HomeMy WebLinkAboutXR2024-1008 - Permits"E,YlpoRr City of Newport Beach II I111 II
o� 1' I Community Development Department- Building Division X R 2 0 2 4 1 0 0 g coM6 Permit: XR2024 1008
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
a Permit Counter Phone: (949) 718-1888 Issued Date : 04/16/2024
newportbeachca.gov/civic Final Date:
oCombination Type - SFP Permit Status: Issued
Work Class -Other Inspection Area: 1
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 : 608 BALBOA BLVD W Legal Desc : A TR EAST NEWPORT BLK 4 LOT 25
Description: SFR DECK COATING ONLY ON ROOF DECK ESR-2701 216 SF
Owner: WALTER SMITH
Address : 608 W BALBOA BLVD
NEWPORT BEACH, CA 92661
Phone:
Applicant: CRANK WATERPROOFING
Address: 134 COMMERCIAL WY
COSTA MESA, CA 92627
Phone: (949)646-9356
Owner/Builder :
Address :
Contractor: CRANK WATERPROOFING
Architect:
Address : 134 COMMERCIAL WY
Address
COSTA MESA, CA 92627
Phone: (949) 646-9356
Phone:
Con State Lic: 1038420
State Lic
Lic Expire : 04/30/2026
Bus Lic: BT30063958
Engineer:
Bus Lic Expire: 06/30/2024
Address
Workers' Compensation Insurance
Phone:
Carrier: ENDURANCE ASSURANCE
Policy No: EAW0000035400
Designer:
W. C. Expire : 1/26/2025
Address :
,
L
Phone:
Phone:
Code Edition:
2022
Fire Sprinklers : NO
Construction Valuation
Type of Construction :
V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg
Occupancy Groups :
U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage:
TOTAL sq. ft.
Building Setbacks :
Front: 9, Side: 3, Side: 3, Rear: 5
Flood Zone:
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS
$8,000.00
0
0
0
ER -BUILDER DECLARATION
t hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the reasdn(s) indicated below by the checkmark(s) I have placed next 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
ie 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
Irofesslons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars (1500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (,) all of or U portions of the work, and the structure is notintended or offered for sale (Section 7044,
lusiness 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. It, 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
Tlproved for the purpose of sale).
3 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
m ply 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' State License Law for the fallowing reason
ly 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, 1 cannot iegal
,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
'rofessions Code., is available upon request when this application is submitted or at the following Web sits:http:ltwwr:leginfo.ca.govlcalaw.html.
signature of Property Owner or Authorized Agent to
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 .f v' ' 3,o the Business and P"DIS
y license is n farce
and effect. License Class License No Date Contractor Signalu
VORKERS' COMPENSATION DECLARATION
1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDST0D,000),IN ADDITION TO TN
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
''
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Oirealor of Industrial Relations as provided for by Section 3700 of the Labor Code, for t1
performance of the work for which this permit is issued. Policy No.
eve 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` compensatio
sure carrier and policy number are:
Carder Policy Number Expiration Date
Name of Agent Phone #
1 certify that, in the performance oft wok for ich t Is permit is issued. I shalt not employ any person in any manner so as to become subject to the workers' Compensation laws of California, and aorta
that, if I should bec subject to the k rs'`cn pe bon provisions of Section 3700 of the Labor Cade, I shall forthwith comply with (hose provisions. / ^
Signature of Applicant Qate
6ECLARATION REG RON G CO TRU N I
1 hereby affirm under penalty of perjury that here is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lander's Address
By 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 ravided is tort C. .
I agree to comply with all applicable city and co my o an s and late I ws relating to building. construction.
I authorize representatives of this city or coun t e art -id of I pro pe for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION DATE BY 16CL Tf0 OF L MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I RE LATIONSP El OF TITLE 40 AND AQMD RULE
1403
L' I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED LJAO;d _
PDOIT FINAL I ASEIBI S NOT FIC N 15 N PPUCABLE TO
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