HomeMy WebLinkAboutXR2022-1883 - Permits (2)�e oR City of Newport Beach
WP
o� ,1 Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
u T Inspection Requests Phone: (949) 644-3255
cq(.(pnpN�P newportbeachca.gov/inspections
Combination Type - MFP ELEC MECH PLUM
Work Class - Alteration
II III I I II I II I I I III II COMB Permit : XR2022-1883
Plan Check
N : PC2022-1743
I
Inspection Area : 6
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:
14 DAUPHINE Legal Desc
: TRACT 14588, LOT 9 OF PROJECT 936-46 LOCATED ON AP 461-201-6 1 TOGETHER WITH AN
UND. 1/24 INT. IN LOTS 8 & 9.
Description
: MFR BATHROOM AND KITCHEN REMODEL 231 SF
Owner:
CLARK CHUKA Contractor:
NEWAVE CONSTRUCTION Architect
Address:
14 DAUPHINE NEWPORT COAST, CA 92657 Address :
769 NEWTON WAY COSTA MESA, CA Address
�'�''
92627
Phone:
Phone:
(949)293-9507 Phone:
u3
Applicant : NeWave Construction Inc.
Address : 769 Newton Way Costa Mesa, CA 92627
Phone: (949)631-6113
Owner/Builder :
Address
Phone:
Con State Lic : 987857
Lic Expire : 10/31/2023
Bus Lic: BT30079326
Bus Lic Expire : 07/31/2022
Workers' Compensation Insurance
Carrier: STATE+COMPENSATION+INSURANCE+FUN
D
Policy No: 9084846
W. C. Expire : 1/4/2023
State Lic :
Engineer: CHU TIEN MANH
Address : 9542 PACIFIC AVE ANAHEIM. CA 92804
Phone: (714)829-5053
Designer
Address
Phone:
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation : $125,000.00
Type of Construction :
V-B
Fire Hazard Zone :
Y
Added/New/Tl sq. ft. Bldg : 0
Occupancy Groups :
R-2
No of Units :
6
Alteration sq. ft. Bldg
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage: 0
Building Setbacks
Flood Zone :
X
,
Use Zone :
PC - Newport Ridge
PROCESSED BY:
SPECIAL CONDITIONS
OWNER -BUILDER
I hereby affirm under penally of perjury that i am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placednext to the applicable Items)
(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' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Cade) 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 ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the Work, and the structure Is not intended or offered for sate (Section 7044,
Business and Professions Code: The Comractors' 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 Cade: 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 the Contractors' Slate 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 pdor 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 entirely 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: http:/iw%w.leginfo.ca.gov/caiaw. mij
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 Sectl D' i n 3 of the Business and Pro shs d an m h n, n full to e
and effect. License Class License No Do. Contractor Signatur. _
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (SiDO,000). IN AD➢ri TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 37D6 OF THE LABOR CODE., INTEREST, AND ATTORNEYS FEES.
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 Cade, for
penance 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' compenss
Irance carrier and pel'Icy number are:
Policy Number
neofAgent _
Date
11 certify that, in the performan of he work for whit l Is OR it d Is ued I shall not employ any person in any manner so as. to become subject to the workers' compensation I s of California, and agre
tat, If I should becom bfec.t 1 th nrk rs�cp p nsa or s' of Section 3700 of the LahGr Code, I shall forthwith comply with those provisions. -7
Ignalure of Applicant .,, _ _ _ Date _ L �2
ECLARATION REGARDING C N TR C-FION LENDING AGEN
hereby affirm under penalty of perjury that there is a construction tending agency for the performance of the work foe which this permit is issued (Section 3097, Ci ' Code).
ender's Name Lenders Address
By my signature belmv, I certify 10 each of the following.
I am the properly owner or authorized to act on the property owner's behalf.
I have read this 000lical on and the information i have provided is correct.
I agree to r.on,ply with all applicable city and county c ca and s la% r ating to building construction.
authorize representatives a this city or coup o en er e v -i enlf arty r Inspection purposes.
ilgnawre of Pit Owner ar Authorized A ant ON Pro arty Owner's or Authorized AS
Ar"TION PATE RY p LARATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
' REGULATIONS PART 61 OFTITLE 40 AND AOMD RULE
1403
7ch.r7•17 EXpIREb
j PERMd f EXTENUFD
PERMI' FINAL
CEN i IFICATE Or
OCCUPANCY i55UED
NOTIFICATION TO
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.
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