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HomeMy WebLinkAboutXR2023-0257 - Permitsa�Wvl? City of Newport Beach J1111111111111111111111111111111111111111111111111111111III ilCOMB Permit : XR2O23-o257 D�.'.:. Community Development Department- Building Division X R 2 0 2 3 0 2 5 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : TC 01.Q+ Permit Counter Phone: (949) 644-3288 Issued Date : 0112712023 4„ S Inspection Requests Phone: (949) 644-3255 Inspection Area : 2 °qc/FOQe`P newportbeachca.gov/inspections Combination Type - MFP 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 ALL AREAS Job Address : 19 BARLOVENTO 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 Owner/Builder : Address : Legal Desc : N TR 7817 BLK LOT 4 UN 217 TR 7817 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 : 02/29/2024 Bus Lie: BT01101101 Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier: STATE NAT-L INS CO Policy No: AMX080003000 W. C. Expire : 10/112023 Phone: Code Edition : 2022 Fire Sprinklers Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories Building Setbacks : Flood Zone : X Use Zone : PC - Newport Crest - UP1585 PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer : XIAO QIANG Address : 1520 BROOKHOLLOW DR #45 SANTA ANA, CA 92705 Phone : (714) 662-0510 Designer: Address Phone : NO Construction Valuation : $10,000.00 NO Added/NewPfl sq. ft. Bldg : 0 4 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) !(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, Improve, dernolish, 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' Stale 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 (censure 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 Inot more than five hundred dollars ($500). 111, 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, improvements are not Intended or offered for Salo. Business end Professions Coda: The Contractorsimproved for the purpose of sale). , State License Law does not apply to an t is So of property who, through employees' or personal effort, builds or improves the property, provided that the (f. however, the building or improvement s sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or ❑ 1, 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), © I 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 legal] sell o 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 Professions Code., is available upon request when this application is submitted or at the following Web site:http:/lwww,teginfo.ca,gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION '—' I hereby affirm under penalty of perjury thati am licensed under provisions of Chapter 9 (commencing with Section 700 ) of jvision 3 0# the Business an Professi Co e, and icenseis In full farce and effect. License Class License No. Date L/7 Col tractor Signa r I£JORKERS' COMPENSATION DECLARATION MAKNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUEdECT AN EMPLOYER TO CRIMINAL NALTIES AND CML PINE9 UP TO ONE HUN RED THOUSAND DOLLARS (ETOO,OW], IN ADDn'ION TD THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ST06 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent (c sett•insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th r rmance of the work for which this permit is issued. Policy No. h ve 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 nsura ce carrier and policy number are: I�r Policy Number Expiration Date 'Name of Agent Phone M Of 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 that, if I should become subject the ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Del ^ )7 ? DECLARATION REG� O STRUOTiOtNG AGENGY _t� I 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), Lenders Name Lender's Address By 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 or n TICE d state laws relating to building construction. I authorize representatives of this city or coun Kt an er t a ab-identifle roperry for inspection purposes. Signature of Property Owner or Aulh,fz;d'gent Print Pro erty Owner's or Authorized A enfs Name � r �� I� Date ACTION DA*Eby i\DECLARATION OF COMPLIANCE wtTH CODE OF FEDERAL FOR OFFICE USE ONLY HFGULATIONS PART 6I OF TITLE 40 AND AOMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLEDFJ,ALJ��rwr—inQMMDD ____ -- PER�L}1T'FINAL ASi..I '}3•f5705 NOTIFICATION 15 NOTAPPUCABU TO CERTIFICATE OF yvr„ Z�-%y/,� !I PROPOSED DEMOLITION OCCUPANCY'155UED E clr.Mnn ioc 3