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Home My WebLink AboutX2021-1678 - Permits�EWPp�T City of Newport Beach II III I II I III III III I II COMB Permit : X2U21-1678 Community Development Department- Building Division A y �y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1462-2021 p Permit Counter Phone: (949) 644-3288 Issued Date : 07/18/2022 ui. S Inspection Requests Phone: (949) 644-3255 Inspection Area : 5 c4[/ptiµN�P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - Addition 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 HOL&YtS IN ALL AREAS Job Address : 552 SEAWARD RD Legal Desc : N TR 1237 BLK LOT 178 TRACT NO 1237 LOT 178 AND TRACT NO 147 95 LOT 4`�°$w Description: SFR -SOUTH BLDG-685 SF ART STUDIO, GYM, SAUNA. (CONDITIONED SPACE) Owner: BRYAN ROGERS CALIFORNIA RESIDENCE Contractor: COASTLINE CONSTRUCTION & Architect: ANDRADESTANLEY 14 CONSULTING TRUST Address : 552 SEAWARD RD CORONA DEL MAR, CA 92625 Phone: Applicant : COASTLINE CONSTRUCTION & CONSULTING Address: 8770CLUB HOUSE DR DESERT HOT SPRINGS, CA 92240 Phone: (949)444-1522 Address : 8770 CLUB HOUSE DR DESERT HOT SPRINGS, CA 92240 Phone : (949) 444-1522 Con State Lic : 987292 Lic Expire : 09/30/2023 Bus Lic : BT300 Bus Lic Expire : 07/31/2023 Workers' Compensation Insurance Carrier : Policy No W. C. Expire: Code Edition : 2019 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : Y Occupancy Groups : R-4 No of Units : 1 Bldg Height: No of Stories : 1 Building Setbacks : Front: 5, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single-Uni esi ential (6000 indicates minimum lot area) PROCESSED BY SPECIAL CONDITIONS: Address: 2880 S COAST HWY LAGUNA BEACH, CA 92651 " Phone : (949) 715-7474 State Lic Engineer : BURKE LEO .. Address Phone: Designer: Address Phone: 34167 PACIFIC COAST POINT, CA 92629 (949)226-7130 Construction Valuation Added/New/TI sq. ft. Bldg : Added/New sq. ft. Garage: HWY #D'QA'NR $124,000.00 685 0 OWNER -BUILDER DECLARATION. I hereby affima 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 kem(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter. improve, demolish, or repair anystructure, prior to its Issuance, also requires the applicant for the permit to file 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 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 not more than five hundred dollars ($500), ❑ 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 Levy 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 bulltor improved for the purpose of sale). ❑ I. as owner of the property, am exclusively contractingwith 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 ",he contracts for the projects with a licensed Contractor pursuant to the Contractors' State Licensee. Law). El I am exempt from licensure under the Contractors' Stale 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when th€s application is submitted or at the following Web site:httpa/wAw.leginfo,ca.gov/calew.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 7 O) I jivision 3 of the Beeline d P e anrofessio de..�_ license is in full force and effect. License Class License No Date Z L Contractor WORKERS' COW FE.NSATION DECLARATION WARNING: FAILURE' rJ S_CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ON£ HUNDRED THOUSAND DOL IS. 0,000), 1N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, 1 hereby affirm rnc er penalty of perjury one of the following declarations: rl I h,.ve and wV; 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; performance of the work for which this pemait is issued. Policy No. hake 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' compensation mnce carrier ani policy number are: ier Policy Number Expiration Date is I Agent Phone ft lfy that, in the perfor. nce 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 agree �� f E should beck�GR `compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. azure of App{ucaDate ��— LARATfON REN LENDING AGENCY I hereby affirm under penally' of perjury th t th a is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's 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 is correct,. I agree to comply with all applicable city and county or lances and slate lawsrelating to building construction.. I authorize representatives of thi coup e-identified property for inspection purposes. Si nature of Property Owner or Aulh ' d A ent Print Proper Owner's or Authorized Agent's Name .,.-tt g21 c'r^ D � ACTION DATE BY RECLA %TI F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIO T 6£ OF TITLE 40 AND AQMD RULE 1403 PERMlT EXPIRED I i i LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL �'Z'SI \f I L-f ASBESTOS NOTIFICATION IS NOT APPLICABLE 10 CERTIFICATE OF l ll(i j PROPOSED DEMOLITION OCCUPANCYISSUED I SIGNATURE: All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.