HomeMy WebLinkAboutXR2023-0530 - PermitsaEwPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-0530
Community Development Department- Building Division x R 2 0 2 3 0 5 3 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 644-3288 Issued Date: -,'()
Z7/Z3
S Inspection Requests Phone: (949) 644-3255 Inspection Area : 3
cq<��ppN�P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
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 OR�LIRDAY,ANG-HOLIDAYS IN ALL AREAS
-
Job Address : 112 KINGS PL i.J .' Legal Desc . N 7R-1219 BLK E LOT 3
Description: SFR - 8' HIGH ENTT GATE *RENEW EXPIRED PERMIT"
Owner: JOSEPH DELSIGNORE` Contractor : BALDWIN BUILDERS Architect : LIGHT CHRISTIAN R
Address : 112 KINGS PL Address : 482 W ARROW HWY #M Address : 1401-QUAIL ST #120 NEWPORT BEACH,
NEWPORT BEACH, CA92665 t:i`t SAN DIMAS, CA 91773 CA 92660
Phone
Applicant: BALDWIN BUILDERS
Address: 462 W ARROW HWY #
SAN DIMAS, CA 91773
Phone: (909)599-0033
Owner/Builder :
Address :
Phone:
Phone : (909) 599-0033
Con State Lie :
99235'0 ''
Lie Expire :
14130/2024
Bus Lie.,;
BT30075267
Bus Lic`Expire :
05/31/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No 9133923
i w W C. Expire : 5/27/2023
Code Edition :
2019
1 l t y _,.
Fire Sprinklers :
-Zone:
NO
Type of Construction :
V-B
Iq , 3u«.
Fire Hazard
NO
Occupancy Groups :
U,R-3
No of Units :
1
Bldg Height:
a --------
No of Stories :
2
Building Setbacks :
Front: 10,
Side: 4, Side: 4, Rear: 10
Flood Zone :
X
_
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS:
Phone: (949)851-8345
State Lie :
_ Engineer : LARSON HAROLD EUGENE
Address : 1437 GLENNEYRE Sf
LAGUNA BEACH, CA 92651
Phone: (949)497-5203 ..
Designer
Address
Phone : '--
4. d
-Construction Valuatio
Added/New/TI s d ='
dg
Alteration sq.
-.. Added/New sq-. ft. Garage : 0
TOTAL sq. ft. 0
L�
'A
C
s
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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)
otion 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior tops issuance, also requires the applicant for
permit to file a signed statement that he or she Is licensed pursuant to the provistans of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from licensues 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
more than five hundred dollars ($50[)),
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) sit of or L) portions of the work, and the structure is notintended or offered for sale (Section 7044,
Iiness and Professions Code: The Contractors' State License Law does not apply to on owner of property who, through employees' or personal effort,. builds or improves the property., provided that the
movements are not Intended or offered for sale. If, however, file building or improvement is sold within ons year of completion, the Owner -Builder will have the burden of proving that it was not built or
roved for the purpose of sale) „�•-�-`
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 700, Bus RraPNs39'(y s ode, The Contractors' tale License Law does not
,ly to an owner of property who builds or improves thereon, and who contracts for the projects with a Iicen!Ltkcc�pfETreuant to the Contractors' State License Law),
J I am exempt from licensure under the Contractors` State License Law for th —+a 3ntf"' , • t l
ly my signature below I acknowledge that, except for in a In which I must have resided for at Least one year IaCt ' jxi t n of the imvamants cav, re by till;
ol(a structure that I have built as an owne st RFif�is -not bons aNcyrin ntiroty by licensad contr I understand that a copy ofdktp .4o
1t3 ipy_cy 7 44 of
Irofessons Code, is available upon rag " st when this applicatio oleo f c e:hUpih`wwwr.leginfo.ca,galy/ QPI trttjt L1 r"
.Ignature of Property Owner or Authoriz z AnecL Date
,IGENSED CONTRACTOR'S, DEG�RA—
toT,hereby affirm under penalty of perjury Uter proof C r 9 r g wi�. 5 f 'vl bftfi "re to y
nd effect. License Classloans o - - s-v s ate `-`v`��""o''ntractor Slgna#uee
VORKERS' COMPENSATION DECLI
rARNINO: FAILURE TO SECURE WORKERS' COMPE
OST OF COMPENSATION, DAMAGES AS PROVIDED
herebyaffirm under penalty of perjury one
3 1 have and will maintain a certificate (
erformance of the work for which this peen
have and will maintain workers' Gump,
Isurance carver and-Dottcv.numberSre•.
is of Agent
certify that, in the perfor ance of the work
If t should become subject to thew keys'
iature of Applicant
hereby affirm under penalty of perjury that then
enders Name
y my signature below, I certify to each of the to
I aril the property owner or authorized to act
I have read this application and the informal
I agree to comply with all applicable city and
I authorize representatives of this city or cou
ACTION
PERMIT
CERTIFICATE OF
OCGUPANCYISSUEO
ALL SMECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS
law,
E OODa„INTEREST AND ATTORNEY's PEES
a e p sst)'tft Irectar( stdal Relations as provided for by Section 3700
re c9 0 of the Labor Code, for the performance of the work for which tbisxymiit, s Issued.
Y.
in any AW Wit
I shall: forthwith
construction #adding agency for the performance of the work
Lender's Address
behalf,
have provided is
purposes.
DECLARATION OF COMPLIAiNCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS. PART $1 OF TITLE 40 AND AQMD RULE
TO
lie se is in full force
III IN ADDITION TO THE
the Labor Code, for th
workers' Compensation
lot California, and acre
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