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HomeMy WebLinkAboutXR2023-0254 - Permits�eWPogr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2O23-0254 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Plan Check No: Issued Date : �fJ " qa�) dldq 2 Inspection Requests Phone: (949) 644-3255 Area 2 Inspection : Cq<rFppN�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 : 12 SWIFT 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 CI ANG 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 (slTi'l:lea llfl7 7 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 checkmark(s) I have placed next to the applicable item(s) Section 7031L.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 Ic permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing. with Section 7000) of Division of the Business and 'rofessions Code) or that he or she is exempt from 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 of more than five hundred dollars ($500). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do U ail of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Usiaess 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 nprovements 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 builtor nproved for the purpose of sale). 1 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 pply 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). 1 1 am exempt from licensure under the Contractors' State License Law for the following reason: _ •y 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 oil 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:tiw ,w.leginfo.G .gov/calaw.htmi. •ignature of Property Owner or Authorized Agent Date .ICEN.SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 _of 1Ytsion 3 of the ]Business an Pro ssi n C , andL�y�license .is In full force no effect. License Class License No Date - / — Contractor Sigma rW}/,lrV VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMIN EN TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE OST OF COMPENSATION, nAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES hTe�reby affirm under penalty of perjury one of the following declarations: 4have and will 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 r mance 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 JI certify that, in the performance of the work for which this permit Is Issued, I shall notemploy any person In any manner so as to become subject to the workers' compensation laws of California, and agree tat, if I should becomes left to a wor coan ?abun provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, ignature of Applicant I?0.I0.��Date ,ECLARATION REG Ol CO STRUCTION�L DING AGENCY l 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). enders Name Lender's Address y 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 ord' ances and state laws relating to building. construction. I authorize representatives of this city or rou^%,,to an y't a e-iderjl>fled property for inspection purposes. �n ignature of PmrE:J ty wner or Aut'�on_ec Agent \ I J wu Print Property Owner's or Authorized Apart's Name Icf A/41JC M (f 4 Date ACTION i DATE By I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ' REGULATIONS PART 61 DE TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CA.NLEtLED EPA P€RM7T EXTENDED LJpQMO PERMITFINAL ! ASBESTOS NOTIFICATION 15 NOT APPLICABLE 10 CERTIFfCA7E OF PROPOSED DEMOLITION OCCUPANCY ISSUED 2� j SIGNATURE: