HomeMy WebLinkAboutXR2023-0840 - Permits�EWPpRT City of Newport Beach 1111111111111111111111111 p������������������� 1111111111I COMB Permit : XR2O23-0840
of -+ 0m Community Development Department - Building Division X R 2 0 2 3 0 8 4 0
> 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0734
Permit Counter Phone: (949) 71 B-1888 Issued Date : 0411812023
newportbeachca.gov/civic Final Date: 10/23/2023
Combination Type - SFP ELEC Permit Status: Final
Work Class - Other 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
Job Address : 3 VISTA LUCI Legal Desc : N TR 14070 BLK LOT 9
Description: SFR REPLACE ROTTED WOOD PATIO COVER WITH NEW TILE ROOF PATIO 218 SF * 123-0862
Owner:
Address :
Phone :
WETMORE KEITH C TR REVOCABLE LIVING Contractor: RANCHO LAGUNA BUILDERS
TR
245 CASTRO ST
SAN FRANCISCO, CA 94114
Applicant:
ARMANDO CORADO
Address:
31026 ALISO, CIR
LAGUNA BEACH, 92651
Phone:
(949)529-9012
Owner/Builder:
Address :
Address : 1433 CORAL DR
LAGUNA BEACH, CA 92651
Phone: (949)422-0982
Con State Lic : 687520
Lic Expire : 04/30/2024
Bus Lic : BT30055781
Bus Lic Expire : 03/3112024
Workers' Compensation Insurance
Carrier: NO EMPLOYEES
Policy No : EXEMPT
W. C. Expire:
Architect: GUMMOW MATTHEW JAMES
Address: 31026 ALISO CIR LAGUNA BEACH, CA
92651
Phone :
(949) 529-9070
State Lic :
Engineer:
MANSHADI FARHAD
Address :
1800 E 16TH ST UNIT B
SANTA ANA, CA 92701
Phone:
(714)835-2800
Designer:
Address :
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation
Type of Construction :
V-B
Fire Hazard Zone :
YES
Added/New/TI sq. ft. Bldg
Occupancy Groups :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
1
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks
Flood Zone :
X
Use Zone :
PC - Newport Coast
PROCESSED BY
SPECIAL CONDITIONS: VHFSZ FUEL MOD ZONE; LANDSLIDE
$50,000.00
0
0
0
OWNER -BUILDER DECLARATION
f hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the chackmark(s) I have placed next to the applicable Item(s)
(Section 70tI Business and Professions Cade: 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
the permit to file a signed statemant that ha 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 licensure 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
not more than live hundred dollars ($500).
❑ 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,
Business 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
improvements 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 builtor
improved for the purpose of sale).
El I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
apply to an owner of properly 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: _---- __----- __,___�_„_�_
By my signature below I acknowledge that, except for any personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permitI cannot legal)
sell a structure [hat I have built as an owner-buildor If it has not been constructed in its entirely by licensed contractors. I understand that a copy of theapplicable law. Section 7044 of tho Business and
Professions Code, is available upon request when this application is submitted prat the following Web site:http:fiwww.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that.I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force
and effect. License Class License. No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 IE100,000j, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS FROVIDEO FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEy'S FEES,
I hereby affirm under penalty of perjury one of the following dGelaratlons:
❑ 1 have and will maintain a certificate of consent to sell -insure for workers` compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih
performance of the Work for which this permit is issued. Policy No.
01 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' compensatio
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone.0
❑I 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 ogre
that, if I should become subject io the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of ApplicantDate—
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY
I 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 {Seotion 3097, Civil Code).
Lender's Name _ Lender's Address
By my signature below, I certify to each Of the following:
1 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 ordinances and slate laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
Si nature of Property Owner or Authorized Agent Prom Property Owner's or Authorized Agent's Name Date _
ACTION DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
t REGULATIONS PART 6.1 OF TITLE 40 AND AQMD RULE
i 1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTI FICATION TO
PERMI'FCANCEtLEb r-1EPA
PERMITEXTENDED LJAQMD ,.
PERLNi FIMAL D� `' ASBESTOS NOI111CAI'ION 15 NOT APPLICABLE TO
CERTIFICATE OF PROFOSEODEMOLITION
OCCUPANCY ISSUED SIGNATURE:.