HomeMy WebLinkAboutXR2023-0608 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Alteration
111111111111111111111111111111111111111111111111111111 � �� COMB Permit : XR2023-0608
Plan Check No:
Issued Date : 03/03/2023
Inspection Area : t
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 : 3204 OCEAN FRONT W Legal Desc : A TR NEWPORT BEACH CITY BLK 32 LOT 3
Description: SFR -REPLACE EXIST'G TILE SIDING WITH STUCCO (ALL SIDES)
Owner: PAPA JET LLC
Contractor: HILTON BUILDERS
Architect
Address :
Address : 425 31 ST ST
Address
CORONA DEL MAR, CA 92625
NEWPORT BEACH, CA 92663
Phone :
Phone : (949) 673-4128
Phone
Con State Lic : 316788
State Lic
Lic Expire: 05/31/2023
Applicant: HILTON BUILDERS
Bus Lic : BT30063566
Engineer
Address : 425 31 ST ST
Bus Lic Expire : 06/30/2023
Address
NEWPORT BEACH, CA 92663
Phone: (949) 673-4128
Workers' Compensation Insurance
Phone:
Carrier: FALLS+LAKE+FIRE+AND+CASUALTY+COMP
ANY
Owner/Builder:
Policy No: FLA00537105
Designer: ;
Address :
W. C. Expire: 5/7/2023
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $B0,004.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/Newts sq. ft. Bldg: 0 ..
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 3
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone : VE, 15 FT; X
Use Zone : R-2 - Two -Unit Residential
BY: NJO
n
CONSTRUCTION NURSE
PROCESSED
SPECIAL CONDITIONS: LIQUEFACTION; HIGH -DENSITY
ON THE WEEKENIG
OWNER -BUILDER
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(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 applicantfor
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 ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions 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 Code: The Contractors' State License Law does not
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apply 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).
El I am exempt from ucensure under the Contractors' State License Law for the following reason:
By 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 legally
sell a structure that I have built as an overor-butdor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code„ is available upon request when this application is submitted oral the following Web site:http:l/www.leginfo.ca.govtcalaw.html.
Signature of Property Owner or -Authorized Agent _Date _
LICENSED CONTRACTOR'S DECLARATION
i hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Prof Ions Cody y rise is In full force
and effect. License Class /j License No316-2LE Date �211., Contractor Signatur c L,C 6% �u-
WORKERS' COM.PEN .SAT16N DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I$ UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t510D,00q, IN ADDITION TO THE
CO$T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37e6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S PEE$.
I hereby affirm under penalty of perjury one of the following declarations:
111 have and will too.itain 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 thI
pe-fornsc.e of thh work for which this permit Is issued. Policy No.
and will roafmain 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'
carrier and policy number are:
Policy Number
Date
Is of Agent Phone N
,er-J'y that, in the per`ormance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and
it I �houid become soject to the workers' compensation provisions of Section 3700 of the Labor Code, Ishell forthwith comply with those provisions.
4risfure,
Date �1 46 r/r , 3
h=_c67 R'firm under penalty of per}ury that there Is a construction lending agency for the performance ofthe workfor Which this permit is issued (Section 3097, Civil Code).
ender's Name _ Lender's Address
ly my signature 1,G.ci � certify to each of Ilia 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 have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or eounly-Obliter the above -identified property for inspection purposes.
Date
DATE BY DECLARATIN OF I REGULATIONS PART n61p F TITLE 4MLIANCE +0 AND AQITH CODE OD RULER IL FOR OFFICE USE ONLY
FICATION TO
PERMITEXTENOED ] LJAQMD
PERMli FINAL 5HE5105 NOTIFICATION IS NDTAPPLICAULE TO
CERANCA7E OF I1.�1.'1; C%/!OSE➢DE,. fA
OCCUPANCYISSUED i s7GNATLIRE: ,ff//.