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HomeMy WebLinkAboutXR2022-3195 - Permits��WPORT City of Newport Beach 4 C Community Development Department- Building Division r}- 100 Civic Center Drive, Newport Beach, CA 02660 Permit Counter Phone: (949) 644-3288 o- Inspection Requests Phone: (949) 644-3255 Cq{,{FepN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other COMB Permit : XR2022-3195 Plan Check No : PC2022-3066 Issued Date : 02/14/2023 Inspection Area: 1 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 : 607 BALBOA BLVD W Legal Desc : A TR EAST NEWPORT BILK 9 LOT 6 Description: SFR OPEN TRELLIS ON 3RD FLOOR DECK 237 SF Owner: FINAZZO FRANK A TR THE F Address: 5342 RUNNING CREEK LN RANCHO CUCAMONGA, CA 91737 Phone Applicant : Dan Smith Address : 16875 canyon In Huntington beach, CA 92649 Phone: (714)487-7337 Owner/Builder : Address : Phone Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height : Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential BY: PROCESSED SPECIAL CONDITIONS: Contractor : Dan Smith Address : 16875 canyon In Huntington beach, CA 92649 Phone : (714) 487-7337 Con State Lic : 1053020 Lic Expire : 05/31/2023 Bus Lic: BT30075135 Bus Lic Expire : 04/30/2023 Workers' Compensation Insurance Carrier: EXEMPT Policy No.: EXEMPT W. C. Expire: Architect : ANDRESEN DOUGLAS Address : 17087 ORANGE WAY FONTANA, CA 92335 Phone: (909)355-6688 State Lic Engineer: ANDRESENDOUGLAS Address: 17087 ORANGE WAY FONTANA, CA 92335 Phone: (909)355-6688 Designer: Address: Phone : Fire Sprinklers : NO Construction Valuation : $20,000.00 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 No of Units : 1 Alteration sq. ft. Bldg : No of Stories : 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 NIO CONSTRUCTION NOISE ar i [HE WEEKENDrl I hereby affirm under penalty of perjury that f am exempt from the Contractors' State License Law tar the reason(s) indicated below by the cheokmark(s) I have placed next to the applicable item{s) iecdon 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 rC permit to file a signed'. statement that lie 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 �rofesslons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031Z by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500).. 1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' orpersonal 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 bullt or nproved for the purpose of sale). 1, as owner of the property, am exclusively contractingwith licensed Contractors to construct the project (Section 70", Business and Professions Coder The Contractors' State License Law does not ply to an owner of properly who builds or improves thereon, and who contracts for theprojects with a licensed Contractor pursuant to the Contractors' State License Law). I 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 W least one year prior to completion of the improvements covered by this permit, I cannot legail; all a structure that I have built as an Dwmor-builder if It has not been constructed in Its ontirety 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:hitp:/Am ✓.leginfo.ca.gov)calaw.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 g (commencing with Section 700 off) 3 of the Business and ProfessI ns CO ; to id my license is in full force nd effect. License Class License No Dat r Contractor Signature. JORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA RS tS100,000L IN ADDTTIOI TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TOS OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES.. hereby affirm under penalty of perjury one of the following declarations: I I 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, forth erformance of the work for which this permit is issued. Policy No, have 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' Trance carrier and policy number are: Policy Number Agent Date 6fy 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 to the workers' compensation laws of California, and I should become sooifI,ct tRthe workers' CgIIlpensation previsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of hereby affirm under penalty jury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's 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 ordines and scat s relating to building. Construction. I authorize representatives of this city or eouml)b enter jh abo Miffed property for inspection purposes. FOR OFFICE USE ONLY REGULATIONS PART Bl OF TITLII 40 AND AQM0 RUtE PERMIT EXPIRE, IVID PERMIT PERiVITEXTENDFle F1Np1 J� PR�naxn Rnp NOTIFFIICNfiONtSNl1Y(4Pn.LICABLE TO CERt7 tiD4TC OF