HomeMy WebLinkAboutXR2023-0224 - Permits��EWPORT City of Newport Beach
p Community Development Department- Building Division
�y 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
c9[/cOR��r newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Other
111���III��III �11111111111111111111111111111111111111111111 COMB Permit : XR2023-0224
Plan Check No
Issued Date : 0112612023
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: 901 BALBOA BLVD E, A Legal Desc : A TR BALBOA TR BLK 14 LOT 1
Description: MFR WINDOW RETROFIT UNITS A, BAND C (19)/ SLIDING GLASS DOORS (5)
Owner: GRACE EARP
Address : 901 BALBOA BLVD E, C
NEWPORT BEACH, CA
Phone: (949) 812-2732
Applicant : Brent Thomas
Address : 2372 Morse Ave Suite 314, Suite 314
Irvine, CA 92614
Phone : (714) 414-6645
Owner/Builder:
Address :
Phone
Contractor:
PVW INSTALLS INC
Address :
11801 CARDINAL CIR, 1
GARDEN GROVE, CA 92843
Phone:
(562)641-3433
Con State Lie
: 1065570
Lie Expire :
04/30/2024
Bus Lie:
BT30080525
Bus Lie Expire
: 01/31/2024
Workers' Compensation Insurance
Carrier: NORGUARD INSURANCE COMPANY
Policy No: PVWC338561
W. C. Expire : 6/30/2023
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone
Designer:
Address :
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation : $1C,0CC.u0
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. fildg . 0
Occupancy Groups :
R-2
No of Units :
3
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks :
Front: 9, Side: 4, Side: 4, Rear: 0
Flood Zone :
X
Use Zone :
PROCESSED BY ,40 GONSTI RUCTION NOISE
SPECIAL CONDITIONS:
A THE WEEKEND
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 applicablettem(s)
3eclion 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
le 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
rofessions 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
of more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wagesas their sole compensation, will do (_) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
usiness 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. If, however, the building or improvement is sold within mile year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
1 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
pply 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 I am exempt from licensure under the Contractors' State License Law for the following reason. ______—.—
,y 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 legal'
all a structure that I have built as an ownar-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the: applicable law, Section 70 G usiness and
rofessions Code, is. available upon request when this application is submitted or at the following Web site:http:/lwww.leginto.ca.gov/calaw.html.
�lgnature 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 000) . i f the Business and P ofe Ions Code, a my license is in full force
nd effect. License Class License No Cat Contractor Signatu
VORICERS' COMPENSATION DECLARATION ` I / / —
IARNING; FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND CIVIL FINES UP TO ONE HUNDRED LLARS tSt00,0001, 3N ADDFTION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION S/05 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjuryone of the following declarations:
1 I have and will maintain a cartirlca,e of consent to self4risure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th,
erfo ance of the work for whic': this parent is issued. Policy No. _
re and will mart; i7 workor,' 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' compensaiior
1Isuranca carrier and policy number ar
;artier _ Policy Number Expiration Date
lame of Agent _ _ Phone
ZI certif that, in the per'u ancr � tie work for which this permit istssued, I shall not employ any person in any manner so as to become subject to the workers' compen ation laws D CBlifome, and ogre
lot,! should becomes jest io th worke. ' salion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
i alUre of Applicant Da ----
ECLARATIQN RECA CIN3 C (RUCTION LEND NG AGENCY
Pg�ereby a� jrm under p nalt� ed ry that there is a cc struction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
P.-nen :Name - _ Lender's Address
ly my signature IlSIWL,11"Itity to eaca �f the following
I am the property owner or authorized to act on the
I have read this application and the information I hE
I agree to comply with all applicable city and count'
I authorize representatives of this city or county to
signature of Property Owner or Authorized Agent
ACTION I DATE I BY
PERMIT EXPIRED
P€RMIT CANCELLED
PERMITFINAL 4--LI I.'S J LS,PkEIEST
CERTIFICATE OF T PROPOSED
OCCUPANCY I55UED SIGNATUR
Ter's behalf.
is correct.
and slate laws. relating to building construction.
've-tdentif oparty for inspection purposes.
Print Prooeriv, Owner's Or
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
TO
ISNOTAPPLICABLE TO
FOR OFFICE USE ONLY