HomeMy WebLinkAboutXR2022-3195 - Permits��WPORT
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 02660
Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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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,
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