HomeMy WebLinkAboutXR2024-0942 - Permits�Qit�j`
°a �rPo r City of Newport Beach ent-Building Division ��������������������������������������������������������jjCOMB Permit: XR2024-0942
90 ty X R 2 0 2 4 0 9 4 2100CN"iCQenterDnve, Newport Beach, CA 9266oPlan Check No: PC2024-0729
Permit Couh ecPhone: (949) 71 B-1888 Issued Date : 04/11/2024
newportbeach8a.gov/civic Final Date:
Combination Type - MFP Permit Status: Issued
Work Class -Alteration Inspection Area : 2
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 : 14 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
Owner/Builder :
Address:
Legal Desc : N TR 7817 BLK LOT 2 UN 1 TR 7817 LOT 2 UNIT 1 OF P
Contractor: ANGUS SMITH CONSTRUCTION
Address : 12342 CANYON TERRACE
SANTA ANA, CA 92705
Phone: (714) 538-1191
Con State Lic : 637440
Lic Expire : 02/28/2026
Bus Lic : BT01101101
Bus Lic Expire: 09/30/2024
Workers' Compensation Insurance
Carrier: STATE NATIONAL INSURANCE COMPANY
INC
Policy No : AMXDB00030007
W. C. Expire: 10/1/2024
Architect
Address
Phone:
State Lic:
Engineer:
XIAO QIANG
Address :
1520 BROOKHOLLOW DR #45
SANTA ANA, CA 92705
Phone:
(714)662-0510
Designer:
Address :
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation : $9,500.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI 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
I 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 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 applicant for
io 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
'rofessions Code) or that he or she is exempt from pcensuro and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant fora permit subjects the applicant to a civil penalty of
of more than five hundred dollars (S500).
7 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,
rosiness 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
nprovements 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
nproved for the purpose of sale).
7 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
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 I am exempt from Rcensure under the Contractors' State License Law for the following reason:
ly 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
ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw,html.
signature of Property Owner or Authorized Agent Date
ACENSED CONTRACTOR'S DECLARATION
hereby affnm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seclio(t, 7000) of Dlylsion &of the Business and Pro ions od „ all my licen a is In full force
Ind effect. License Class License No Da{ %f, —) ( �-4 contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: 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 ISr00,9001, IN ADDITION TO THE
;DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have 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
ormance 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 Expiration Date
of Agent Phone H
I certify that, in the performa a 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 Calfforria, and agre
that, if I should become subje it thej Anrkers' c mp nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Signature of Applicant,L Date _
DECLARATION REG RDIN C NSTRtl10 LENDING AGENCY
I hereby 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, Ci I Code).
Lenders Name Lender's Address
By 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�rdinanc sand state laws relating to building construction.
I authorize rEp.asantatives of this city or counik 16 �nipr th above-iden)i% ¢ property for inspection purposes, r j n /��� �- /
Signature of Prosa.trOwner or Authorized AGent �( nAA Print Prooenv Owner's or Authorized AGent's Name 1 c)-((\ I/vYl`7Z ate
1_'IJ:d DATE BY V DECLARATION OF COMPUANCEW"CODE OF FEDERAL I FOR OFFICE USE ONLY ✓ V
E REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED _ _ _
^EPMIT TANCELLED
I tJ I SUBMITTED ASRF.STOS NOT]FICATIDN TO
UFPA
PERMIT EXTENDED
I_WAQMD
PERMIT i-INAL
ASBESTO TIFICAT O IS OT PPLICABLE TO
CERTIFICATE OF
IILL
PROPOSED OLITIO /ny/
GCCUPAtICYISSUED
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SIGNATURE 1 .AA%lN /