HomeMy WebLinkAboutXR2024-0945 - Permitsy :E o�T City of Newport Beach IIIIIIIIIIIIIIIIII�IIIIIIIIII�IIIIIIIIIIIpIII�IIIIIIIII II COMB Permit : XR2024-0945
Comm ly Development Department- Building Division X R 2 0 2 4 0 9 4 5
g �„ 100 CtvcCerIter Drve, Newport Beach, CA 92660 plan Check No: PC2024-0729
cta Permit Cdu r Phone: t949) 718-1888 Issued Date : 04111/2024
u
newportbeachca:gov/civic Final Date:
"gt�o,rP" 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
: 10 SERENA 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: AMX0800030007
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
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 items)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to ConsWct. alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
Io permit to rile 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 Acensure 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
of more than five hundred dollars ($500).
3 1, 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,
.usiness 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
pply 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).
I I am exempt from licensure under the Contractors' State 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 covered by this permit, I cannot legall,
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:OY+ww.leginfo.ca.govlcalaw.html,
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Division 3 of the Business and Pr ssior od Q and myJicense is in full force
nd effect. License Class License.No Date t — Contractor Signatur t
VORKERS' COMPENSATION DECLARATION If
'ARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORE THOUSAND DOLLARS IEIDD,UDDj, 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:
7 I ave and WHI 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
ey..6irmance 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'
carder and policy number are:
Policy Number Expiration Date
of Agent
certify that. in the performance of l 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 agre
L If I should beta ubjac the n kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant ,._ Date —tt
CI-MATION REG RDt - NSTRUCTION LENDING AGENCY
areby 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, Civi Code).
Iders Name Lender's Address
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 1 have provided is correct.
I agree to comply with all applicable city and c Lily o Inances and stale laws relating to building construction.
I authorize representatives of this city or count t e e ih a ove-id t 'ad property for inspection purposes. f� (n� C //
nature of Property Owner or Authorized Agent _: Iv Print Property Owner's or Authorized Agent's Name/ I yNtsP.� unWti7'j / I Date 'J/ —.i..
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OFTITLE40 AND AQI RULE
PFRMIT EXPIRED.
-FFMITCANCELLED
,^E.R.MI' EX7fN0LL
NOT IFICA;LION I$ NOT APPLICABLE TO
[ERRSfATEOF I 1V Ir PRO005ED0
PCCUPANCY155U'50 rSIGNATURE: