HomeMy WebLinkAboutXR2023-1276 - Permits"EWPO",T City of Newport Beach jai 1111111111111111111111111111111111111111111111111 111� 11COMB Permit : XR2O23-1 27s
D� "ICommunity Development Department- Building Division X R 2 0 2 3 1 2 7 6
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 718-1888 Issued Date : 05/16/2023
newportbeachca.gov/civic Inspection Area : 8
CgG1F00.N�P Combination Type - SFP d �!..-` a. Sn.-� "aef,i ny�
Work Class - Other
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: 3222 CLAY ST, NEWPORT BEACH, CA 92663 Legal Desc : P BK 332 PG 9 PAR 1 UN 1 PM 332-09, PAR 1 OF PROJECT 937-35 LOCATED ON
Description: ***RENEW PERMIT COMB22-0205*** DUPLEX 26 WINDOW REPLACEMENT
Owner: MARK CRESSE
Address : 3222 CLAY ST
NEWPORT BEACH, CA 92663
Phone: (760)430-8137
Applicant: THE ENERGUY
Address : 1215 K ST, 17TH FLOOR
SACRAMENTO, CA 95814
Phone: (877)600-0123
Owner/Builder :
Address :
Contractor: DREAMSTYLE REMODELING
Address : 8260 8260 MIRALANI DR
SAN DIGEO, CA 92126
Phone: (888)228-5422
Con State Lie : 995160
Lie Expire : 03/31/2024
Bus Lie : BT30077396
Bus Lie Expire : 12/31/2023
Workers' Compensation Insurance
Carrier: GENERAL CASUALTY COMPANY OF
WISCONSIN
Policy No: 152000448
W. C. Expire : 11/23/2023
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 : 0
Occupancy Groups :
U,R-3
No of Units :
2
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage : 0 ,
TOTAL sq. ft. 0 ,
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone :
X
,
Use Zone :
R-2 - Two -Unit Residential
PROCESSED BY: n],-*S
SPECIAL CONDITIONS: RENEW PERMIT COMB22-0205
I hereby aff'inn under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the chackmark(s) I have placed next to the applicableitem(s)
3eDllon 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
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 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 fora permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do U 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' or personal 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 -guilder will have the burden of proving that it was not built or
nproved for the purpose of sale).
7 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
p[y 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' Slate 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 cannot legail!
ell a structure that I have built as an owner -builder if it has not been 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 orat the following'Neb site:http:liwww.leginfo.ca.govlcalaw.titml.
signature of Property Owner or Authorized Agent __,___,_,__ Date ti
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury lhgt I am licensed under provisions of Cha ter (commencing with Section 7000) of Division 3 of the Business and ProfessionyCode, aAd my 11i rise is In full force
no effect. License Class Pj License No 01 q (o n Date S If I (�;i Contractor Signature I ' A �X
VORKERS' COMPENSATION DECLARATION
IARNING`. FAILURE TO a9CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSPECTION 3706: OF THE LABOR CODE, INTEREST, AND 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 selfAirsute for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for to
erfo�piance of the work for which this permit is issued. Policy No,
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`
carrier and policy number are:
Policy Number
of Agent
Date
certify 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
if I should become subject tDjtbe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Data-5JJ (2�
areby affirm under penalty of perjury that there is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lender's Address
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 ann6cation and the information I have provided is correct.
I agree to comply with all aporcabte city and county ordinances and slate laws relating to building construction.
I authorize representatives of this city or county to enter tt bove-Identified operty for inspection purposes. _
.iature t,f PmDe,Tv Owner or Authorized Adant 2 .f � Print Prooerry Owner's or Authorized Aaent's Name (7 ry11 -PPS-OS<.,P 2,
DATE BY I DECQIRAT€ON OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
i REGULATIONS PART 51 OF TITLE. 40 ANn AONID RULE
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