HomeMy WebLinkAboutXC2023-0108 - Permits��WPOa�
City of Newport Beach
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Department- Building Division
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Community Development
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type -
Work Class - Other
III�I���III�I�I��I II COMB Permit : XC2023-0 1 08
Plan Check No : PC2023-0802
Issued Date : 04/10/2023
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 COAST HWY E Legal Desc : P BK 152 PG 28 PAR 1
Description: COMM REPAIR DRYWALL IN STAIRWELL "SHAPE UP"
Owner: 2101 ECH LLC H & S VENTURES LLC
Contractor: RICHARD LENIHAN CONST
Architect : JOHN VALLE
Address : 2101 E COAST HWY STE300
Address : 14124 ARDIS AVE
Address : 25181 RIVENDELL DR LAKE FOREST, CA
CORONA DEL MAR, CA 92625
BELLFLOWER CA 90766, CA 90766
92636
Phone :
Phone : (562) 773-5981
Phone : (949) 916-2013
Con State Lie : 946274
State Lie : CO23698'
Lie Expire : 04/30/2024
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Applicant: RICHARD LENIHAN CONST
Bus Lie: BT30047492
Engineer
Address : 14124 ARDIS AVE
Bus Lie Expire : 04/30/2023
Address
BELLFLOWER CA 90766, CA 90766
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Phone: (562) 773-5981
Insurance
Phone: p i ��
Carrier: STATE COMP
Ca
Owner/Builder :
Policy No : 9027228
Designer
Address :
W. C. Expire: 10/28/2023
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $850.00 ,
Type of Construction :
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0 i
Occupancy Groups : B
No of Units : 0
Alteration sq. ft. Bldg
Bldg Height :
No of Stories :
Added/New sq. ft. Garage : 0 -
TOTAL sq. ft. : 0
Building Setbacks :
• ' ., '
Flood Zone : X
Use Zone : OG - Office --General
PROCESSED BY:
SPECIAL CONDITIONS
OWNER -BUILDER DECLARATION
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 items)
iSection 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
Iho permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 lieensure 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 (S500h
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U, all of or L) portions of the 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 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).
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 licensure under qre Contractors' Stale License Law for the following reason:
By my signature below l 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
soil a structure that I have built as an ownor-buildar 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:htip:like w.leginto.ca..gov/calaw.html.
Signature of Property Owner or Authorized Agent _ _ _„_ Dare
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) of Division 3 of the Business and Prof on od a m 'cans s In full force
and effect. License Class. License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100.,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STOE OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following doclaratlons:
I have and will maintain a certilicate of consent t0 self -insure for workers' compensation, issued by the Director of Industrial Relations Ds provided for by Section 3700 of the Labor Cade, for th,
nViormance of the work for which this permit Is issued. Policy No.
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'
carrier and policy number are:
STI %/^ /-y—✓J Policy Number Expiration Date
ie of Agent _
Certify that, in the
if I should bacon
of th 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
the rkers' corylPen/sjy Ifon provisions of Section 3700 of the Labor Code, I shall forthwflh comply wflh those provisions. U
(nature of Applican __ Da / —C; —2 7
ICLARATION REG �R�I G CONSTRt1CTION LEiNO1NG AGENCY
sreby affirm under pens of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, C vil Code).
-der s Neme Lenders Address
my signature b.+la.r. I certify to each Of Ilia following:
I am. the property ann-ar or authorized to act on the property owner's behalf.
I ilave, read this application and the information I have provided is correct.
I agree to comply witl- all applicable city and county and state I vs relating to building construction.
I juthcrize representatives of this city or county o n the ove-Id r if property for inspection purposes.
mature of Proeer`c 0,yner or Authorized ADent Print Property Owner's or Authorized Agents Name
AnTION DATE. BY V iI DECLARAMON. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
`i REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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PERMIT EXPIRED ) ISURMITTED ASBESTOS NOTIFICATION TO
P�AMlT G'�NCELLE?LIEPA
PERMIT EXTENDED 77 QMD _
CER EICA7E OF C S GNAPROPOMStiTURf�$ N IFITICAI ION 15 NOTNOT AP O
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