HomeMy WebLinkAboutXR2022-2482 - PermitsagWPQRT City of Newport Beach II III I I I II I II I III I III I I I II Community Development Department- Building Division COMB Permit : XR2�22-2482
> y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
} 9 ? Permit Counter Phone: (949) 644-3288 Issued Date : 09/16/2022
Inspection Requests Phone: (949) 644-3255 Inspection Area : 6
gticOAN newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Alteration
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 : 5 JASMINE CREEK DR Legal. Desc : N TR=8426 BLK: LOT 41
Description: SFR -REPLACEMENT OF (3) PATIO SLIDING DOORS **LIKE FOR LIKE / NO CHANGE; IN LOCATION —
Owner: H & J BAKER REVOCABLE TRUST
: Contractor:' NEWMAN.WINDOWS
'.;.. Architect
Address : 5 JASMINE CREEK DR
Address : 24002 VIA FABRICANTE #304
Address
CORONA DEL MAR, CA 92625
MISSION VIEJO, CA 92691':.
Phone: (657)262-6525
Phone: (949) 4549000
Phone:
Con State Lie: 941030
State Lie
Lie Expire: 12/31/2023
Applicant: H & J BAKER REVOCABLE TRUST
Bus Lie: BT30053751
Engineer:
Address : 5 JASMINE CREEK DR
Bus Lie Expire : 01/31/2023 '':
Address
CORONA DEL MAR, CA 92625
Phone: (657) 262-6525
Workers' Compensation Insurance
Phone:
Carrier: COMPWEST;INSURANCE CO
Owner/Builder:.
Policy No: ` WCV550279403
Designer
Address :
W. C. Expire: 10/8/2022
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone NO
Added/New/TI sq. ft. Bldg
Occupancy Groups : R-3
No of Units : 0
Alteration sq. ft. Bldg:
Bldg Height:
No of Stories ;: 2
Added/New sq. ft. Garage:
Building Setbacks : Front: 15, Side: 5, Rear: 15
Flood Zone: X
Use Zone: PC - Jasmine Creek
PROCESSED BY: L
SPECIAL CONDITIONS:
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i hereby affirm under penalty of perjury that I am exemptfrom the Contractors' State License Law for reason(s) indicated
coon 7031.5, Business and Professions Code: Any city or county that requires a: permit to construct, alter, improve, demolisl
pemat to file a signed statement that he or she is licensed pursuant: to the previsions of the Contractors' State Lioense Law I
fessions Code) or that he or she Is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7
more than five hundred dollars
I, as owner of the property, or my employees with wages as their sole compensation, will do(_) all of or U portions of the w
:iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through empl
rovemenls are not intended or offered for sale. If, however, the building or Improvementis sold within one year of completic,.
roved for thepurpose of sale),
r by the checkmark(s} i have placed next to the applicable Item(s)
(pair any structure, prior to its issuance, also requires the applicant for
ar 9 (commencing with Section 7000)of Division 3 of the Business and
by any applicant fora pennitsubjects the applicant to abiAl penalty of
Td the structure is not intended or offered for sale (Section 7044,
or personal. effort, builds or improves the property,. provided that the
Owner-Builderwill have the burden of proving that €fwas not built or
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project(Secuon 7044,. Business and. Professions Code: The Contractors' Stale License Lawdoes not
)ly to an owner of property who builds of Improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law). .
I am exempt from licensureunder the Contractors' State License Law for the following reason:
my signature below l acknowledge that except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit,.I cannot iol
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 copy of the applicable taw, Section 7044 of the Business and
�fessions Code,. is available upon request when this application is submitted or at the following web sitw.httpll"w.leginfo.ca,gov/calaw.html.
nature of Property Owner: or Authorized Adam 11.tn
.ICENSEDCONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section
nd effect. License Class License No Dah
VORKERS' CGI PEN6ATION DECLARATION
EST AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO, ONE HUNDRED TNOL79AN0 DOLLARS ($100A009; IN ADDITION To
, AND ATTORNEPS FEES.
=by affirm under'halty of perjuryone of the following declarations:
% and will maintain a certificate of consent to self -insure for workers' compensation, Issued bythe oirector'of Industrial' Relations as provided for by Section 3700 of the Labor Code,
rmance of thgtaplk$)rwhiGt this permit is issued. Policy No.
lava snd 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' compy
anGC carderan`tSpolisy number are,
eir.. * . ' Policy Number. Expiration Date _._. _...
that in DVAr$rmance of the work for which this parmit is issued, I shall not employ any person in any manner so as to become subject lothe workers' compensation laws of Cal fomia, and a fire
ttutd become §ubjeui to bikers' compen Irra Istons of Section 3700 of the Labor Code, I -shall forthwith comply with those provisions. r
of Applican+Y �. Date
treby affirm under penalty gfperjury that them is a cons
iderxName
my. signature below, I cartify to each of the. following:
i am the property owner or authorized to act on the prs
I have read this application and the Information I have.
1 agree to comply with all applicable city:and county or
of this city
PEAMr7C4NCELLEL
PERNiTEXTENDED
CE97IFtCATEOF
OCCUPANCY ISSUED
agency for the performance of the work for which this permit Is. issued (Section 3097, Civil Code)..
Ind state laws totaling to building construction.
o-id N to for inspection purposes:
Print Property Owners or Authorized Ag
OF COMPLIANCE WITH CODE OF FEDERAL FOROFFICE. USE: ONLY
PART 51 OF TITLE 40 AND AQMD RULE
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