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Home My WebLink AboutXR2022-2315 - Permits�gvcrPoRr City of Newport Beach pF @ Community Development Department- Building Division X R 2 0 2 2 2 3 1 5 COMB Permit:XR2022-2315 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2164 r = Permit Counter Phone: (949) 718-1888 Issued Date : 10/3112022 e.newportbeachca.gov/civic Final Date: C9CrFOM1�`P Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - New Inspection Area : 5 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: 4633 0RRINGTON RD Legal Desc : N TR 3357 BLK LOT 65 Description: NEW SFR W/ATT GAR 5219 & 657 SF WBIO PLANTER Owner: 4633 ORRINGTON ROAD LLC Contractor: NICHOLSON CONSTRUCTION Architect: MARK TEALE COMPANY Address: 4633 ORRINGTON RD Address: 1 CORPORATE PLZ #110 Address: 2900 BRISTOL ST BLDG A203 COSTA CORONA DEL MAR, CA 92625 NEWPORT BEACH, CA 92660 MESA, CA 92626 Phone: Phone: (949)872-6637 Phone: (949)975-0123 Con State Lic : 660295 State Lic Lic Expire: 12/31/2024 Applicant : NICHOLSON CONSTRUCTION COMPANY Bus Lic: BT98032850 Engineer: SHARAD T PATEL Address : 1 CORPORATE PLZ #110 Bus Lic Expire: 04/30/2024 Address : 9283 RESEARCH DR NEWPORT BEACH, CA 92660 IRVINE, CA 92618 Phone: (949) 872-6637 Workers' Compensation Insurance Phone: (949) 943-8080 Carrier: STATE FUND Owner/Builder : Policy No: 9074255 Designer: Address : W. C. Expire: 10/1/2024 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers: YES Construction Valuation : $850,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg: 5,219 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories: 1 Added/New sq. ft. Garage: 657 TOTAL sq. ft.: 5,876 Building Setbacks : Front: 6, Front: 30, Side: 6, Side: 6 Flood Zone: X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) 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 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 1e 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 fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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). 11, 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 pply 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). I am exempt from licensure under the Contractors' Stale License Law for the following reason: y 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, all 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 or at the following Web site:http://www.loginfo.ca.gov/wiaw.htmi. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I 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 nd effect. License Class License No Date Contractor Signature JORKERS' COMPENSATION DECLARATION ARNING: 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 Code, for `ormance 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' compensa Trance carrier and policy number are: Policy Number Expiration Date of Agent Phone ff 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 California, and if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Date_ _ IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lenders Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 slate laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. licnalure of PrODertv Owner or Authorized Agent Print Procertv Owner's or Authorized Aoent's Name DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I L-II SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL I— I3-�� `� ❑ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF rl PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: