HomeMy WebLinkAboutXR2022-3075 - Permitst .�EwNo� e olmm nit Development
e op0� Beach
pDepartment Building Division Illlllll ll11lu llul lull llllll lull lu 75 II P 9 X R 2 0 2 2 3 0 7 5
ny • � h `S,' 100 Civic Center Drive, Newport Beach, CA 92660 f
Permit Counter Phone: (949) 644-3288
4C �. Inspection Requests Phone: (949) 644-3255
tiFoW?a newportbeachca.gov/inspections'--'''-
Combination Type - SFP
Work Class - Alteration
C0141B Permi, : XR:7-022-3075
Pla 1 Chepk,No : PC2022-2947
IssazJ Dare: 1 i'/28/2622
Inspection Area:3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID SPECTION, NO LA E"' AN S YEAk5 FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY' HIGH DENSf4i AREA AND N OliiS.4?N SUNDAY AND HOLIDAYS IN ALL AREAS
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Job Address : 3016 CLIFF DR Legal D c gg,yc FIRPADD T EWPORT HEIGHTS BILK 1 T 1
Description: SFR ALT (E) WINDOWS TO FOLDING DOORS. R/R IND9VS. O
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Owner: WINTHROP MARC JOEL TR ntractbl: P vQK 11UM F�ILDERS c itect:
Address : 3016 CLIFF DR ddress : 01 E GER AVE #C-9 a' -dress
NEWPORT BEACH, CA 92663 SANTAA, CA 92705
Phone : „� Pho e : (714)�$9-1255 Phone
4,92049 '' State Lic :
Applicant: PREMIUM BUILDERS
Address : 1701 E EDINGER AVE #C-9
SANTA ANA, CA 92705
Phone: (714)569-1255
Owner/Builder :
Address :
Phone
Code Edition : 201 Y
Type of Construction : V
Occupancy Groups ,"
Bldg Height:
Building Setbacks Frontk22, „, e: 4,
Flood Zone : X �V,
Use Zone : R-1 - Single-UnN
PROCESSED BY:
SPECIAL CONDITIONS:
Bus,.K Ex re"� -. 05/31/2024 e�� 1
BT34s Lic Expira : 08/31/'2'
Workers' Compensation Insurance , ++�,��-
Carrier,: CLEAR SPRING PROPE.:,- D GdtSUALTY
-' COMPANY ,,
W %;• P0ycy No: CWC00423800
W. C. Egpire 1/14/2023
i A J
�7
e klers : NO
rd Zone
�a, nits
AP.N f Stones
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4 ear 5� (7;'�
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E. I SHUCRI I
E. CHAPMAN #D
ANGE, CA 92866
4)997-9120
Construction Valuation : $20,000.00
Added/New/TI sq. ft. Bldg: 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
I N%30 CTC R
OWNER -BUILDER DECLARATION
t hereby affirm under penalty of perjur+ that I im exempt barn the Contractors' State License Law for the reason(s) indr aced below by the checkmark(s) I have placed next to the applicable itemjs)
;Section 7031.'6, Business and Professions � fode. Ariv c,,y .,r couidy (hat; squires a permit to construct, alter, improve, demollSh, otrepair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that hs or.,r.c is IicansoC pursaant'c the provisions of the Contractors' State License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business and
professions Code) or that he or she is exempt from licensure and the basis for the alleges! exemption. Any violation of Section 7031.5 by any applicant far a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
0 I, as owner of the property, or my emp'ayee with wagss es their so,e con,pensation, will do (_} all of or L) portions of the work, and.fhe structure is not intended or offered for sale (Section 7044,
Business and Professions Code: 'The Contmcirns State uceose Law dues nc, apply to an owner of property who, through employkas' or' onal'effort, builds or improves the property, provided gunfire
Improvsmenis are notintended or offered ;or sat,:. If, f.ov,aver,'lie bui€Cing or improvement is sold within one year of oamplatio the CWHer- 9de(will have the burden DP proving that it was not built or
mprovod for the purpose of sate). a�
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construcgtt the project {Section 7044, usiness and Professions do: Tho'Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contra Cis for the profe6tswithe.9iCens@d GanVaG pursuant to the Contractors' e Licanse�Law).
El I am exempt from licensure under the Contractors' State License Law for the following Feascn• _
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least ne year prior to completion of the improve is Gov d by this permit, LGannat legal
soil a structure that I have built as an owner -builder If it has not boon constructed in its entirety by licensed contract . I understand that a copy of thhg.gpplieable law, client of the Bu ' ass and
Professions Code, is avolable upon request when this application is submitted or at the following Web site http/,+4y".leginfo.ca.govlcalaw.html. $`1`►
Signature of Property Owner or Authorized Agent ;,�, _ ate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with. cation 7000)af Div sion 3 of the l� sand Profe C icense is In full force
and effecL License Class License No .'n Date%-W rat ton r Signature
VORKERS' COMPENSATION DECLARATION
MRNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CROUNAL PENALTIES AND Civ
:DST OF COMPENSATION, DAMAGES As PROVIDED FOR iN SECTION 3706 OF THE LABOR CODE. INTEREST,. ANn ATTORNEY'S FEES.
^h5ereby affirm under penalty of perjury one of the following declarations:
3 '��''''i
1 have and will maintain a certificate of consent to soifyirmure for workers' compensation, issued by the 1,Ctor o€ Indu llc
y arm nee of the work for which this permit is issued. Policy Na. -. e
11 In and Will maintain workers compensation insurance, as regii'ii�l by Section 3700 of the Labor Code, for the pQ0f0WttCe
once carrier and policy number are'. (v h
Policy Number
of Agent
l certify that, in the performance of the work for wh his it is issued I shall not e4
t, if I should become subject to the worke ' Go s;tJprGvisiuns of Section 3700„gt-
(nature of Applicant, _ �x
CLARATION REGARDING CONSTR. ING AGENCY
areby affirm undar IT of perjury t ere is a construction lending agency foi:tfle pe?
filer's NameRf3
my signature below, I certify to oodch of the following:
I am the property owner or authotbUE6 to act or the ptAp6rty owner's be
I have read this application and the information I h a proviiS�tl,Js coIra ,� F
I agree to comply with all applicable city and cou',ordinan; and st a Eati"i ",{ St to
I authorize representatives of this city or county tter tt ' led property for
ACTION
DATE I BY
TITLE40
PERAIMExPIRED
PERMIT FINAL CExrErCArEOF / 51GaOSSE� PROPOSED
OCCUPANCY ISSUED l
in any marftNAill;40 as to
I shall forthwith comply
Omance of tha,c for which this
Address .+ s./
1
ONLY
(6 00,000), IN A009ION TO THE
asproyided-V bvkeetion 3700 of the Labor Code, for
work (Gr w i th�permit is issued. My workers'
€WD -
Date ,
xkers' Compensation laws of California. and agre
Date 7- % r
(Section 3097, Civil Code),
NameJf"'f 1 ' �` '�S DataZ I