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Home My WebLink AboutXR2024-0405 - Permits„�WPogT. City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIII II Community Development Department-Buildin Division COMB Permit : XR2024-0405 0 y p9 X R 2 0 2 4 0 4 0 5 r „ ' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0336 >b _. Permit Counter Phone: (949) 718-1888 Issued Date : 03/15/2024 newportbeachca.gov/civic Final Date: r'<n.owN�P” Combination Type - MFP ELEC PLUM Permit Status: Issued Work Class - Other 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 : 1000 SAN JOAQUIN PLZ Legal Desc : P BK 389 PG 29 PAR 1 PM 389-29 FOR OF PAR 1 Description: MFR-ADD POWER PEDESTALS FOR OUTDOOR TVs. ADD GAS LINES FOR FIRE PITS AT LOUNGE. Owner: VILLAS AT FASHION ISLAND LLC Address : 1101 SAN JOAQUIN PLZ NEWPORT BEACH, CA 92660 Phone : (949) 636-1551 Applicant: JAMES BRECK Address : 3187 AIRWAY AVE., C COSTA MESA, CA 92626 Phone: (949)368-3003 Owner/Builder : Address : Phone Contractor: CUESTA CONSTRUCTION CO Address : 3195A AIRPORT LOOP DR COSTA MESA, CA 92626 Phone : (714) 557-5877 Con State Lic : 568466 Lic Expire : 05/31/2025 Bus Lic: BT20012806 Bus Lic Expire : 12/31/2024 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No: WSD503883006 W. C. Expire : 12/31/2024 Architect Address Phone: State Lic Engineer: Address Phone Designer: PBS ENGINEERING Address: 3187 AIRWAY AVE, C COSTA MESA, CA 92626 Phone: (626)650-0350 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $22,000.00 Type of Construction : V-A Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : 1 Add/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks: Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: of SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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 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.fne.lin dred dollars ($500). 0 I, as owner of the roperty, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Bnsihes and-P ? fess ons 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 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' 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' Stale License Law). ❑ 1 am exempt from licensure 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 legaly 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 70" of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:lhvww.leginfo.ca.govlcalaw.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 7000) of D' ist n 3 o the Business and Prof ssion and my license is In full force and effect. License Class License No Date Contractor Signatur - 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 111100,0001. IN A13DRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TO6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: i have 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, for th p ante of the work for which this permit is issued. Policy No. ve 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' compensatioi nsur rice carrier and policy number are: er Policy Number Expiration Date Jame of Agent Phone N —1I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre hat, if I should become subject to t we ers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant )ECLARATION REGARDING O ST ON LENDING AGENCY (/� hereby affirm under penalty of perju that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 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 rdi nces and state laws relating to building construction. I authorize representatives of this city c county t me above -identified property for inspection purposes. '9 31 nature of Property Owner or Authorized enl Print Property Owner's or Authorized A ent's Nam Date N ACTION DATE BY V I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED L lAQMD PERMIT FINAL 7 -� / ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF Gr •(� L� I PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATURE: