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HomeMy WebLinkAboutXR2023-0314 - PermitsD��E �PoRr City of Newport Bnach p Community Development Department- Building Division m �y 100 Civic Center Drive, Newport Beach, CA 92660 D Permit Counter Phone: (949) 644-3288 u x Inspection Requests Phone: (949) 644-3255 °gc�coaN`r newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Alteration 111I��III��1111111111111111111111111111111111111111111��IJillCOMB Permit : XR2023-0314 Plan Check No: PC2023-0246 Issued Date : 03/30/2023 Inspection Area : 2 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 : 222 AMETHYST AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 20 LOT 12 Description: DUPLEX REMODEL KITCHEN AND BATHROOMS 800 SF (FRONT UNIT ONLY) Owner: SINNER JOHN R LIVING TR Address : 528 VAQUERO RD ARCADIA, CA 91007 Phone: Applicant: HAWKER CONSTRUCTION Address : 2024 CREST DR ENCINITAS, CA 92024 Phone: (714)743-7110 Owner/Builder : Address : Phone: Contractor: HAWKER CONSTRUCTION Address : 2024 CREST DR ENCINITAS, CA 92024 Phone: (714)743-7110 Con State Lie : 930312 Lie Expire : 01 /31 /2025 Bus Lie: BT30063937 Bus Lie Expire : 07/31/20* Workers' Compensation Insurance Carrier: INSURANCE+COMPANY+OF+THE+WEST Policy No : WSA505347802 W. C. Expire : 1/27/202q Architect Address Phone : State Lie Engineer: ROSS SCOTT WILLIAW' " Address : 1800 E 16TH STREET #B ' SANTA ANA, CA 92701' Phone: (714)835-2800 " Designer: HAWKERCONSTRUC710,J' Address : 2024 CREST DR ENCINITAS,CA92024,', ' Phone: (714)743-7110 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: TOTAL sq. ft. : Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : AO 1; X Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: flood zone & liquefaction 10 CONSTRUCTION NOISE ON THE WEEKEND $100,(TlfO.dd 0 800 0 0 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 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 Iha 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 fora 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 (_) all of or t_) portions of the work, and the structure is notintended 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 bulit. or 'reproved for thepurpose of sale). '❑ 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), I am exempt from licensors under the Contractors' State License Law for the following reason: 3y 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 legali, sell a structure that I have built as an owner -builder if if 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hitp:l/wvve.leginfo.ca.gov/caiaw.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 0) of ivi' n 3oI the Business and ofess license is In full force and effect. License Class License No Date Contractor Signa NORKERS' COMPENSATION DECLARATION NARN ING: FAILURE TC sECURr WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO' ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDrTION TO THE :DST OF COMPENSATIe6. bhMAGES AS PROVIDED FOR IN SECTION 070C OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hcreuy ':.Firm undar pan, at ty of perjury one of the following declarations: '�I-" fyaV� and will 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, forth Serer,,)=roue of the wurk for which this permit is issued. Policy No. LJI : ve and will .na,main 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` compensatior it arl carrier and policy number are: Cara- Policy Number Expiration Date Fla= c`. agent Phone tf ❑' cert,fy -hat. in the performance of e work for which this permit is issued: I shall not. employ any person in any manner so as to become subject to the workers' comps anon laws of California, and agree [he,, If I should become subject to th s' o pe tttooJl provis` ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. '2 Signature cf Applicant_, /Iz7/1 Dat � l DECLARATION R :filA?O G CONSTKGt92L¢lVL NOING 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 (Section3097, Civil Code). .ender's Name Lenders Address 3y 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 o inancesand state laws relating to building construction. If I authorize representatives of thiscity or county to abov _ Ifi props fo ctlon purposes. O��NEN bEA1M'kR�e D. Signature of Property 0 ner or Authorized A ant I Print Property Owner's or Authorized A enfs Name3/43 ACTION DATE By DECLARATION OF COMPLIANCE W1714 CODE OF FFOERAL FOR OFFICE USE ONLY REGULATIONS. PART 61 OF TITLE AD AND AQNID RULE 1405 PERMIT EXPIRED 1 SUBMITTED ASRESTOS NOTI FICATION TO PERMFT CANCELLED_ MEPA PERNFT EXTENDED p� PER,+rRTFINAL IDIIIEESIOS NOI"IFICATI IS NOT APPLICABLE f CERTIFICATE OF y��"2y �~ PROPOSED DEMOLITION I JA OCCUPANCY ISSUED Y V ctrwAr-I,oc--S� A