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HomeMy WebLinkAboutXR2024-5573 - PermitsdF'W�Rp City of Newport Beach II�II II III I IIIIIIIIIIII IIIIIIII�IIIIIIIIIIII II COMB Permit : XR2O24-5573 D� '�' @ Community Development Department -Building Division _F rj �" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date: 07/11/2024 u r r newportbeachra.gov/civic Final Date: �ClcoaN�P Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - ADDITION/ALTERATION MAIN 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 : 107 VIA KORON Legal Desc : N TR 907 BILK LOT 695 Description: SFR - INTERIOR REMODEL 1310 SF'124-2270` Owner: FRITZ BURGESS Contractor: VANTAGE BUILDERS LLC Architect Address : 20 CLAY CLIFFE DR Address : 4695 MACARTHUR CT, 1100 Address EXCELSIOR, MN 55331 NEWPORT BEACH, CA 92660 Phone: (612)751-1110 Phone: (714)299-2500 Phone: Con State Lic : 1099711 State Lic Lic Expire : 12/31/2024 Applicant: VANTAGE BUILDERS LLC Bus Lic: BT30081896 Engineer: Address : 4695 MACARTHUR CT, 1100 Bus Lic Expire : 06/30/2025 Address NEWPORT BEACH, CA 92660 Phone: (714) 299-2500 Workers' Compensation Insurance Phone: Carrier: CLEAR SPRING PROPERTY Owner/Builder : Policy No: CWC01299101 Designer: Address : W. C. Expire : 11/10/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $131,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/NeW/TI sq. ft. Bldg : 0 Occupancy Groups: U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 1,310 Bldg Height: No of Stories : 2 Add/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks: Front: 4, Front: 0, Side: 3, Side: 3 Flood Zone: X FUse Zone: R-1 - SinglitttReesidential PROCESSED BY:' ` •,• ••• ••• SPECIAL CONDITIONS: o , OWNER -BUILDER DECLARATION I hereby affirm under penally of perury that I am exempt from the Contractors' State License Law for the resson(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 .ho 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 'rofessions 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 iot 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 (_) portions of the work, and the structure is not Intended 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 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' Slate 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' Stale License Law). 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 loll 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 Drofessions Code, Is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700D) of Ivis1 n 3 of the Business and Profession d q '� Ic sL!Is in full force and effect. License Class License No Dale Contractor Signature NORKERS' COMPENSATION DECLARATION YARNING: 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 (1100,000). IN ADDrrION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3M 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 In, )erformance of the work for which this permit is issued. Policy No. 71 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' compenselior nsurance carrier and policy number are: ,arrier Policy Number Expiration Date Jame of Agent Phone # :1I certify that, in the performance of the woe r 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 Catilomia, and agree hat, if 1 should become subject to the 1N' compe'sati—one p�re/gsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3ignalure of Applicant ^� ��\ Date_ dZ/ Ireby affirm under penalty,gFperjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ides 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 ordinancesped state laws relating to building construction. I authorize representatives of this cityor county to enter th rldetlMed property for inspection purposes. nature of Prooertv Owner or Authorized Agent r/� /%' Print Property Owner's or Authorized Agent's Name ACTION PERMIT EXPIRED PERMITCANCELLFD PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED DATE I BY 2//) /lq 1PF-- IWI.IANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY 61 OF TITLE 40 AND AQMD RULE APPLICABLE TO