The URL can be used to link to this page

Home My WebLink AboutXR2022-2753 - Permits�EwPo� City of Newport Beach IIYII��III p4 a Community Development Department- Building Division COMB Permit : XR2022-2753 r y 100 Civic Center Drive, Newport Beach, CA 92660 XI�IIII02II�7IIII S Permit Counter Phone: (949) 644-3288 Plan Check No Inspection Requests Phone: (949) 644-3255 Issued Date: 10/18/2022 cq<rFoaT`�P newportbeachca.gov/inspections Inspection Area : 1 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 : 116 29TH ST Description: SFR CHANGE OUT SLIDING DOOR `NO H Owner: 2019 MIN FAMILY TRUST i' Co Address : 20104 CHIANTI CT Ad-( YORBA LINDA, CA 92886 Phone: PHc COr Applicant: P B CONTRACTING Address : 1996 FULLERTON AVE COSTA MESA, CA 92627 Phone; (949)650-1408 Owner/Builder : Address : Phone: Code Edition : 2019 Type of Construction • V-B Occupancy Groups: R-3 Bldg Height: Building Setbacks Flood Zone: Use Zone : PROCESSED BY: A TR NEWPORT'BEACH CITY BLK 28 LOT 13 ES' P B CONTRACTING Architect 1996'FULLERTON AVE - Address COSTA MESA, CA 92627 (949) 650-1408 " Phone: c : ` 831793 State Lie: Llc pzpire : ;02/29/2024 Bus Lie:BT30031698 Engineer: Bus Lie Expire : 04/30/2023 Address " Workers' Compensation Insurance Carrier : 'STATE COMPENSATION INSURANCE FUND Phone: F g tea i Policy No: 9268417 Designer: W. C. Expire : 1/22/2023 Address: Phone: Fire Sprinklers ; ;NO Construction Valuation : $3,000.00 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg No of Units: 1 ' Alteration sq. ft. Bldg : No of Stories: '2 Added/New sq. ft. Garage: 0 TOTAL ft Bld ^ Front: 5, Side: 3, Side: 3, Rear: 5 sq - g X R-2 - Two -Unit Residential SPECIAL CONDITIONS: OWNER -BUILDER DECLARAI]ON I hereby affirm under penalty of perjury that t am exempt from the'Contractors`Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ftem(s) ction 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 rile a signed statement that he or she is licensed pursuant to the previsions of the Garrtrsctors`State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exemptfrom licensure and the basis forthealleged exemption. Any violation of Section 7031,E 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 theirsolecompensation, will do j_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, ;mass and.Proressims 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 irovements 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 or proving that it was not buift or ,roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, usmess and Professions Code: The Contractors' State License Law does not )lyto an owner of property who builds or Improves thereon, and who contracts forthe projects with a licensed Contractor ursuam to the Contractors' State License Law). I am exempt from licensure-under the Contractors'State License Law for the following reason: l my signature below I acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the improvements covered rmit, I cannot loge I a structure that I have built as an owmor-builder if It has not been. constructed in its entirety by licensed contractors. I uoAerstand that copy of the applicable law, S 7044 0€ Lho usinoss Arid Ifessions Code, is available upon request when this application is submlheo orat'the following Web site:hltpJlwww.legmfO.ca.gowcalaw.hfmL Date. mature of Property Owner or Authorized Agent._ hereby affirm under nd effect. License provisions otChapter 9 nmmencing with Sectia 00) of ivI "on3ci the Business d Pro ion ad d my license is Ihiutl force. VORKERS' COMPENSATION DECLARATION I -<1 ( IN ADDITION TOT rARNING: FAILURE TO SECURE WORKERS, COMPENSATION COVERAGE IS UNLAWFUL AND SNALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT*S AND CIVIL RNES UP TO 0 . SANG DOLLARS E106,VOej, . OST OF COMPENSATION, DANAaES. AS PROVIDED FOR IN SECTION 9706 OF THE LABOR COM INTEREST, AND ATTONNEY'S FEES. -hereby affirm under penalty of perjury one of the following declarations: ..r I have and will maintain a certificate Of consent to self.insure for workers'. compensation, Issued.. try the Director of, Industrial'. Relations as provided for by Section 370tl of the Labor Code, for ormance of the work for which this permit IS issued. Policy No. ova and will maintain workers' compensation insurance as required by Section 3700 of the Labor Code, for the +formance of the workfor which this: permit is issued. My workers' compensa isuran a carrier and policy number are' :artier _ icy Number Expiration Date is of Agent 11 certify that, in tha performance of work for v 1ch this permit. is issued, I shelf not employ any person in any if I should become p�t6' W runs�mpensatian provisions of Section 3700 of the Labor Code, I shall 14G.NM1/411VtV rtGv nv, v -' hereby affirm untler penalty pert hat the s a construction Len encytor th performances D€the work fc .enders Name L der's Address ly my signature below, 100 'fy to as f the following: I am the property owner orfzed to. act on the props owner's behalf. I have read this application and the information I have vIs correc I agree to comply with all applicable. City and co my. dme and a €asvS relating to building Construction. I authorize representatives Of this city or rdrunty t r It abov dentified property for inspection purposes. naturebf Pro or, Owner or Authorized Agent Print F Owner ACTION DATE 0y D ATION OF COMPLIANCE WITH CODE OF FEDERAL run RFGUTA NSPARTGI OFTITLE40 AND AQMO RULE PERlb117EXFENQEQ I �� PERMiTRIVAL POSED :ISN PLICABLE TO CERiIFICATEOE jj P POSED • •.• •• OCCUPANCYf53UED I SIGNATURE 0 0 0 0 0 cc r c0 0 0 000 00 aas to become subject to the workers' compensation laws of California, and agra comply With those provisions. Date/rJ//�" 3-0 this. permit is. issued (Section 3097,: Civil C de).