HomeMy WebLinkAboutXR2024-1112 - PermitsEWPo Cityof Newport Beach 111IIIIIIII111111111111111111111111111111111111111111111111
Comunity Development Department - Buildin Division COMB Permit:XR2U24-1112
9 X R 2 0 2 4 1 1 1 2
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0825
nt Permit Counter Phone: (949) 718-1888
u tr Sq Issued Date : 05/08/2024
c� newportbeachca.gov/civic Final Date:
°94roaa`P Combination Type - 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 : 106 CORAL AVE
Description: DUPLEX- STAIR REPAIR
Owner: GEORGE & SUZANNE CAMPBELL WOODS
Address : 106 CORAL AVE
NEWPORT BEACH, CA 92662
Phone : (949) 293-8699
Applicant:
PACIFIC COAST BUILDERS INC
Address :
20701 S GOSHAWK LN
HUNTINGTON BEACH, CA 92646
Phone :
(206) 459-6794
Owner/Builder
:
Address:
Phone
Legal Desc : A TR BALBOA ISLAND SEC 2 BLK 5 LOT 26
Contractor: PACIFIC COAST BUILDERS INC
Address : 20701 S GOSHAWK LN
HUNTINGTON BEACH, CA 92646
Phone : (206) 459-6794
Con State Lic :
672362
Lic Expire :
03/31/2025
Bus Lic:
BT30075447
Bus Lic Expire
: 05/31/2024
Workers' Compensation Insurance
Carrier: ACE AMERICAN INSURANCE COMPANY
Policy No : C51300841
W. C. Expire : 2/1/2025
Code Edition : 2022
Fire Sprinklers :
Type of Construction : V-B
Fire Hazard Zone
Occupancy Groups: R-3
No of Units :
Bldg Height:
No of Stories
Building Setbacks: Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone : AO 1; X
Use Zone: R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer:
CHOI DAVID
Address :
1327 LOMA AVE
LONG BEACH, CA 90804
Phone:
(562)961-5600
Designer:
Address :
Phone:
NO Construction Valuation :
$10,000.00
NO Added/New/Ti sq. ft. Bldg :
0
2 Alteration sq. ft. Bldg :
0
2 Add/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
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 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
he 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
'rofesslons 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 penaky of
of more than five hundred dollars ($500).
I, 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,
lusiness 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
mprovements 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
mproved 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
Ipply 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),
3 1 am exempt from licensure under the Contractors' State License Law for the following reason:
iy 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 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://www.leginfb.ca.gov/calaw.htmi.
signature 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 7000) of Division 3 of the Business and Professions Code, and my license is in full force
Ind effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
✓ARNING: 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 IS100,0001. 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:
I 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 th,
,erformance of the work for which this permit is issued. Policy No.
have 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'
rance 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 laws of California, and
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature of Applicant Date
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
3reby 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).
Tder s Name Lenders 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 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 above -identified property for inspection purposes.
ACTION ( DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITCANCELLED
UEPA
PERMIT EXTENDED
UAQMD
PERMITFINAL
CERTIFICATEOF
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ASBEST05 NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: