HomeMy WebLinkAboutXR2023-0251 - Permits��gWPORT City of Newport Beach
p Community Development Department- Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660
U )h S
Permit Counter Phone: (949) 644-3288
.}. Inspection Requests Phone: (949) 644-3255
c9G�FOM1N�P newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Alteration
��11111111�������������������������������������� II COMB Permit: XR2023-0251
Plan Check No: cpa^ t7l&f -I
Issued Date : 01/27/2023
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 : 5 BARUNA 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 BILK 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 Lic
: 637440
Lic Expire :
02/29/2024
Bus Lic:
BT01101101
Bus Lic 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 Lic
Engineer: XIAO QIANG
Address: 1520 BROOKHOLLOW DR #45
SANTA ANA, CA 92705
Phone: (714)662-0510
Designer
Address
Phone:
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
2
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
Bldg Height:
No of Stories :
TOTAL sq. ft. : 0
Building Setbacks
Flood Zone :
X
Use Zone :
PC - Newport Crest - UP1585
PROCESSED BY:
-
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for there. a son (a) indicated below by the check mark(s) I have placed next to the applicable item (a)
(Section 7031.5, Business and Professions Code: Any city or county Ihat 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 licensura 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 d0 (_) all of or f_.) 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).
❑ 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 improves: thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
11 I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below € 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 bythis 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 Business and
Professions Code„ is available upon request when this application is submitted or at the following Web site:http:lAv w.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION /1
I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 o D1'; mon 3 of the Business and Prof sgiorps de, an�j Y! license is In full force
and effect. License Class License No Date - / Contractor Signatur /o/ �- nMl�✓
iNORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRW AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,0001. IN ADDITION TO THE
COST 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:
7A have and with maintain a certificate of consent to self -insure for wo(kers' Compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
)e ld ante of the work for which this permit is issued. Policy No.
I lrve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued, My workers' compeosatior
nsuraIrce carrier and policy number are:
Policy Number Expiration Date
ne of Agent _
I 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 tothe workers' compensation laws of Califomia, and agre
t, of I should become subje tt the ers' co pensahon provisions of Section 3700 of the Labor Code I shell forthwith comply with those provisions.
nature of Applicant,_ Date 11— :2-7 — 2-?
CLARATION REGAL' NG CONSTRUCTI N LENDING AGENCY
?reby affirm underpenaltyof perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Sectipn3097, Civil Code).
rders 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 I have provided is correct.
I agree to comply with all applicable city and county ordln cas an state laws relating to building construction.
I authorize representatives of this city or county to enter he abov -i entified property for inspection purposes. ,(/��
nature of Property C:v:le, , r,uthi`r zPd f gei1T 6,�, _ Print Property Owner's or Authorized Aoent's Name ��VLuC rhL, ! j It pan,
ACTION
DALE
By
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE
_ 1403
PERMIT EXPIRED
I 1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMITC4NCF!!ED
€ EPA
PERMIT EXTEMDEC
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PERTlFfCA74E i PROPO PROPOSED DEMOLITIONASBESTOS NOT 11 ICA ION IS N01'APPLICABLE IO
CERIVITFI'EOF ,W III (/�,r_ ij
OCCUPANCOSSUED