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HomeMy WebLinkAboutXR2023-0661 - PermitsWPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-0661 Community Development Department - Building Division x R 2 0 2 3 0 6 6 1 �> y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0554 `5� S Permit Counter Phone: (949) 644-3288 Issued Date : 04/18/2023 Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 newportbeachca.gov/inspections Combination Type - SFP WN ,!, (aa¢c - Alteratinn 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: 4909 SEASHORE DR Legal Desc : A TR OCEAN FRONT TR BLK 49 LOT 5 Description: SFR REPLACE 3 (E) SLIDING GLASS DOORS WITH 3 BIFOLD DOORS; R/R EXISTING 2ND LEVEL BALCONY DECKING AND GUARDRAIL &DRAINAGE Owner: VINNY SMITH Contractor: LUCCO CUSTOM CONSTRUCTION Architect Address : 4909 SEASHORE DR Address : 32158 Camino Capistrano, A343 Address NEWPORT BEACH, CA 92663 San Juan Capistrano, CA 92675 Phone: Phone: (714)478-0542 Phone: ��•� Con State Lie : 473808 State Lie : • , , Applicant: LUCCO CUSTOM CONSTRUCTION Lie Expire : 02129/2024 Bus Lie: BT30052415 Engineer: MURPHY MICHAEL NI.CHOLAS Address : 32158 Camino Capistrano, A343 Bus Lie Expire : 09/30/2023 Address : N 57 BIRCH WPORT BEACH, �26s0 San Juan Capistrano, CA 92675 Phone: (714) 478-0542 Workers' Compensation Insurance - Phone: (949) 292-1987 Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No: 9335344 Designer: BRUCE MANZER Address : W. C. Expire : 3/1812024 Address : 24275 PONCHARTRAIN LN LAKE FOREST, CA 92630' . Phone: (714) 720-4394 Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $35,000.00 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 : 0 Bldg Height: No ofStories : 2 Added/New sq. ft. Garage: TOTAL sq. ft. 0 Building Setbacks : Front: 5, Front: 0, Side: 3, Side: 3 Flood Zone : X Use Zone : R-1 - Single -Unit Residential r*... PROCESSED BY: //�'.��y-g�- N NOISE N�gg CONSTRUCTION iV® i./IJIV�Tr'lUi./ 6 9l,JlV IVIJ�JL SPECIAL CONDITIONS: LIQUEFACTION/HIGH-DENSITY ZONE OR THE WEEKEND OWNER -BUILDER DECLARATION 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 checkmarR(S) I have placed next to the applicable fferl (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve-, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that lie or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 foommoncing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from Ilcensure and the basis tattle 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 doL). 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 improvements 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 improved for the purpose of sale). L 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 Wide or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 'J am exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature below f acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements coveted by this permit, Icannot legail) soil a structure That I have built as an owner -builder if ithas not been constructed in its entirely by licensed contractors. I understand that copy of the applicable tow, Section 7044 of the Business and professions Code, is available upon request when this application Is submitted or at the following Web site:httpJlwww.ieginto.ca.govtcalaw,html. 3lgnatum of Property Owner or Authorized Agent _ .Date LICENSED CONTRACTOR'S DECLARATION hereby affirm undsr Per salty of perjury that I am licensed under provisions of Chapter (commencing with Section f 7ivi 'on 3 of the Business and Prof as l ON de, �mylcenn full force and effect License "aJs License No Date `1 't Contractor Signature N0,1AEFS' CONJ ENSATION DECLARATION YARNING: FAILURE TO S..I,6R WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE mO OF COMPENSATION, DANSAOES AS PROVIDED FORIN SECTION 3708 OF THE LABOR COUR, INTEREST, "a ATTORNEY'S FEES. hereby affirm under peri of perjury one of the following dec€arations: I I Lave Intl will maintain a certiffcate 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, narforrynce of the work for which this permit is issued. Policy No. eve and will n,air,t«in 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' compensatio rance carder and policy number are: is:_ __ _ Policy Number Expiration Date ie of Agent A Phone 4 rer"'P+that, in'he, pd'raw" r for WIT h t 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 agro If I should beu,mE S ' comp sa n previsions of Setion 3700 of the Labor Code, I shall forthwith comply with those provisions. lafure of Applicant Date�� `a A®�.1 ARATICIN Pill nnN I rmnuu: _ Ancuru !reby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for Which this permit is issued (Section 3097, Civil Code), Wer'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 s have provided Fla orr ct. agreecomply applicabley City Y g g construction. I authorizerepresentativesiofthis ityor co tl t tot nt,]/dr tl abo d n 7ffed property lfty for lie tlon purposes. . Al p `,II�I ��� nature of Property owner or Authorized Agent � Pnnt Property gwner'3 or Authorized Agents Name _11LLil�t)'�'�`'. V� `��'fLt �L: Data DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ( REGULATIONS PART 51 OF TITLE 40 AND ACtMD RULE rtnrvrri C.1.nneL+ L5 I SUBMITTED ASBESTOS NOTIFICATION TO PEM17CANCUUED EPA PERM7"(E VVIN I D OMO PERMFT`FFNAL , 2q Q AS'9EST5NOTIFICA OCIN I5NW APPUCABLt TO CERRRCAM OF JJ PROPOSED DMQI.ITEON OCCUPANCYISSUED {tr.NAT,IQc Ail