HomeMy WebLinkAboutXR2023-0532 - Permits4 EWPoR� City of Newport Beach
e Community Development Department - Building Division
F ,< 100 Civic Center Drive, Newport Beach, CA 92660
N+� S Permit Counter Phone: (949) 644-3288
a.� Inspection Requests Phone: (949) 644-3255
Cqt./pppN�P newponbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
11111111111III���������������������������������������� II COMB Permit : XR2023-0532
Plan Check No : 2601-2018
Issued Date : 02/27/2023
Inspection Area :8
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER_
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSIT - 1g
Job Address : 112 KINGS PL
Description: SFR - ADD 277 SF, 4ASF d@. WTE
Owner: JOSEPH DELSIGNORE'.
Address : 112 KINGS PL
NEWPORT BEACH, CA 92663
Phone:
Applicant: BALDWIN BUILDERS
Address : 482 W ARROW HWY #M
SAN DIMAS, CA 91773
Phone: (909) 599-0033 0
THPiL3Y ORIGINAL ISS ANCE DATE
D KIO WORK ON SUNDAY AND HOLIDA IN ALL AREAS
I12r2� 11 aNt,,lcat�te.
al^De LK E LOLO� ❑ or ❑ 1 GG% refiund
10 ALTERATIONS 7600 SF 'RENEW EXPRED PERMIT'
Contractor: BALDWIN BUILDERS ,a tO'Nh h.'!ect: LIGHT CHRISTIAN
Address : 482 W ARROW HWY #M - Address : 1401 QUAIL ST #12 NEWPORT BEACH,
SAN DIMAS, CA 91773 CA 92660
Phone : (909) 599-0033 Phone : (949) 851-8345
Con State Lic : 992380 `" State Lic
tic Expire 04/30/2024 9'
-Bus Lic : 'BT30075267 ,,... v - Engineer: LARSON HAROLD E Er4E
,Sus Lic Expire N 05/31/2023
P
Workers' Compensation Insurance
Carrier: STATE FUND
Owner/Builder: Polic��yyNN°°��
Address : eS;+fzKp+re 3
Phone : (\NOr , �terted)
Code Edition :
2019
Fire Sprinklers :
Type of Construction :
V-B
I
Note
Fire H -bern
Occupancy Groups :
R-3
•
NO of Units
Bldg Height:
No ofSt ' .
Building Setbacks :
Front:
10, Side: 4, Si
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
S027-77—
SPECIAL CONDITIONS:
Address : 1437 GLENNEYRE S
L H, CA
'> Pho`ft" (9 9 -
(i10 VJ0,5,es Sf2G)
Phone: —/
�rat7 n sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
A,
y7
I hereby affirm under penalty of perjury that I am exempt from. the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable [terms)
(Section 7031.5, Business, and Professions Cade: Any city or county, llrat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provLslons of the Contractors State License Law (Chapter 9 (commencing with Section 70001 Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violatlon of Section 7031:5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500),
0 1, as owner of the property, or my employees with wages as theirsafecompensation, will do (_) all of or m_.) portions of the work and the structure is not intended or offered for ale (Section 7044,
Business and Professions Code. The Contractors' State License Law does not apply to an owner of propertyyjiaco oyaes' or personal effort, builds or improves the pr any, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement, i;�sr'+W*A"btia year of completion, the Owner-$4lldoli4j +hava the burden of provin that It was not built or
roved for the purpose of sale) rm �J 1�` ry
i, as owner of line property, am exDiusivel icensed Canf�ors p f0 Aj project (Seca , Business and Professions C lot i1{e;@, plfa�lc�r3�tGOLD icense Low does not
apply to an owner of property who builds or I roves thereon, and Winn contrac f5r pro nsed Contractor pur tionMMtto" �/l§rr(Gter3'- to a rcense Law).
0 1 am exempt from licensure under the On IS , *mLlcenS otloMng reason:Liu
By my signature below I acknowledge that, sx pt f�p`ar�irnal residence In which I mus ve�¢sid . at one prior to completion of the improver y th permit, I cannot legall!
sell o structure that I have built as an owner-6 dos if It has not been con it in m i liConsed contra n rstand iga3t,a�a e IaW, Section 7044 o a Business and
Professions Code, is available upon request nth ,pttpYteXSry is sutflFdtted r attha folloWgIAeb site;hhpd .tpgut v/c w.html.
Signature of Property Owner or Authorized Age t - Date
LICENSED CONTRACTOR'S DECLARA ON n_
r
I hereby affirm under penally of perjury that I a Icensed under previsions"'df'Chapter 9 (commenting min Section 7Np ) of Ivisio)h� 3 of the Business andProfsns CO -nd my I nse is In full force
and effect. License Class License No Date iJ�_ Contractor Signature ,
WORKERS' COMPENSATION DECL.ARA•ON - f
NARNINO: FAILURE TO SECURE WORKERS' COMPENSATIO' i CON UNLgwFUt AND SHALL SUMJECT AN EMPLDYER TO CRIMINtKL PENALTIES Arm CIVIL FINES UP TOONE HUNORE TH USANa DOLLARS t$100, 0I, IN AVDAION TO THE
COST OF COMPENSATION, DAMAGE$ AS PROVIDED FOR IN ECTI- OF THE LA801t COOr, INTEREST,AN4ATTORNFT,�S FsES,
•'h'ereby affirm under penalty of perjury one of the howl eclsrotlpns:
..,1 I have and will maintain a certificate of cans t to ,'�:r„�.uasNrerior workers' compensation, Issued by the Director of du EI�{jgnyNi tir o of the `soot Code, for Ih
3errormance of the work for which this permit is iss ed. F'� al,py No pit i6,.�'!V_ �� ��""" __
have and will maintain workers' compensatfon� suranoa s required by Section 37 f IVPQa o Code, for tin rra of the wo c f w errjt is issued. My we ers',compensatior
isuran rrier p fpy. ber ref s C Wo'k ?%� 1
artier c Pol y baini nEKOration Date Z
"me of Agent Phone At -
�i certify that, in th performance of the work for win h Ills permit is iss , shall not. employ any person in any manner so as t ect to the work@ ' at C topi�a, and egm
.het, it I should beco a6jeot to the r rs' comp sohon provisions of SedUvn 37QQ. of the Labor Coda: I comply with those prori`si�tP, In -
3iamoureoADDlicant _ . , _,...• ��
noby affirm under penalty of perjury that there is a c struction lending agency for t erratic$ offhe w�c,
rder's Name Lender's.drie�"`�'�—
my signature below, I certify to each of the following:,
I _
I am the property owner or authorized to act on the pS+r> owner's behalf,
I have read this application and the Information I have provided Is correct.
I agree to comply with all applicable city and tout ordinances and state caws relating to building construction.
I authorize representatives of this city or cour�ry 711rdeytpeE2i;kqWe-Identified property for inspection purposes.
DATE I BY
PERMIT CANCELLED
PERMIT EXtENRER
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND ACIIAD RULF.
PeRMrtFINAL �GMBEST N TiFICATIpNtSNOT APRLICABLE TO
CERTIFICATE OF PROAgSEDD OLITri
OCCUPANCYISSUER crc-Nen l^F %�
FOR OFFICE USE ONLY
is issued (Section 3097, Civil Code).
114i>✓ 11Q