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Home My WebLink AboutX2022-0794 - PermitsA d£wroo City of Newport Beach - Building Division T 100 Civic Center Drive, Newport Beach, CA 92660 H r n Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP 111111p11111111111111111111111111111111111111111111JillCOMB Permit: X2022-0794 Project No : 0714-2022 Issued Date: 0312112022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/21/2025 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays e Job Address: 1220 PARK NEWPORT DR NB Description: MFR MINOR DEMO & FIREWALL REPAIR (UNIT 214) 351 SF Legal Desc.: N TR 6947 LOT 1 Owner: PARK NEWPORT LAND LTD Contractor: BLUSKY RESTORATION Architect: GRISAFE MARK Address: 201 FILBERT ST #700 Address_: 9767 E EASTER AV -._ - ` Address: 5618 E. CONANT ST SAN FF2!! 6�'®""""""""� CENTENNIAL CO 80112 LONG BEACH CA 90808 Phone: Phone: 303-789-4258 Phgne: 562-480-1035 State Lic:CO28845 Applicant: DIAZJte: rr5tate-tic--1005805 Engineer: Address: 1 PARKTDR - Lic Expire: 07/31/2023 I� , vl-Amara NEWPOH, Phone: 949-644 CA 92660 Li T$pAdllllllb�,149902 a I +� Phone: State Lic: s 1.^i. .,y I^" .. - ItJ tYt: Cade Edit : Type of Construction: k' - assigner- AF ®CISner� "wZURTCH AMEHIUAN INS CO Address: Occupancy Group: Policy No: WC302953101 Added /New sq.ft. Bldg 0 ® ® Phone: Added /New sq. ft. Gar e: �� No of Stories: No of Units : 4 0 unu a s ar: Special Conditions: LANDSLIDE RISK Bldg Height: 0 Lek: / Bldg Sprinklers: Right: / Flood Zone: x Use Zone: Parking Spaces: 0 Fire Hazard one : N Construction Valuatio $5.000.00 _ 1 ... _ _ _ <A 9 i.a c a a - ^ Building Permit Fee: $1 1.00 $0.00 Ptd7'IRil�g�ep5drtment - 6 Fire Department Plan Check Fee: $1 .07 � �r e , r, - _ -Ti`daitional Vee: $0.00 pyhVffi.fKe started) $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 $0.00 h $0.00 Fire Plan Rev C $0.00 Investigation Fee: $0.00 ��Uri��Fee: •Gr i C seeant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $10.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: r�t�,0. Grading PC Fee: $0.00 - General Service $0.00 CA Seismic Safety: I �U!�� • $0.00 Park Dedicatd'onn . 0 Q� Refund Deposit $0.00 Disabled Access: $0.00 P/W Plan asp• ),foals: -------Grading Bond: $0.00 Hazardous Mat, $0.00 san Dist: Building Green Fee : $1.00 0. ee: $0.00 $0.00 Plumbing %: $0.00 _ $0.00 TOTAL FEE: $364.07 PROCESSED BY: ZONING APPROVAL: 10:111 H I C "119 9:bYL• 1 0 Plan Check Fee $192.07 Fee Due at Permit Issuance : $172.00 PUBLIC WORKS APPROVAL:,, PLAN CHECK BY: ARPROVAI, TO'I,SSI"IE-- 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) Chan 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements 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 roved for the purpose of sale). I, as owner of the p fly to an owner of pr I am exempt from I my signature below a structure that I hE ,fessions Code, is a' nature of Property C hereby affirm under nd effect. License 'ARNING: FAILURE TO BEi DST OF COMPENSATION, hereby affirm under F I have and will m1 erformance of the wo GI have and w,Rhmai le of Agentf_=:N certify that, in the if I should becon lature of Applican rtt lesively=ooutraoting,withJicegaed-Contractors to construct thUroject (Section 7044 Business and Professions Code: The Contractors' State License Law does not erty who builds or Improves thereon, and who contracts for the projects with a I CenSed'CdfltfBctor purs Uarlt to'the Contractors' State License Law). nsur��''��I1R�1¢,�he Contractors' State License Law for the following reason cknobGl?d tR ^ ^ "^ idflDce in v&ch_I must have resided forlit� je year prior to completion of the improvements covered by this permit, I cannot legally e built as an owner -builder if it has not been constructed in its entirety by licensed contracto . I un`d'erstand that a copy of the applicable law, Section 7044 of the Business and Iliabl st whe applic bn is bmitted or at the following Web site:h�{P- / y�' Ie info. ca. Icalaw.html. vner Authori Age �a «7' b '*' � LJ tS g Cr I� j Date CTO 'c no —.8a tally _ e''cgl,ddiio ID pte_ (Immen with Sggctio 7 0 ,�l'yyis' n 3 of the Business and Pr�fe�sions�rode, and my license is in full force ss '' Liceml " LtDa L! 7Z Contractor Signature`(- /J�:i fZaf► JSATION DECLARATION I RE WCPRO ENS A E�pp aJ Q R TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE fMAGO FO SECTIO F R&'O�N'1 5,¢Flti'A°fTNl-FEEsalty�® _&�Lainof c do6'S'A for w e co' e t {; ttaffly the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN for which this permit is issued. Policy No. Sin workers' ompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which. this permit is issued. My workers' compensatior icy ar _ 1 �, �, -� f1'. m ea��Elpiration Date rformance of th %' t is issued, I shall not employ any Fps n �'q a�ngp�angerr s�q as Aecome subject to the workers' compensation laws of California, and agree Iyjlject to the wo ers' compensation %oGisions of Section 3700 of the Labood,V"�ivUlifor�ltadl C I� with those provisions. hereby affirm under nalty of perjury that there is a construction lending agency for the pe ormance o enders Name t Lender's Address y my signature belot I certify to ac Fli o eT110 owing Insp. Inn !a I am the property )su-' 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 countyynter tt above -identified property for inspection purposes. ianature of PrODertv Owner or Authorized Anent J YJtL.. / Print Property Owner's or Authorized ACTION DATE BY /' ` REGLLATJCVCF ART61 OF TNTCE LE WITH AND DE orVID R D ERAL FOR OFFICE USE ONLY PERMITEXPIRED V I SUBMI—rED DEPA ASBESTOS NOTIFI'ATION TO - PERMITCANCELLED PERMIT EXTENDED LJAQmll PERMITFINAL �_Z_ JM. SBEST NOTIFI TION 15 NOTAPPLICABLE TO CERTIFICATE OF PROPOSED d(OLON OCCUPANCVISSUED SIGNAT E: e L _`Dot 3Za�z 3097, Civil Cade).