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Home My WebLink AboutX2021-2465 - Permits�EWPoRr City of Newport Beach II IIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021 -2465 0� @Community Development Department- Building Division X 2 0 2 1 2 4 6 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2121-2021 ! a n Permit Counter Phone: (949) 718-1888 Issued Date : 10121/2021 V\"� newportbeachca.gov/civic Final Date: p4 P 9<iFo dH� Combination Type - MFP Permit Status: Expired Work Class - Alteration Inspection Area : 4 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: 2015 BAJA Legal Desc : N TR 6227 BILK LOT 47 TR 6227 (L.L.84-214032) PAR 47 Description : MFR KITCHEN & BATHROOM REMODEL (3) 250 SF Owner: Contractor: TRIVEST BUILDERS INC Architect Address : Address : 2125 SAN JOAQUIN HILLS RD Address NEWPORT BEACH, CA 92660 Phone : Phone : (949) 760-0900 Phone Con State Lic : 667190 State Lic Lic Expire: 03/31/2025 Applicant : Bus Lic : BT30077003 Engineer: QIANG XIAO Address : Bus Lic Expire : 10/31/2023 Address : 1520 BROOKHOLLOW DR, 45 SANTA ANA, CA 92705 Phone: Workers' Compensation Insurance Phone: (714) 662-0510 Carrier: EXEMPT Owner/Builder : Policy No : EXEMPT Designer: Address : W. C. Expire: Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $75,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 0 Occupancy Groups : U,R-2 No of Units : 4 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : 1 Add/New sq. ft. Garage: TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 he 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 'rofessions 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 ($50D). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose 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 ppiy 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). 7 i am exempt from licensure under the Contractors' Stale License Law for the following reason: ly 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 legall, ell 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 'rofessions Code, is available upon request when this application is submitted orat the following Web s@e:http:/lwww.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force no effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION IARNING: 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 1 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 erformance of the work for which this permit is issued. Policy No. have 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' rance carder and policy number are: Policy Number EKDifabon Date of Agent I certify that, in the performance 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 Califomia, and 1, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Applicant Dale CLARATION REGARDING CONSTRUCTION LENDING AGENCY >reby affirm under penaly of perjurythat there is a construction lending agency for the performance of the Work for which this permit is issued (Section 3097, Civil Code). lder's Name Lender's Address 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 to enter the above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO Z Y�❑ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY