HomeMy WebLinkAboutXR2023-0531 - Permits��E`x'PORT City of Newport Beach II�I�II�II�I�II�I�II��II�I�I�I�I�II
D A Community Development Department - Building Division I� II
qc 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
°9<icoa" �P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
COMB Permit : XR2023-0531
Plan Check No:
Issued Date: z(1-7/z.3
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AqQ. (L W9
Job Address : 112 KINGS PL
Description : SFR DETACHED PATI
Owner: JOSEPHDELSIGIORE ��:—
Address: 112 KINGS PL
NEWPORT BEACFt CA 92663
Phone
Applicant: BALDWIN BUILE
Address: 482 W ARROW
SAN DIMAS, CA
Phone: (909)599-0033
Owner/Builder
Address :
Phone
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height:
if applicable:
:NTR1219BLKEL T3 Q
BB EXPIRED PERlpq-B0p/0 Or
ELDERS
Contractor .
-BALDWIN
Address:
482W ARROW HWY#M..
SAN DIMAS, CA 91773 "
Phone:
(909)599-0033
SUNDAY AND
A00% re#urrd
ISSUANCE DATE
DAYS IN ALL AREAS
to WhOm Address : 1401 II QUAIL #120 NEWPORT BEACH,
CA 92660
Phone: (949)B51-8345
,n Stat�tic :
992380
Lic Expire :
04/30/2024 4
Bus Lic :;..--'-�.
'$T30075267
0
^ Bus Lic Expire :
05/31/2023 191
y Workers' 4mperi"s��ii
ation Insurance
u LL€arrier : STATE FUND
Policy No: 9133923
W. C. Expire • 5/27
# �}r��IQ123tR : NO `-
(W0Rre Hazard Zone : NO
g No of Units
1t No of 2
Building Setbacks : Front: 10, Side: 4
Flood Zone : X
Use Zone: R-1 - Single -Unit
PROCESSED BY:
SPECIAL CONDITIONS:
10
State Lic :
Engineer: LARSON
Address : 1437 GLI
(� Pho yyyyq
ignerr-
no work
Phone:
IME[ed/New sq. ft. Garage:
TOTAL sq. ft. :
EUGENE
ST
;A 92651
23
0
0
OWNER -BUILDER DECLARATION
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 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
the permit to file a signedstatement that Ire or she is licensed pursuareto the provisions of the Contractors' State License Law (Chapter g (commencing with Section 70i of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensors and the oasis for the alleged exemption. Any violation of Section 7031.E by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500),
111, as owner of the property, or my employees with wages as their sole compensation, will do L)... all of or (_) portions of the work; and the structure is notintended or offered for sale (Section 7044,
Business and Professions {Rode: The Contractors' State License Law does not apply to an owner of property who,through employees' nr personal effort, builds or improves the property, provided that the
Improvements are not Intended or offered for sale, If,. however, the holding or improvement is sold Within one year of completion, the Owner -Builder willItayfg burden of proving that it was not built or
unproved for the purpose of sale)
n L as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7 < and Professions Code: The Contraoiprs State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a ti. Factor pursuant to the onjracters' State License Law),
13 1 Ran exempt front Ocartsure under the Contractors' State License Law for the ratio
By my signature below I acknowledge that, except for my personal rest rFeG D I must have resided for at least One rtc completi np i§'covored by this permit, i cannoiiegail!
salt a structure that I have built as an ownor-builder if it tE• nsaruotad in its ontiroly by licensed understand,,(( at ��oo f I p 08b1e law, Bactrian 7044 of the Business and
Professions Code is available upon reque apple is subm' or at the folio site-http ltwww.leglni�a��Y�161610 htm
Signature of Property Owner or Auto a Agent ��Y---- - __.Rate:-
. .�.__
LICENSED CONTRACTOR'S D CIA TIQ�
f hereby affirm under penalty of pelfu It under under p%vistpns ofhaptaF g (Gocnrnanaoy vrilii SaetiOn 7 Ct� of " ' Qf' usEneB` ss and Prafessi Co etc rise is in full force
and effect. License Class Lice o Date ,� Contractor Signature
iRS' COMPENSATION t
FAILURE TO SECURE. WORKERS'
OST OF COMPENSATION, DAMAGES AS MON
haffirm oirm under penalty of perjury
I I have and will maintain. a Centro
erformance of the work for which this
:and will maintain workers'
is of Agent
certify that, in the pert mamoo of
, if I should becom s ject to the
lature of. Applicant+.
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE LTIES AND CIVIL FINES UP TO ONE HUNDRED
)E, INTER€ST, Are ATTORNEY'S>=EE5
of coTsen( to self-insuro for -worker "'compensation. Issued. by the Director 4,1ndustrial Relations as provided for by Section
mlY is Issued Polley NO._
for
urance, as regiiiied ((b}}y;(Saptiov,37704 of the Labor Code, for the performance of the work
this permit is issued, I shall person In an ' nnar scy J 4*Q& �.sbixjrc# to the workans' compensation
p�loe gfeaYsjpAf�`i cPn a r Code, I shall forthwith y with those provisions. A
Neby affirm under pohalty of perjury that th is 66 constructionk 4cdgency for the performance of the work to Is permit Is
Ider's Name Leaders Address
Try signature below, I certify to each of the fill
I am the property owner or authorized to Fell
I have read this application and the informati
I agree to comply Witt) all applicable city and
I authorise representatives of this city or cou
nature of Probarty Owner or Authorized Anon
is correct,
Purposes,
DATE BY DEZiWTION OF COMPLIANCE WITH CODE OF FEDERAL
RCGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMJTEXTENDEO —{ ugLyryig
PERMIT FINAL I SBE5 5 NOTIFICATION 15 NOT
CERTIFICATE OF ROPOSED0LITPX
OCCUPANCY ISSUED _ _ _ sirNATL'RE:/ , _
FOR OFFICE USE ONLY
ADDITION TO THE
Of the. Labor Code, for
kii,w, ofkors' Companies
and