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HomeMy WebLinkAboutXR2023-0255 - Permits��gWPO� City of Newport Beach o Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ? Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cq</FOAN�P newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration X R 2 0 2 3 0 2 5 5COMB Permit : XR2023-0255 Plan Check No : m�'722 Issued Date: 01/27/2023 i �J OR 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 ROBON CT Description: MFR -BALCONY REPAIR Owner: NEWPORT CREST HOA Address: 201 INTREPID ST SANTA ANA, CA 92705 Phone Applicant: ANGUS SMITH CONSTRUCTION Address : 12342 CANYON TERRACE SANTA ANA, CA 92705 Phone : (714) 538-1191 OwnedBuilder : Address : Phone: Legal Desc : N TR 7817 BILK LOT 4 UN 217 TR 7617 LOT 4 UNIT 217 OF PROJECT LOCATED ON AP Contractor: ANGUS SMITH CONSTRUCTION Address : 12342 CANYON TERRACE SANTA ANA, CA 92705 Phone: (714)538-1191 Con State Lie : 637440 Lie Expire: 02129/2024 Bus Lie: BT01101101 Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier: STATE NAT'L INS CO Policy No: AMX080003000 W. C. Expire : 10/1/2023 Architect Address Phone: State Lie Engineer: XIAO QIANG Address: 1520 BROOKHOLLOW DR #45 SANTA ANA, CA 92705 Phone: (714)662-0510 Designer: Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 4 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 the 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 Professions Code) or that he or she is exempt from licensors 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 not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 employoes' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. It, 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 improved 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 apply 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). ❑ 1 am exempt from licensum under the Contractors' State License Law for the following reason: __ __T By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior tocomplelion of the improvements Covered by this permit, I cannot legall, sell 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 Businoss and Professions Code, isavailable upon request when this application is submitted or at the following Web site:http:lFwvnv.leginto.ca.govicalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f V�ISion 3 of the Business andfW(q�ession ad ndx�y/yserise is in full force and effect. License Class License No Date (- / — `oZ Contractor Signa u Y.iry COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN OsT 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: t AL PEN LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tS100,0001, IN ADDrT ION TO THE /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 in of the work for which this permit is issued. Policy No. ha a and will maintain workers' Compensation insurance, as required by Section 3700 of the Labor Coda,. for the performance of the work for which this permit is issued. My workers' compensatioi ran a carrier and policy number are: I Policy Number Expiration Date is of Agent Phone # 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 agre If I should becDrr�`�ubtec(���(a�the;\oI'kers compensation provisions of Section 3700 of the Labor Code Fshall forthwith comply with (hose provisions. -7 lature of Applies L ! \ / — a-'3 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, Civil Code). ender's Name Lender's Address y 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 o mantes and state laws relating to building construction. / / LX I authorize representatives of this city e, :orn'y jpje to thews-ide 'led property for inspection purposes. X �1 Date 7 ianature of ProoertV Ovnor or Authorzed Aaen'. �\ 1 Print Property Owner's or Authorized Adoni's Name i ACTION I DATE. ^Y DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE AO AND AD VIU RULE 1403 PEAMf7 EXPIRED I SVEIMITTED ASBESTOS NOTIFICATION TO PERMIT EMENDED PERMIT FlNAi (IJ ASHE5T0$ 1 ]FICA ('[ON 15 NOT APPUCASUE to CERTIFICATE OF �1 I PROPOSED DEMOLITION OCCUPANCY15SUED /7,/v{ Ir 1; SIGNATURE: