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HomeMy WebLinkAboutXR2022-2433 - PermitsaEWPOR City of NDewport Beach mh II III I I I III II I III I IIII II II COMB Permit : XR2O22-2433 O4 @ Community nt- Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: U x Permit Counter Phone: (949) 644-3288 Issued Date : 09/09/2022 Inspection Requests Phone: (949) 644-3255 Inspection Area : 2 <�coaN newportbeachca.gov/inspections Combination Type - SFP Work Class - Alteration 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 AU --AREAS aaa.^ a as O O i aaaooa aaa• a f Job Address : 22 LINDA ISLE LegalDesc : N TR 4003 BLK'LOT 22 Description: DELTA 6 -BALCONY GUARD AND ADD SCOPE DECK GUARD REPLACE TO GLASS GUARD -.: ... @Oi• ! O Owner: SMITH GEORGE WILLIAMS TR G & T SMITH Contractor:' JENKINS CONSTRUCTION: Architect: SMITH BRADFORD FAMILYTR vaaa a Address : 22 LINDA ISLE Address : 168:MONTE'. VISTA AVE .Address : 425 30TH ST #22 NEWPORT BEACH CV ' NEWPORT BEACH, CA 92660 COSTA MESA, CA 92627 92663 • o"'m Phone: Phone: (714)351-0676 Phone: (949)631-3682 '•a° ° Con State Lie : 901221 State Lie Lie Expire: 07/31/2023 Applicant: SMITH BRADFORD Bus Lie: BT30035239 `. Engineer: GHOULI RAID ASAD Address : 425 30TH ST #22 " Bus Lie Expire: 04/30/2023 Address : 26040 ACERO #100 NEWPORT BEACH, CA 92663 MISSION VIEJO, CA 92691 Phone: (949) 631-3682 '' Workers' Compensation Insurance Phone: (949) 855-2300 Owner/Builder Address : Phone Carrier: STATE+COMPENSATION+INSURANCE+FUN D Policy No: 9076367 Designer: W. CExpire: 10/20/2022 Address Phone: Code Edition : 2019 Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone : Use Zone: PROCESSED BY: V-B U,R-3 Front: 10, Front: 25, Side: 4, Side: 4 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: F re.Spnnklers . NO - Construction Valuation : Fire Hazard Zone :' NO Added/New/TI sq. ft. Bldg No of Units : 0 .. Alteration sq. ft. Bldg : No of Stories : 2 Added/New sq. ft. Garage NIPE.CT $4,000.00 0 I hereby affirmunder penalty of perjury that am exempt from the Contractors' State License Law forthe reasons) indicated below by the checkmark(s) I have placed next to the applicable items) clion 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 He issuance, also requires theaaplicant foi permit to file a signed statement that he or she L5 licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9. (commencing with Section 7000) of Division 3 of the Business at fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031 L by any appGdant for a permit subjects the applicant to a civil penalty c more than five hundred dollars ($500). I I, as owner of the property, army employees with wages as their sole compensation, will do (_)all of or U portions of thA. work, and the structure is: not intended or offered for sale (Section 7044, iness and Professions Code: The Contractors' State License Low does not apply to an owner of propBy who, through a TTTI ployees' or' personal effort, builds or improves the property, provided that the rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of compldYlon, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). I, as owner of,flit VNparty,am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coder The Contractors Stale License Law does note ly to an owner ek„reperty-'who builds or Improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law). -'7 Aempt,rartlJicinsum under the Contractors' Stake License Law for the following reason. rip signature getout' 4acknowledge that, excapt for my personal residence in which 1 must have resided for at least one ye r prior to completion of the improvements covered by t ' p mit, I cannot iec %.sn`Uctum that (have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I and ,stand that, a copy of the: applicable law, Section 70 of thfif Business and under provisions of Chapter 9 (commencing License No LIbLURE TR 9EryRZ. WCHUKEPZ COMPENSAT{om COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES AND GML FINES UP TO, ONE HUNDRED THOUSAND DOLLARS {S100MOL IN. ADDITION TO THE €RIPENSATyip DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES: $irm under penalty Of perjury one of the following declarations: and will'htaint'lin a certificate of consent to self -insure for workers' compensation, issued by: the Director for industrial Relations as provided for by Section 3700 of theLaborCode, for th, ce 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' compensatior Carrier and policy number are;. . Po,1/y Number Expiration Date certify Met, in the perfo anoe he wo #or h this permit' shall not employ any person in any manoar, as to become subject to the workers' compens on I� s of California, and agree [, i£ I should becomes jest to w `c ensatlGn €sions of S Ilion 3700 oft a Labor Code, Ishall forthwith. omply with those provisions. nature of Applicant Data CLARATION REGAR e0NSTRUCTtON LENDING AGENCY ?reby affirm under penalty of perjury thatthere is a construction lending agency forthe performance of the work for which is permit is. issued (Section 3097, Civil Code), idefs Name Lendeds Address my. signature below, I certify to each of the. following:: I am the property owner or authorized to act on the 7p� own 's b aif. I have read this application and the information I naided' cor ctI agree tc comply withall applicable city and county nc and si la/pirqpection g to building construction.t aufhomzerepresentatives ofthis city nr cpunly toe trove ntifl ppWoses. ACTION DATE BY [ W,LARATION OF COM&AME:WITH CODE ©F:FEDEI I REGULATIONS PART 61 OF TITLE AD AND AWAD RULE PERIVITFINAL CERTIFICATE OF I I PROhOSEO DEMOLfF9NN0T LtU TO OCCUPANCY ISSUED (((� it Z 7i� SIGNATUREziC i