HomeMy WebLinkAboutXR2023-0594 - Permitsa£WPoR, City of Newport Beach I 111IIIIIIII1111111111111111111111111111111111111111111111 jj
@ Community Development Department - Building Division X R 2 0 2 3 0 5 9 4
100 Civic Center Drive, Newport Beach, CA 92660
S Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
°ac�con�`r newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
COMB Permit : XR2023-0594
Plan Check No: PC2022-2947
Issued Date : 0310312023
Inspection Area : 8
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 : 3016 CLIFF DR
Legal Desc : A TRFIRST ADD TO. NEWPORT
HEIGHTS BLK 11 LOT 1
Description: SFR - R/R EXIST'G WOOD SIDING @ WEST SIDE OF HOUSE *LIKE FOR LIKE
Owner: WINTHROP MARC JOEL TR
Contractor: PREMIUM BUILDERS
Architect
Address : 3016 CLIFF DR
Address `. 1701 E EDINGER AVE #C-9
Address
NEWPORT BEACH, CA 92663
SANTA ANA, CA 92705
Phone :
Phone : (714) 569-1256
Phone
Can State Lic : 492049
State Lic
Lic Expire : 05/31/2024
Applicant: PREMIUM BUILDERS
Bus Lic: BT30068364
Engineer
Address: 1701 E EDINGER AVE #C-9
Bus Lic Expire : 08/31/2023
Address
SANTA ANA, CA 92705
Phone: (714) 569-1255
Workers' Compensation Insurance
Phone:
Carrier: CLEAR SPRING PROPERTY AND CASUALTY
COMPANY
Owner/Builder :
Policy No: CWC0042380
Designer:
Address :
W. C. Expire: 1/14/2024
Address
Phone:
Phone: ,
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $15,00,0 00 ,
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg: 0 „
Occupancy Groups : U,R-4
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 2..
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks : Front: 22, Side: 4, Side: 4, Rear: 5
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: _
B,e-
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractora' 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 teyuires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
in 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 of the Business and
'rofesawris Code) or that he or she is exempt from ficensura 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 penally of
of more than Nye hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
opness 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
nproveme arts 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
npfoved for the purpose of sale).
3 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code; The ContractorsState License Law does not
poly 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 I am exempt from ficensure under the Contractors' State License Law for Ore following reason:
,y 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 covered bythis permit, I cannot legail,
ell a structure that I have built as an ownenbuilder if it has not been constructed In its entirety by licensed'aontractow. 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 sits:nttp:/Ayw v.leginfo.ca,govlcalaw.html.
'ignature of Property Owner or Authorized Agent Date.
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9'(commencing with Section 7QOJ) of Division of the Business and Professions C d license is In full force
nd effect, License Class License No Data �3 ? Contractor Signature
PORKERS' COMPENSATION DECLARATION
ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUS DOLLARS tS400,000t, IN ADDITION TO THE
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury ono of the following declarations;
have 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
ormance of the v'sdt for which this permit is issued. Policy No,
have and will ,oalnein 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' eompensai
ru, ce carrier.snd polity, number are:
Policy
of,:gent
Date
11 cert`fy filet, it too pe tormance of the work for which s permit is issued, I shall not employ any person in any manner $o as to become subject to the workers' compsim tidn IaWs of California. and agre
,at, if I %could become subject to the Workers' p Lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
.400im a of AppJcaot
-:'_II tATIION REGARDING CONSTRUCTI LE'- DING AGENCY
Iwr�hy Pffirm under penalty of perjury that mre is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
.namr's Jame Lenders Address
v my signature 67_1' , 1 cartlfy to each the fallowing;
I am The property 6Prnmr or author' to act on the property owner's
I have read t"13 9PJication and the information I have provided' Is 0,
I agree to comply with all applicable city and county ordinances a)
I authorize representatives of this city or county to r�r.JW rm id
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
CERTIFICATE OF
OCCUPANCY ISSUED
laws totaling to building construction.
led property for inapectlon purposes.
DATE BY €ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFF --ICE USE
I ION
DfNS. PART 61 OF TITLE 40 AND AQNID RULE
ED ASBESTOS NOTIFICATION TO
NOTIFiCATtON f3 Nb LlCABt.£ TO
C-A,-� K44�_
l51