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HomeMy WebLinkAboutXC2024-0040 - PermitsCity of Newport Beach 6 Community Development Department- Building Division 100 Civic Center Drive Newport Beach, CA 92660 r) J S Permit Counter Phone: (949) 718-1888 yy newportheachca.gov/civic Combination Type - Work Class - Alteration �iC20240i4o��� II COMB Permit : XC2024-0040 Plan Check No: PC2024-0227 Issued Date : 04/19/2024 Final Date: Permit Status: Issued Inspection Area : 7 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 : 2101 SAN JOAQUIN HILLS RD Legal Desc : P BK 21 PG 18 PAR 1 IRVINE SUB LOT BLK 93 FOR OF B Description: COMM ALT ROOF ADD GUARDRAILS, GATES AND STAIR SYSTEM Owner: IRVINE COMPANY LLC Address : 111 INNOVATION DR IRVINE, CA 92617 Phone: (949)720-3100 Applicant: BRAD FOWERS Address :. Phone : (949) 263-1001 Owner/Builder : Address : Phone: Code Edition : 2022 Type of Construction : II-B Occupancy Groups: B Bldg Height: Building Setbacks : Flood Zone: X Use Zone: PC - North Newport Center Contractor: DIVERSIFIED FALL PROTECTION Address : 28258 AVENUE STANFORD SANTA CLARITA, CA 91355 Phone: (818)565-5551 Con State Lie : 1090105 Lie Expire : 04/30/2026 Bus Lie: BT30084072 Bus Lie Expire : 04/30/2025 Workers' Compensation Insurance Carrier: GENERAL CASUALTY COMPANY OF WISCONSIN Policy No : 152000722 W. C. Expire : 10/4/2024 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories : 1 PROCESSED BY: SPECIAL CONDITIONS: HAULER: WASTE MANAGEMENT OF OC Architect Address Phone : State Lie Engineer: JOHN SPEAR Address: 1742 SAFFIN CIR LANDCASTER, PA 17601 Phone: Designer: Address Phone: Construction Valuation : $436,701.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION t hereby affirm under penalty of perjury that I am exempt from the Contractors' Stara Lce l: c L.. w',Dr tte reaeon(s)'ndicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a pemr� to ce ns urt, rite., improve, demolish, or repair any structure, 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 ARf Conti actors' State Lirei rse 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 (S500). ❑ I, as owner of the property, or my employees with wages as their sole compensatioc, will eo L) :11 cf or'_) portion- of lh^ 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 N an o,vner of ),open,, who, thin',gh 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 withe or.e year of compl6tion, 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' Stale 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). ❑ 1 am exempt from ficensure 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 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:httpJ/www.ieginio.ca.gov/calaw.htm], Signature of Property Owner or Authorized Agent v_ __ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury t t I am licensed under provisions of Chapter 9 {�eommencing with Saclio 7 0) DLvi ion 3 of the Business and Profe sio d and my licen-e is in full face and effect. License Class ID License No C D°tO j 0 S Date T ( 2 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS [$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I Xave and will maintain a certificate of consent to self -insure tot workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th pe rmance of the work for which this permit is issued. Policy No. I hav and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this ,pe . it is issued. My workers' compensative insur ce carrier and policy n tuber aniI 2©�I D/O i �Zd L(� trier—fitLrQ-`rfN'(� Jam/ oL Policy Number Expiration Date Name of Agent Lim ( LI N D4 Phone # S 1 > 9 a' — ❑I certify that, in the performance of work lier 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 ogre that, if I should become subject t t orkers' ompenSeti in provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant_, }v _ Date,_,�C DECLARATION REGARD NG C TION LENDING AGENCY I hereby affirm under penalty of p }u hat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name Lender's Address iBy 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county tpgnter the iTa qve-identified property for inspection purposes. ACTION DATE I BY ? DECLAVAT€ONOP COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMtTEXPIRED I I LJ tSUBMITTEDASBESTOS NOTIFICATION TO PERMIT EXTENDED I LJAQM D PERNNT FiNA1 ` ESTOS NQI'IFI��CQQALION 15 NOT APPLICABLE 10 OCCUPANCY IDSSUED SIGNATURE:E�¢'Y6[l AJ,GtJ+7�