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HomeMy WebLinkAboutXR2023-1880 - Permits�kWPokr City of Newport Beach IIIIIII�II IIIIIII'ull'IIIIIIIIIIIIIIII II COMB Permit : XRZOZ3-1880 p� 6+ Community Development Department -Building Division X R 2 0 2 3 1 8 8 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: $ Permit Counter Phone: (949) 718-1888 Issued Date : 07/11/2023 .�.. newportbeachca.gov/civic Final Date: Combination Type - SFP Permit Status: Issued Work Class - Other 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 SAI_URDAY 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 ALT (E) WINDOWS TO FOLDING DOORS. R/R WINDOWS.(RENEW XR2022-3075) Owner: WINTHROP MARC JOEL TR Address : 3016 CLIFF DR NEWPORT BEACH, CA 92663 Phone Applicant: PREMIUM BUILDERS Address: 1701 E EDINGER AVE #C-9 SANTA ANA, CA 92705 Phone : (714) 569-1255 Owner/Builder : Address : Contractor: PREMIUM BUILDERS Address : 1701 E EDINGER AVE #C-9 SANTA ANA, CA 92705 Phone: (714)569-1255 Con State Lie : 492049 Lie Expire : 05/3112024 Bus Lie: BT30068364 Bus Lie Expire : 08/31/2023 Workers' Compensation Ins rance Carrier: CLEAR SPRING F.20PERTY AND CASUALTY COMPANY Policy No: CWC0042380 W. C. Expire : 1/14/2024 Architect Address Phone: State Lie Engineer: Address Phone Designer: Address : Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg: Bldg Height: No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 22, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: CT 0 0 0 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 checknnark(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, after, 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 licensors 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).. 1, 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 oroffered 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. It, however, the building or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving trial it was not built or mmproved for the purpose of sale). u 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 tram 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 Wgail sell a structure that I have built as an owner-buildor if It has not boen 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:l/www.teginfo.ca,gov/calaw.htmt Signature of Property Owner or Authorized Agent _ ,T Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0 D'ryHslo 3 of the Business and Prn ons Cod ly license is In full force and effect. License Class License No Date lX �- Contractor Signature WORKERS' COMPENSATION DECLARATION If NARNINO: FAILURE TC rE -,"RE WORKERS' COMPENSATION COVERAGE IS UNLAffli AND SMALL SUMJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED COST OF COMPFUSANON, DA.AAGES AN PROVIDED FOR IN SECTION 3708 OF THE LABOR LODE, INTEREST, AND ATTORNETS FEES, hereby a,Tine under penalty of perjury one of the following declarations: IN Aean ION TO THE and wif 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 ,ce of the work for which this permit is issued. Policy No. ` and will naintcin workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensa carrier and policy number are: Number Expiration Date lame of .Agent Phone # �I ",fit- that, In the performance of the work for w this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensati laws of California, and agree at, 'A I sdould become , ubj'o t to the workers' D ensation provisions of Sechon 3T00 of Iha Labor Coda, I shall forthwith comply with those provisions. c of ApPlicant� Date 7 �,-47 V:IrAc'tATION 4 , A, o� CONSTR , LENDING AGE14CY 7 hereby affirm under penalty of perjury era is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). enders Name Lander'a Address fy my signature below, I Certify to each of the following: i am the property owner or authorized to set on the property owner'shalf. i have read this application and the Information I have provided is C rei I agree to comply with all applicable city and county ordinando8 a state laws relating to building Construction. I authorize representatives of this city or count y to enterthh b idantifiad property for inspection purposes. Si nature of Property Owner or Authorized A ant / i Pent Property Owner's or Aumorized A ACTION OATS By DEC N OF COMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i AEU -. ONS PART 63 OF TITLE 46 AND AQMp RUl£ PERMITEXPIRED ` LJ i SUBMITTED ASBESTOS NOTIFICATION TO PFRMrT CANCEtlE6 EPA�_ P€KNIT Ek7€NDED _ �vL.4i4M0 �� � _.. BES=% NOTIFICATION I$ NOT APP.UCABLE TO ��- CERTOICAOFO€ G✓ 33i PROPOSED DEMOLITION OCCUPANCYISSU£D l SIGNATURE: