y. Permit Counter Phone: (949) 644-3288 i� Inspection Requests Phone: (949) 644-3255 !�� newportbeachca.gov/inspections Ig ' Er — COMB Permit : X2022-1841 Plan Check No : 1698-2022 Combination Type : SFP ELEC MECH PLUM Work Class : Alteration Issued Date : Inspection Area : �7 9 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 : 376 VISTA BAYA Legal Desc : Description: SFR INTERIOR ALTERATION KITCHEN, LIV HIM, LAUNDRY. BATHS, WINDOWS, GAR DOOR APPROX 1688 SF Owner: SAM & BRENTON LOVE Address: 376 VISTA BAYA NEWPORT BEACH, CA Phone Applicant: CZAJKOWSKI MACIEJ W. Address : 2702 HARBOR BLVD COSTA MESA, CA 92627 Phone: (714)928-6220 Contractor: WELL DONE BUILDING & DESIGN Address : 8576 HAMILTON AVE HUNTINGTON BEACH, CA92647 Phone: (714)421-8853 Con State Lic : 1040701 Lic Expire : 06130/2024 Bus Lic : BT30074930 Bus Lic Expire : 0710112023 Workers' Compensation Insurance Carrier : Policy No : EXEMPT W. C. Expire : Architect Address Phone: State Lic Engineer: CZAJKOWSKI MACIEJ W. Address : 2702 HARBOR BLVD CIDSTA VESA,:C ; 92627 Phone: (714)928-6220 Designer: Address Phone : Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $135,000.00 Type of Construction : V-B Fire Hazard Zone : N Occupancy Groups : U,R-3 No of Units : 1 Added/New sq. ft. Bldg : 1,688 Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 Building Setbacks Flood Zone Use Zone : Processed By: Zoning Approval: Grading Approval: S Public Works Approval: Plan Check By: Approval To Issue: lc — SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirin under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any ally or county That requires a permit to construct, oiler, improve, demolish, or repair any structure, prior to its issuance, also requires tha_appllcam for the permit to fife a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Lave (Chapter 9 (commencing vAth Section 7000) of Division 3 of the So, ' :ess and Professions Code) or that he or she is exempt from licensorsandthe basis for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole Compensn}Ion, will ado (_)all of or J porticos of the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an ownerof property who, through employees' or personal effort, builds or improves the property, provided that the Improvements are not Intended or offered for sale, If, however, the building or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and. Professions Code: The Contractors' Stele License Law does not a ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Lew), I am exempt from Iloensure under the Contractors' Stale License Law for the following reason By my signature below I acknowledge that, exceptfor my personal residence In which I must Nava resided for at feast oneyear prior to comiplOtion of the, Improvements covered by this. permit, I.cannot legally sell a structure that I have built as an owner -builder if it has not been constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code„ is available upon request when this application is submitted or at the following Web site. hhpd)unaw,leginfc,ca.gowcalaw hfml. Signature of Prope,ty owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hri,eh"affirm und:.r penalty of perjury therm licensed under provisions of Chapter 9 (commencing with Section 7000) of Of Ilion 3 of the Business and Prof ns ode, and my license is In full force and e$dct. License Class License No j (J�� n Dote Contractor Signature VJnRKEI COMPENSATION DECLARATION NARNING: FAILURE TO GENRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL. SUBJECT AN Eb1PLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE-HUNOR. THOU 0 DOLLARS Ri00,00Q1, IN AUDITION TO THE CAST OF COMPEI ILI,, JAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR COME, INTEREST, MO ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have. and will rawnlain a certlruate 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, �,.-r'caanc0 of the work for which this permit'is issued. Policy No. --il have and wil' ma'r.:aln workers' compensationinsurance, as required by Sectlon 370D of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi .Isuranoe carrier Frio phllcy number are: Policy Number Expiration Date "me of Agent. Phone 0 at, in the perfor ce of 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 Califamla, and agre hat, If I should becume s feet t F e workers' compensation provisi. 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant,_ _ Datex.-21 L22 7ECLARATION REGARDING C NNST}.i CTION LENDING AGENCY hereby affirm under penalty of earl ry thatthera is a construction lending agency for the performance of the work forwhich this perML 15 issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y my signature below, I certify toeachof the followingi I am the property owner or authorized to act on the property gwnerre behalf. I have read this application and the information I have provil incorrect.. I agree to comply with all applicable city and county Hanes rid state laws relating to building construction, I authorize representatives of this city or county to ter above -Identified property for Inspection purposes. Signature of Pro arty Owner or Authorized AgentPrint Proper) Owner's or Authorized Agent's Name Date ) � ACTION DATE By I DECL ION OF CDNIPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY f 11A PART 61 OFTITLE 00 ANU AQMD RULE 1403 PfRMrr kRpiRko I SUI1MIT r5D ASBF.5T05 NOTIFICATION TO PERMIT CANCELLED _ EPA. All required alarms, latches bates and fenceswhich serve as part of a pocil/spa barrier, shall PERMIT EXTENDED Omit be In plane prior to approval to fill pool/spa &-shall remain In place &. be maintained for the —.� PERMIT FINAL r� C#I IS NOT APPLICABLE TO life of the pouf. CERTIFICATE OF-t,��'� P R OP OSED M ITkON OCCUPANCY ISSUED 1 4 SIGNATURE: