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Home My WebLink AboutX2019-1744 - PermitsaEwPOa, coM6 Permit : X2019-1744 City of Newport Beach iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii II p� A Community Development Department- Building Division X 2 0 1 9 1 7 4 4 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 718-1888 Plan Check No : 1251-2019 a.. newportbeachca.gov/civic Issued Date : 06119/2020 Cql/FOAN`P Combination Type - SFP Final Date: 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 : 101 BAYSIDE PL Legal Desc : A TR CORONA DEL MAR BILK D CORONA DEL MAR LOT BLK D FOR OF BL K Description: NEW SFR W/BASEMENT & ATT GAR 5857 & 2022 SF, MECHANICAL ROOMS 778 SF, DECK 1904 SF& SHORING Owner: CA CDM LLC Address : 101 BAYSIDE PL NEWPORT BEACH, CA 92625 Phone: (562)619-3990 Applicant: Address Phone: Owner/Builder : Address Phone: Contractor: HASKETT JIM CONSTRUCTION INC Address : PO BOX 379 SURFSIDE, CA 90743 Phone: (714)894-4800 Cori Lic : 738498 Bus Lic: BT30060773 Bus Lic Expire: 10/31/2024 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No: WSA506753601 W. C. Expire: 10/1/2024 Code Edition : 2016 Fire Sprinklers : NO TypE-of Construction—V-13 Fire Hazard Zone : IJO Occupancy Groups: U,R-3 No of Units : 1 Bldg Height : No of Stories : 2 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone: AE, 8 FT; X Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer: PAUL DUANE ROHRER Address: 1527 E AUTUMNRIDGE CT ORANGE, CA 92866 Phone: (714)272-9579 Designer: Address Phone: Construction Valuation : Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Add/New sq. ft. Garage TOTAL sq. ft. : $2,500 000.00 0 0 0 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 .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 professions 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 ($500). ❑ 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, 3usiness 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 mproved 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 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). ❑ 1 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 prior 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 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:hftp://www.leginfo.ca.gov/calaw.htmi. 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 Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 (St00,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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, forth performance of the work for which this permit Is issued. Policy No. ❑I 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' compensatiol insurance carrier and policy number are: Policy Number - Date ne of Agent "".w 1. 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 , if I should become subject to the workers compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions, nature of Applicant — CLARATION REGARDING CONSTRUCTION LENDING AGENCY Heby 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). Iders 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 PrOD@rtv Owner or Authorized Agent _ Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED QMD PERMIT FINAL (.L Z (q,. �`� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF I PROPOSED DEMOLITION OCCUPANCY 15SUED SIGNATURE: _ SEW Rp City of Newport Beach jjl111111111111111�11111111111111111111111111111111111111 jj Permit: X2019-1744 100 Civic Center Drive x 2 0 1 s 1 7 4 a 'n Plan Check: 1251-2019 Newport Beach, CA 92660 c -.'9<I FOQN 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: CA CDM LLC Address: 101 BAYSIDE PL, NEWPORT BEACH, CA 92625 Tenant: Use Zone: R-2 - Two -Unit Residential Description of Work: NEW SFR W/BASEMENT & ATT GAR 5857 & 2022 SF, MECHANICAL ROOMS 778 SF, DECK 1904 SF& SHORING Special Conditions: Code Year Edition: 2016 Number of Stories: 2 Construction Type: V-B Occupancy: U,R-3 Total Occupant Load: 0 Fire Sprinklered: NO Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: %ertee _lZaz, Date: 3/21/2025