HomeMy WebLinkAboutXR2023-1831 - Permits�gWPp�r City of Newport Beach II IIIII I IIII IIII III I III III IIII IIIII II COMB Permit : XR2O23-1831
04 1 @ Community Development Department- Building Division X R 2 0 2 3 1 8 3 1
1y" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1622
i Permit Counter Phone: (949) 718-1888 Issued Date
newportbeachca.gov/civic Final Date:
°q<rroaN�P Combination Type - MFP Permit Status: Applied
Work Class - Alteration Inspection Area : 1
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 : 116 30TH ST, 1/2 Legal Desc : P BK 251 PG 20 PAR 1 UN 1 P.M. 251-20, PARCEL 1 OF PROJECTa� Q?p-84 LOCATED ON
Description: MFR REMOVE AND REPLACE THIRD FLR DECK RAILING AND REPAIR LEAKS TO DECK
Owner: KATHERINE DIXON
Address : 116 30TH ST #B
NEWPORT BEACH, CA 92663
Phone: (714)402-4010
Applicant; MARQUEZ IRON INC
Address: 1656 S BON VIEW, C
ONTARIO, CA 91761
Phone : (909) 923-4455
Owner/Builder :
Address :
Phone
Contractor:
MARQUEZ IRON INC
Address :
1656 S BON VIEW, C
ONTARIO, CA 91761
Phone:
(909)923-4455
Con State Lic
: 868855
Lic Expire :
07/31/2024
Bus Lic:
BT30070537
Bus Lic Expire : 01/31/2024
Workers' Compensation Insurance
Carrier: STATE FARM FIRE AND CASUALTY
COMPANY
Policy No: 92KHY8168
W. C. Expire : 3/14/2024
Code Edition :
2022
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups :
U,R-3
No of Units :
1
Bldg Height :
No of Stories:
3
Building Setbacks :
Front: 9, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone:
R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone: d
State Lic
Engineer: LARA CARLOS E
Address: 20365 TDNEY STREET
PERRIS, CA 92570
Phone: (909)245-2578
Designer:
Address :
Phone:
Construction Valuation : $15,000.00
Added/New/Ti sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 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 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
�rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031 Z by any applicant for a permit subjects the applicant to a civil penalty of
Tot more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
mprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that R was not built or
improved for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with Iicensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or Improve$ thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason
By my signature below t 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 owner -builder 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 or at the following Web site:http:/iwww.ieginfo.ca.govicalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION "5510,�de,I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 0) of Division3 oftheBustnessand y license is in full force
and effect. License Class License No Dat L Contractor SignalWORKERS' COMPENSATION DECLARATIONMARRING: FAILURE TO SECURE WOR%ERS'COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PIES UP TO ONE HUNf00,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 310E OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
❑ i have and wit! 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 th
Kp fp formance of the work for which this permit Is issued. Policy No.
zeve and will maintain 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' compensatiol
insurance carrier and policy number are:
ne of Agent
certify that, In the performance of the
. if I should become subject to the wq
Policy Number
Date
this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
alion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I
�7
nature of Applican - � Dale
CLARATION REG G CO TRUCTtO NDING AGENCY
Irehy affirm under analty f p rjury that era is construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ Code).
_.. Idler's Name Lender's Address
iy my signature below, I ee ' y to each o the foil ving:
I am the property owner or authorize Do n the property owner's behalf.
I have read this application andthe information I have provided is correct.
I agree to comply with all applicable city and counyl ordinances and s la
I authorize representatives of this city or count. i enter the above: nt'1Jf ec
5i nature of Pro erty Owner or Authorzed AgeaH
ACTION DATE BY ErrIARAjI NOFC PLb
RfGUL IONS PA T 61 OP
1403 j _ 1. / _
CTSUBMITfEO AS BCSTOS .1�
PERMIT CAfvCELLED
�._.__.__.__._._..._.._
PERMIT ENTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
3 to buildingconstruction.
for inspection purposes.
NITH CODE OF FEDERAL
40 AND AQMD RULE
I$ NOT
FOR OFFICE USE ONLY
Name
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