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HomeMy WebLinkAboutXR2023-0342 - Permits��gWPORT City of Newport Beach p 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 CgrrFO M1N`P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 111I��III��III 11111111111111111111111111111111111111111jj COMB Permit : XR2023-0342 Plan Check No: Issued Date : 02/06/2023 Inspection Area :3 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: 302 KINGS RD Legal Desc : N TR 1219 BILK H LOT 12 Description: NEW SFR TEMPORARY SHORING *CHANGE OF CONTRACTOR* Owner: STAR PROPERTY LB INVESTMENT LLC Contractor: GONTERMAN CONSTRUCTION Address : 14930 ALONDRA BLVD Address : 502 30TH ST, UNIT A LA MIRADA, CA 90638 NEWPORT BEACH, CA 92663 Phone: (562) 225-6425 Phone : (949) 697-0746 Applicant: ERIC AUST Address: 62 BALBOA COVES NB, CA 92663 Phone: (949)637-5220 Owner/Builder : Address : Phone Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height : Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 0 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY; , SPECIAL CONDITIONS: Con State Lic : 858073 Lic Expire : 04/30/2023 Bus Lic: BT30048414 Bus Lic Expire : 09/30/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9259518 W. C. Expire : 8/22/2023 Architect : ERIC AUST Address : 62 BALBOA COVES NB, CA 92663 Phone: (949)637-5220 State Lic Engineer: ALLEN THOMAS CHRISTOPHER Address: 2 VENTURE #400 IRVINE, CA 92618 Phone : (949) 477-4001 Designer: Address : Phone: Fire Sprinklers : NO Construction Valuation: Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 No of Units : 1 Alteration sq. ft. Bldg : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 t&,tea` :ay OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Lem(s) (Section 7031.5, Business and Professions Cade: 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 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 licensorsand 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or t_) 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 theburden of proving that it was not built or improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not 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). ❑ I am exempt from licensore 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 most have resided for at least one year prior to completion of the improvements covered by this permit, I. cannot fegallb 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 theapplicable 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.leginfo.ca,gov/calaw.thtmt. Signature of Property Owner or Authorized AgentDate,_ LICENSED CONTRACTOR'S DECLARATION i hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 D' ision 3 of the Business and Praf sI OR od m tineR Is In full farce and effect. License Class License No Date i!6 7ba$ Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINES UP TO ONE HUNDREDTH USANO DOLLARS IS100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Irrhereby affirm under penalty of perjury one of the following claclaratlons: 4I have nd wilf 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 r nce of the work for which this permit is issued. Policy No. 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` carrier and policy number are: Policy Number of Agent Date certify that, in the performance 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 laves of Galffomia, and ogre t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ` nature of Applicant_ ^-�—_ 1) ✓e}61Jj/"_ 6 ��� _ CLARATION REGA 1 G CONSTRUCTION LENDING AGENCY malty 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). ide's Name Lender's Address Try 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 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 county to enter the $ove_identihed arooertv for inspection purposes. ACTION DATE. RV /�i DECLARATION'. OF COMPLIANCE WITHCODEOF FEDERAL FOR OFFICE USE ONLY lJ j\REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE 9 1403 PERMIFEXPLI I SURMITT€DASBESTOS NOTIFICATION TO PERMIT CANCELLED FIEPA PERMIT FINAL ;& U ASBES 105 NOT l FICA PION 15 NOTAPPLICABLE 10 CERTIfICAFE OF Y/ PROP05ED DEMOLITION OCCUPANCYISSUED SIGNATURE: