HomeMy WebLinkAboutXR2024-0943 - Permits4�EPo�. City of Newport Beach iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii II COMB Permit : XR2024-0943
t A Commupity Development Department- Building Division X R 2 0 2 4 0 9 4 3
�" 10o Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0729
Permit CwnteT Phone: (949) 718-1888 Issued Date: 04/11/2024
a. newpwtbeac6ca.gov/civic Final Date:
Combination Type - MFP Permit Status: Issued
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Work Class -Alteration 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 : 16 SUMMERWIND CT
Description
: MFR DECK REPAIRS
Owner:
NEWPORT CREST
Address :
201 INTREPID ST
NEWPORT BEACH, CA 92663
Phone:
(949)644-3270
Applicant: ANGUS SMITH CONSTRUCTION
Address: 12342 CANYON TERRACE
SANTA ANA, CA 92705
Phone: (714) 538-1191
Legal Desc : N TR 7817 BLK LOT 2 UN 1 TR 7817 LOT 2 UNIT 1 OF P
Contractor: ANGUS SMITH CONSTRUCTION
Architect :
Address : 12342 CANYON TERRACE
Address
SANTA ANA, CA 92705
Phone: (714) 538-1191
Phone
Con State Lic : 637440
State Lic :
Lic Expire : 02/28/2026
Bus Lic: BT01101101
Engineer:
Bus Lic Expire: 09/30/2024
Address
Workers' Compensation Insurance
Phone
Carrier: STATE NATIONAL INSURANCE COMPANY
INC
XIAO QIANG
1520 BROOKHOLLOW DR #45
SANTA ANA, CA 92705
(714) 662-0510
Owner/Builder :
Policy No: AMX0800030007
Designer:
Address :
W. C. Expire: 10/1/2024
Address
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation : $9,500.00
Type of Construction:
V-B
Fire Hazard Zone : NO
Added/NewITI sq. ft. Bldg : 0
Occupancy Groups :
R-2
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
Flood Zone:
X
Use Zone:
PC - Newport Crest - UP1585
PROCESSED BY
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm 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 items)
Ilion 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
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 70DO) of Division 3 of the Business and
fessions 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
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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;mess and Professions Code: The Contractors State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the
rovements 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
roved for the purpose of sale).
I, 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
ily 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).
J I am exempt from licensure under the Contractors' Stale 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 coven
e0 a structure that I have built as an owner -builder 4 it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section
Tofessions Code, is available upon request when this application is submitted or at the following Vyeb site:httpliwww.leginfo.ca.govlcalaw.html.
ignature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) f Division 3 of the Business and Prof sions o e,
nd effecL License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
and
my Iigpnse is in full force
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OWL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
—hereby affirm under penalty of perjury one of the following declarations_
.11 h e 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 In,
e or tansation
ce Di the Work for which this permit is Issued. Policy No-
or
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' compen
nsuran carrier and policy number are:
:abler Policy Number _ Expiration Dale
game of Agent Phone #
-11 certify that. in theyefforma
n 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' c mpensation laws of California, and agre,
hat, if I should beco object e r ens' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
>ignature of Applicant Date . 44 o 4,
XCLARATKJN RE DING C STRUCT�ING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance ofthe work for which this permit is issued (Section 3097, Civil Code).
-enders Name Lenders Address
3y 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 have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize'repfasenlatives of this city or county t rt e. bove-id ntifiad property for inspection purposes.
3ienature of PrQnprty Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name L to -I t
ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART fit OF TITLE 40 AND AOMD RULE
1403
PEItATCANCELLFD
CEPI IN, ATE OF
OCCUPANCYISSUFD
SIGNATURE:
TO