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HomeMy WebLinkAboutXR2022-3144 - Permits�PoRr City of Newport Beach DOPE Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 s Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CgC�FOAN`¢ newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Alteration X R 2 0 2 2 3 1 4 4COMB Permit : XR2022-3144 Plan Check No : PC2022-3001 Issued Date : 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 : 4 CRUISERS BLUFF Legal Desc : N TR 16422 BLK LOT 23 Description: SFR- INTERIOR ALTERATION OF BATHROOM APPROX 51 SF Owner: OKINO MILES TR THE OKINO FAMILY TR Address : 4 CRUISERS BLF NEWPORT COAST, CA 92657 Phone Applicant: BRYCE HOVE Address : 576 WALD IRVINE, CA 92618 Phone: (949)861-3419 Owner/Builder: Address : Phone Contractor: SEA POINTE CONSTRUCTION Address: 576 WALD STREET IRVINE, CA 92618 Phone: (949)279-0421 Con State Lie : 665114 Lie Expire : 02/2B/2023 Bus Lie : BT30016203 Bus Lie Expire : 07/31/2023 Workers' Compensation Insurance Carrier: EVEREST PREMIER INS CO Policy No: 7600001365221 W. C. Expire : 3/1/2023 Architect Address Phone: State Lie Engineer: Address Phone f ('1 M, !r i o,1°,..J 1 Designer: BRYCE HOVI Address : 576 WALD IRVINE, CA 92618 Phone : (949) 861-3419 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $30,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 51 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS N OWNER -BUILDER DECLARATION I hereby ai under penaltyof perjury that I am exempt from the Contractors' Slate License Law for the resson(s) indicated below by the checkmark{s) I have placed nexlfo the applicable itemis) 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 .he permit to file a signedstatement 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 arefessions Code) or that he or she is exempt from licensure 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 'tot more than five hundred dollars ($500). 71 1, as owner of the property, or my employees with wages as their sole compensation, will do t_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3uslnPss 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 mprovements 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 mproved for the purpose of sale). 1 1, 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). �^^ �t I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below 1 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 legall) 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:llwww.leginfo,c ,govlcalaw,btmt, Signature of Properly Owner or Authorized Agent ! __ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of Wry that I am licensed under provisions of h pj�,c (co mencing with Secffon 7000 f 'vi ySafi the Business and Profess' d m nsefs In 1u11 force and effect. License Class License No i �� �-/ Do L Contractor Sign WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY, FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a CerUflcate a( 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 ormance of the work for which this permit is issued. Policy No, have and will maintain workers' compensattan insurance, as required by Section 3700 of the Labor Code,. for the performance of the work for which this' per it is issued. My workers' compensetiol ins once,rr`ie^r al�`l pol'cy ;n�unm�b_e�r�are.:-/1 �// /' / /� 1 1//� forPolicy Number ;(y e&j)/ )�f�<—/ Expiration Date s Name of Agent Phone # Eli Certify that, in the performance of the work for which this pe[ it I issued.. I shall notemploy any person in any manner so as to become subject to the workers' Compensation laws of California, and agre that, if I should become subject workers' comp T55—ti2in 94voons of Section 3700 of the Labor Cade; I shall forthwith comply with those provisions. Signature of Apptic,nl CA_. DECLARATION RI AR C MSTRUCTION LENDING A NCY I hereby affirm under pen, ,jury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). Lenders 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 property owner's behalf. I have read this application and the information I have provided €s cor act. I agree to comply with all applicable city and county ordinances a d late Taws relating to building construction. I authorize representatives of this city or county toJya�,,�r��ter th� a -I Sniffled property for inspection purposes. ^�l �y'yA� /�/'7� /� Signature of ProDertv Owner or Authorized AgenQ� Y. /i _.. Pent Property Owner's or Authorized Agent's Nam,? 9A/` N >IA/1TC- Date ACTION f DATe BY I REGULATIONS PART 61 OF TITLE 4OP COMPLIANCE TANH COD AQMD RUIF.DE OF RAL FOR OFFICE USE ONLY ASBESTOS P€R,NiT EXTENDED CERTIFICATE OF OSUEA Yr�� s.SIIGNASID I:M NOTIFICATION 15 �� LE 10