HomeMy WebLinkAboutXR2023-2109 - Permits�EwaoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-2109
D4 Community Development Department - Building Division X R 2 0 2 3 2 1 0 9
F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 718-1888 Issued Date : 0713112023
S newportbeachca.gov/civic Final Date:
Cq</FORN�P Combination Type - SFP Permit Status: Issued
Work Class - Alteration Inspection Area : 6
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
7)
Job Address
: 17 CURL DR
Legal Desc : N TR 8428 BLK LOT 25
qq1^ f^) f t
Description:
ATT SFR -REMOVE AND REPLACE
SIDING AT THE EAST AND SOUTH ELEVATIONS
s > >
Owner:
CAROL WILSON
Contractor: ALIGNMENT RENOVATIONS
Architect
Address :
17 CURL DR
Address : 380 W WILSON ST
Address : • • '
CORONA DEL MAR, CA 92625
COSTA MESA, CA 92627
Phone:
(949)350-8576
Phone: (714)631-4714
Phone: '
Con State Lie : 812629
State Lie
Lie Expire : 03/31/2025
'
Applicant:
ALIGNMENT RENOVATIONS
Bus Lie: bt30062260
Engineer
Address :
380 WWI LSON ST
Bus Lie Expire : 07/31/2024
Address
COSTA MESA, CA 92627
Phone :
(714) 631-4714
Workers' Compensation Insurance
Phone
Carrier: MIDCIENo�flUs
"
Owner/Builder:
Policy No: A09516287
Designer:
Address :
W. C. Expire : 3/1/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers :
NO
Construction Valuation : $12,400.00
Type of Construction : V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U,R-3
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: 15, Side: 5, Rear: 15
Flood Zone : X
Use Zone : PC - Jasmine Creek
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
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 (terms)
Section 7031-5, Business and Professions Code: Any city or county that requires a permit to conelrucL alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
he 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
trofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031 b by any applicant for a permit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of of (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
iUgmP.SS 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
mprovements 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
mproved for the purpose of sale).
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
i ply 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 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 carnet legally
:oil a structure that I have built as an owner -builder if It has not boon constructed in its entirety by licensed contractors, I understand that a copy of the applicable law, Section 7044 of the Business and
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:/iwww.leginfo.ca.gov/calaw.html.
signature of Prop^.'ty Owneror Authorized Agent Date
_ICENSED CONTR4,CTOR'S DECLA..RATION _____ _
herebv affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ion 7000 of Division 3 of the Busli; rid Profess Cod my license is In full force
',rid eNeLt. Licens..' Class License No D to Contract Signature_
VORKERS' COMPENSATION DECLARATION
:ARNWL: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,0001, IN AODMON TO THE
:DST OF COMPEN5ATInN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
mereho affirm unaer penalty of perjury one of the fallowing declarations:
LE>e and t,i;a 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
rmance of the work for which this permit is issued. Policy No.
lava 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' compensa
ancL carrier and po; �,.:.y number are:
a a Agent .. _ _ _
edify that. in 10� K
if I sheuid baZrM
Policy Number
Date
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 agre
119 workerscompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r�
!ST CTI[SN LE'NTSING A(RFNCV' ��
hereby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
endar's Name Lender's Address
ry 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. 1�
I have read this application and the information I have provided is correct, r ti L` I //� si 5
I agree to comply with all applicable city and coat ordinance and state laws relating to building construction.
I authorize representatives of this r county J,ent�tfi)ve-identified property for inspection purposes.
ACTION
PERMIT CANCELLED
PERT EXTENDED
-_....._..._._..__._....__......_
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY DFCLARATQN OF COMPLIANCE WITI-I CODE OF FEDERAL I FOR OFFICE USE
REGULATIONS PART 61 0E TITLE 40 AND AQNID RULF.
i SUBMITTED ASBESTOS NOTIFICATION TO
ICAHONISNOTAPPLICABLE TO