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Home My WebLink AboutXR2023-0458 - Permits�aEWPoRr City of Newport Beach IIIIIIIIII II IIIII IIIIII IIIIIIII IIII IIIII II II p d Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c9C/F00.H�P newportbeachca.gov/inspections Combination Type - MFP Work Class - Other COMB Permit : XR2023-0458 Plan Check No: PC2023-0384 Issued Date : D2/1712023 Inspection Area : Z 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 : 15 WILD GOOSE CT Legal Desc : N TR 7852 BLK LOT 1 UN 1 TR 7852 LOT 1 UNIT 1 OF PROJECT LOC ATED ON AP Description: MFR -BUILD NEW BALCONY 206 SF, CHANGE WINDOW TO SLIDER Owner: CHRISTINE GROCKI Contractor: ANGUS SMITH CONSTRUCTION Architect Address : 15 WILD GOOSE CT #63 Address : 12342 CANYON TERRACE Address NEWPORT BEACH, CA 92663 SANTA ANA, CA 92705 Phone : Phone : (714) 538-1191 Phone Con State Lic : 637440 State Lic Lic Expire : 02/29/2024 Applicant: ANGUS SMITH CONSTRUCTION Bus Lic: BT01101101 Engineer : XIAO QIANG Address : 12342 CANYON TERRACE Bus Lic Expire : 09/30/2023 Address : 1520 BROOKHOLLOW DR #45' SANTA ANA, CA 92705 SANTA ANA, CA 92705 Phone : (714) 538-1191 Workers' Compensation Insurance Phone : (714) 662-0510 Carrier: STATE NAT'L INS CO Owner/Builder : Policy No: AMX080003000 Designer Address : W. C. Expire : 10/1/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $5,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/NewITI sq. ft. Bldg: 0 Occupancy Groups : U,R-2 No of Units : 7 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : Use Zone: PC - Newport Crest - UP1585 PROCESSED BY: 697��3I_�II�di7. fi7 Y1 P7.6� OWNER -BUILDER DECLARATION I hereby aHimi under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Rem(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any stucture, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($w500).. 111, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portfons of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 Improvements 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 of proving that it was not built or improved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coder The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law), I I am exempt from licensum 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 ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by liconsed contractors. I understand that a copy of the applicable. law, Section 7( 'rofessions Code„ is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov(calaw.html. ilgnature of Prol,r.hy Owner or Authorized Agent— aQte .ICENSED CCSTRACTOR'S DECLARATION !� herPhy affirm urder acnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700�)) of . "visiog 3 of the Business. and ProfesslopsLC. a al nd effect. License Cl'tss License No Date i 1 l Contractor Signature + f this permit, I Cannot of the Business and my lipii%se, is in full force liORKPIRS' COMPENSATION DECLARATION IARNMO: FAILURE TO SEC'IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1'.00,000), IN ADDITION TO T CST O' COMPEN.rA.T' 7.i, LAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. here',,, affirm under penalty of perjury one of the following declarations: ,love and will maintain a certificate of consent to .self- insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for -s-hm.ance of the work for which this permit is issued, Policy No. nave and will mairtAn workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers' rancu cardei and po'icy number are: T.er_ _ ne of Agent certify that, in the :, if I should bacon Policy Number Date of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compansation laws of California., and agm F-e vorkers'IG��L(�mpensatian praYlstons of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. �f7i�t/Inl ___ _ `Date-'— 17 — 2,� hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Order's Name Lender's Address ry my signature below, I certify to each of the following: I am the property owner or authorized to act on the. property owner's behalf. I have read this application and the information I hav vided is correct. I agree to comply with all applicable city and county ordln co d slate laws relating to building. construction. ^ I authorize representatives of this city or county to entef tp ab identified A(gperty for inspection purposes. 1 ACTION PERMIT CANCELLED W—Rmif EATENOED PERMtTFiNAL CERTIFICATE OF OCCUPANCYISSUED DATE BY ( DECL�.RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY k REG CATIONS PART 61 OF TITLE 40 AND AQNID RULE NOTIFICATION TO OSNOPIFICAIIOTI$SNDTAPPLICABLE TO Date. �I-�