HomeMy WebLinkAboutXR2023-1130 - PermitsaEvuPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIgI IIII IIIII II COMB Permit : XR2023-1130
D4 � Community Development Department -Building Division X R 2 0 2 3 1 1 3 9
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1006
~ n Permit Counter Phone: 949
( ) 718-1888 Issued Date
U fir. S newporibeachca.gov/civic Inspection Area : 5
Cq(/F00.N�P Combination Type - SFP ELEC
Work Class - Alteration
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 : 233 JASMINE AVE Legal Desc : A TR RESUB OF CORONA DEL MAR BILK 136 LOT 33 RESUB OF CORONA DEL MAR LOT 33 BLK
136(AND NELY
Description: SFR ALT ENCLOSE (E) 104 SF 2ND FLOOR DECK AND REMODEL WINDOWS AND DOORS. (N) CLOSETS. ALT INT LIGHTING.
Owner:
ETHAN STEIN
Address:
233 JASMINE AVE
CORONA DEL MAR, CA 92625
Phone:
(818)439-9000
Applicant:
JAMES CARLSON
Address:
2300 CLIFF DR
NEWPORT BEACH, CA 92663
Phone:
(949)645-3051
Owner/Builder :
Address:
Phone
Contractor: SOLUTION PROPERTY SERVICES
Address : 5198 ARLINGTON AVE SUITE 935
RIVERSIDES CA 92504
Phone:
(714)809-9957
Con State Lic
: 1041346
Lic Expire :
02/28/2025
Bus Lic:
BT30073244
Bus Lic Expire : 10/31/2023
Workers' Compensation Insurance
Carrier: NORGUARD INSURANCE COMPANY
Policy No: RAWC459192
W. C. Expire : 6/8/2024
Code Edition:
2022
Fire Sprinklers :
Type of Construction :
V-B
Fire Hazard Zone
Occupancy Groups :
U,R-3
No of Units:
Bldg Height:
No of Stories
Building Setbacks:
Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone:
X
Use Zone:
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Architect :
JAMES CARLSON
Address :
2300 CLIFF DR NEWPORT BEACH, CA
92663
Phone:
(949)645-3051
State Lic
Engineer: s
Ix,'
Address:
Phone: ,
Designer: o'
Address
Phone :
NO Construction Valuation :
$30,000.00
NO Added/New1T1 sq. ft. Bldg :
0
1 Alteration sq. ft. Bldg :
104
2 Added/New sq. ft. Garage:
0
TOTAL sq. ft. :
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State license Lawiorthe ressom(s). indicated below by the checkmark(s) I have placed next to the applicable Rem(s)
Section 7031.5, Business and Professions Code: Any city or eountythat requires aperNnit to construct, alter, improve, demolish, or repair any structure, prior toils issuance, also requires the applicant for
is permit to file it signed statement that he or she Is licensed pursuant to theprovisions of the Contractors! State License Lew (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Imfai sons Code) or that he or she is exempt from liceirsure and the basis for the ailogad exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 I, 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,
lusiness 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 bulks or Improvement is sold will one year of completion, the Owner -Builder will have the burden of proving trial it was not built of
n roved for the purpose of Sala).
J I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70", Business and Professions Code: The Contractors Slate License Law does not
y to an owner of property vhiobuilds or improves thereon, and who contracts for the projects with a liosnsed Contractor pursuant to the Contractors' State License Law),
I am exempt from licensure under the Contractors' Stale License Low for the following reason:
ly 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 legalq
og a structure that I have built as an owner�builder it 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
Irofessions Code, Is available upon request when this application is submitted or at. the Following Web site,.httplhvww.laginto.ca.govlcalaw.html,
tlgnature of Property Owner or Authorized Agent Date
.ICENSEO CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (oommerteing with Section ' is 3 got the Business and Pr#n::_Coda, and is in full force
and Direct. License Class License No Data Contractor Signatur
VORKERS' COMPENSATION DECLARATION
tARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE. 19 UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES LIP TOONE HUNDRAND DOLLARS tit00.00o), IN ADDITION TO THE
DST OF COMPENSATION, DAMAO" AS PROVIDED FOR IN SECTION 37e9 Of THE LABOR COM MTERasT,'AND ATTORNEYS FEES,
hereby affirm under penalty of perjury one of the following declarefions:
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, for In
edormance of the work for which this permit is issued. Policy No,
nave 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' compensatiol
'sureace
carrier and policy number are:.
her Policy Number Expiration Date
me of Agent Phone #
certify that, in the part env of the work for which this permit is Issued, I shall riot employ any person in any manner so as to become subject to the workek1vi
'compensation laws of California, end Agra
t, if I should become utr 0 t t v arkers' oompen rr-tRS�ians or Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Dat
CLARATiON REGAR NC, STRUCTION LENDING AGENCY
treby 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,ode).
Woes Name Lenders Address
my signature below, I cenlfy to each of the Following:
E am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information Ihave providedis correct.
t agree to comply with all applicable city and n ordinntnces and state laws relating to building Construction.! - 7
I authorize representatives of this city or noun t ente a above -identified property for inspection purposes. rFiy/,,,,�� {" l -
nature of Pr art Owner or Authorized A ` at Print Property er's Ownor Auti?Orized A EnVs Name V Date U z f z j
71ON DATE ay D LARATIO 4 OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REOUtATlOtd5 PART 61 OF TITLE 40 AND AQMD RULE
t4g3
PERMIT FINAL
TO