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HomeMy WebLinkAboutXR2023-0253 - Permits�EWPp�T City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 .,. D Permit Counter Phone: (949) 644-3288 p fix. S Inspection Requests Phone: (949) 644-3255 '<rFoaN�P newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration 111I��III��III 1111111111111111111111111111111111111111111jjCOMB Permit : XR2023-0253 Plan Check No: , 1 Issued Date: 0112712023 �w� 604 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 IMA LOA 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 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: XIAOQIANG 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 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U No of Units : 4 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. : Building Setbacks Flood Zone : X Use Zone: PC - Newport Crest - UP1585 PROCESSED BY: SPECIAL CONDITIONS: $10,000.00 0 0 0 J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for thereason(s) indicated below by the checkrnark(s) I have placed next tD the applicable items) i (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 Late (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exemptfrom licensure 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 iS50D). 71 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 orraffered 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). El 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Sectioii 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 Bcensure 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I undorstand that a copy of the applicable law, Section 7C44 of the Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalaw.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 7 00 pf jY sion of the Business and PreHOUS.AND Co a,. arum I cense is In full farce and effect. License Class License No Date / / Contractor Signatur� . WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORXERV COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES AND CIVIL FINES UP To ONE HUNDRDOLLARS (6100,000), IN ADDITION TO THE COST OF COMPENSATION„ DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ���h'''tttereby affirm under penalty of perjury one of the following declarations: 4have and wilt 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 119PI of the work for which this permit is issued. Policy No. 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` carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as t0 become subject to the workers' compensation laws of California, and agro if I should become subject to wor rs' com ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply win those provisions. �f Blurs of Applicants .....�.,.... DI,II / „& hereby affirm under pYnalty 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). enders Name Lender's Address ly 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 fdmanco and state laws relating to building construction. I authorize representatives of this city Or rott�t7 to at r the ve-iden i)fy�d properly for inspection purposes. igaatura of PruvLrty �:rwnar orluUlorizeD Agel{,1\/ rMif Print Property Owner's or Authorized Aeent's Name il/[A� 1. /rVf iII MEN ACTION ( DATE. By ', DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ;e REGULATIONS PART 51 OFTRTLE 40 AND AWAD RULE 1403 PERMIT EXPIRED I (SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED I UEPA PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF V•ZTJ EIASSESTOS NOI I FICA I ION 15 NOT APPLICABLE TO PROPOSED DEMOLITION OCCUPANCY ISSUED ? SIGNATURE: