The URL can be used to link to this page

Home My WebLink AboutXR2023-0800 - Permits��eWPogT City of Newport Beach 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 CqC/F00.N\P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other I1IIIIIIIII1111111111111111111111111111111111111111111111 jj COMB Permit : XR2023-0800 Plan Check No: PC2023-0687 Issued Date : 04/17/2023 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: 20401 UPPER BAY DR Legal Desc : N TR 6407 BILK LOT 8 Description: SFR NEW ROOF DECK OVER KITCHEN 124 SF Owner: JOSEPH ARCHER Contractor : Architect Address : 20401 UPPER BAY DR Address : Address NEWPORT BEACH, CA 92660 Phone : (949) 677-5337 Phone : Phone Con State Lie : State Lie Lie Expire Applicant: JOSEPH ARCHER Bus Lie : Engineer : ROSS SCOTT WILLIAM.. Address : 20401 UPPER BAY DR Bus Lie Expire : Address : 1800 E 16TH STREET #8.. NEWPORT BEACH, CA 92660 SANTA ANA, CA 9270: , - Phone : (949) 677-5337 Workers' Compensation Insurance Phone : (714) 835-2800 Carrier : Owner/Builder : JOSEPH ARCHER Policy No: Designer: - Address: 20401 UPPER BAY DR W. C. Expire: Address NEWPORT BEACH, CA 92660 Phone : (949) 677-5337 Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $25000:00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 - Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25 Flood Zone : X Use Zone : SP-7 - Santa Ana Heights Specific Plan M PROCESSED BY: SPECIAL CONDITIONS: O/B FORM ATTACHED g � r OWNER -BUILDER DECLARATION € hereby affirm under penalty 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 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 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 lieensureand 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 ($50D). 71 1, as owner of the property, or my employees with wegas as their sole compensation, will do (-) all 9f or t_) portions of the work, and the structure Is notintended 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 ara 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). Lj_i 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 apply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 11 1 am exempt frorn ]!Censure under the Contractors' Stale License Law for the following reason: By my signature below I acknowledge that, except for my personal residen a 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 en c rutted 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 ap icati is mitted or at the following Web site:http://w .leginfo.ca,gov)calaw.html, Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am IlGenvild under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 37e6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penrity of perjury one of the following dec€aratlons: ❑ I have end will nail stain 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, forth, porfur:r.a.nx of the lurk far which this permit is issued. Policy No. have And will maintam`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' ,anae carrier and policy number are: Policy Number of Agent Date .:CKlfy 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 laws of California, and t, it I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. eawre o, Applicant _ _ Date_ CLARATiON REGAROPING CONSTRUCTION LENDING AGENCY !. a ; i`fi: m under�penally of perjury that there is a cOnsirucilon lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). roars Name _ Lenders Address my signature below,, uertify 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 o trra�es yay7state laws relating to building construction. I authorize representatives of this city or county t nter t k�e I ntified property for inspectlon purposes, nature of Prdpertv Owner or Authorized Agent �. _ Print Property Owner's or Authorized Agent s Name jZYL�Y7t Ar�C�fJA'� Dale _ y�/ %L DATE I BY DECLARATION OPrfWPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED -(—J I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LI[PA PERTMIT FIN OF IITII�'�l AL ASBESTOSE LITIO ON NOTAPPLICABLE TO OCCUPANCYISSUED SIGNATURE: