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Home My WebLink AboutXR2022-3268 - PermitsWPoR, City of Newport Beach II 111 II COMBPermit:XR2U22-3268 0`<.; @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 71 B-1888 X R 2 0 2 2 3 2 6 8 ' n Plan Check No : PC2022-3142 y. newportbeachca.gov/civic Issued Date : 0611312023 ",! eoaN�' Combination Type - ELEC MECH PLUM Inspection Area : 5 Work Class - New 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 : 516 ACACIA AVE Legal Desc : A TR CORONA DEL MAR BLK 529 LOT 18 CORONA DEL MAR LOT 1 B BILK 529 NELY 26 FT(AND SWLY Description: NEW DUPLEX W/ ATT GAR (5,302 SF / 429 SF) Owner: BLAIR PORTEOUS Address: 601 4TH ST #129 SAN FRANCISCO, CA 94107 Phone: Applicant: BLAIR PORTEOUS Address : 601 4TH ST #129 SAN FRANCISCO, CA 94107 Phone: Owner/Builder : Address : Phone: Contractor: SAGE MODERN INC Address : 601 4TH, #129 SAN FRANCISCO, CA 94107 Phone: (775)527-7527 Con State Lic : 983732 Bus Lic: BT30071663 Bus Lic Expire : 04/30/2024 Workers' Compensation Insurance Carrier: EVEREST PREMIER INS CO Policy No: 7600016252221 W. C. Expire: 3/15/2024 Code Edition : 2019 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U,R-3 No of Units: Bldg Height: No of Stories Building Setbacks : Front: 15, Side: 4, Side: 4, Rear: 5 Flood Zone: X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Architect : RYAN OLDHAM Address : 680 LANGSDORF DR, 202B FULLERTON, CA 92831 Phone: (714)482-8296 State Lic Engineer: HANNAH ROGERS Address : 680 LANGSDORF DRIVE, 202B TEMECULA, CA 92590 Phone: (951)600-0032 Designer: Address Phone: YES Construction Valuation : NO Added/New/Ti sq. ft. Bldg 2 Alteration sq. ft. Bldg : 3 Added/New sq. ft. Garage TOTAL sq, ft. : NO OONSTPUCTION NOISE $1,700,000.00 5,302 429 5,731 ON THE WEEKEND Iz �;�. `vI it OWNER -BUILDER DECLARATION I hereby affirm under penalty or 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 applicableitem(s) feclion 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 a 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 exemptfrom licensorsandthe 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 it more than five hundred dollars ($50D). 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 sale (Section 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 builtor nproved for the purpose of sale). 1, es owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not ly to an owner of property who builds of Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J I am exempt from licensors under the Contractors' State License Law for the following reason: y my signature below 1 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 legal 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 Tofessions Code, is available upon request when this application is submitted or at the following Web siteaiUp://www.loginfo.ca.gov/calaw,html. Date signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 8 (commencing with Section ,0)pf 'visio &of the Business and Pr fair ' C ,and my license is In full force .nd effect. License Class License No Date 1177 Contractor Signature VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TC LECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINALPfNALTa?e AND CIVIL PINES UP TOONE HUNDRED THOUSAND DOLLARS (S10D,0D0). IN ADDITION TO TH :OST OF COMPEk SATION: DAMAGES Aa PROVIOEO FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereb'; affirm under Density of perjury one of the following declarations: XHI.kve and will Taintain a certificate of consent to selMnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for I ^rfor:n rice of the work for which this permit is issued. Policy No. �P h e and wit' 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' compensate I,co tamer and policy number are: - Expiration Date -,,,I„, Policy Number I,nle of Agent 11 codify that, In the perm once of the wo o ch this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws ofCBltfomia, and ogre gat, 31 I rhould become xubje the work ' co nsatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. b ` IgnalurP of Applicant, v� Dale I act-ARATION KE aAf�JING CO TRLiCTION EN AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the perers Address of the work for Which this permit is issued (Section 3097, Civil Code). ender's Name y my signature below, I DOr ify 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 orrect. I agree to comply with all applicable city and cogply ordin cos stale laws relating to building construction. c I authorize representatives of this city or counlyllll"'199991....�..'.lter the o dentified property for inspection purposes. w L ` / _ .. _ _ __ _a-._., w.,,,..ve A,�.,,vID 1 Cl n ) r M , r . L- Dal 4-_L_L.J If ACTION DATE BY ( D LARATION OF1TATFILIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EMENDED r..numu PERMIT FINAL l�Z'ZS !]� ASBESTOS NO IFI1 1'10 ISN PPLICABLE 70 CERTIFICATE OF PROPOSED OL N OCCUPANCY ISSUEO SIGNATURE: ___ �pwvp't,. City of Newport Beach II IIII I I III II I IIII I II I I II 100 Civic Center Drive Permit: XR2022-3268 Plan Check: PC2022-3142 r Newport Beach, CA 92660 Certificate of Occupancy THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING CONSTRUCTION OR USE. Owner: BLAIR PORTEOUS Code Year Edition: 2019 Address: 516 ACACIA AVE, NEWPORT BEACH, CA 92625 Number of Stories: 3 Tenant: Construction Type: V-B Use Zone: R-2 - Two -Unit Residential Occupancy: U,R-3 Description of Work: NEW DUPLEX W/ ATT GAR (5,302 SF / 429 SF) Total Occupant Load: Special Conditions: Fire Sprinklered: YES Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: %erz� / aC Date: 1/23/2025