HomeMy WebLinkAboutXR2023-2260 - Permits�EWPO"T City of Newport Beach II�I����II��II���II��������
p� 6 Community Development Department- Building Division X R 2 0 2 3 2 2 6 0 COMB Permit : XR2U23-226U
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 718-1888
c� Issued Date : 08/16/2023
newportbeachca.gov/civic
Final Date:
°9ciFoaH�" Combination Type -SFP Permit Status: Issued
Work Class - Alteration 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 ANDHOLIDAYS IN ALL AREAS
Job Address : 2013 MIRAMAR DR
Legal Desc : N TR 518 BLK G LOT 29
gg
Description: SFR REMOVE AND REPLACE SIDING (ENTIRE
HOUSE)
Owner: GARY BURNISON
Contractor : STN BUILDERS INC
Architect
Address : 5472 ISLAND FOREST PL
Address : 13681 NEWPORT AVENUE #8
Address:
WESTLAKE VILLAGE, CA 91362
TUSTIN, CA 92780
Phone:
Phone: (714)713-1097
Phone:
Con State Lic : 817262
State Lic : • ' '
Lic Expire : 02/28/2025
Applicant : STN BUILDERS INC
Bus Lic : BT30056339
Engineer
Address : 13681 NEWPORT AVENUE #8
Bus Lic Expire : 08/31/2023
Address
TUSTIN, CA 92780
Phone: (714) 713-1097
Workers' Compensation Insurance
Phone:
Carrier: STATE COMPENSATION INSURANCE FUND
-
Owner/Builder :
Policy No: 9111360
Designer
Address :
W. C. Expire : 9/4/2023
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $50,000.6d "
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: 10, Side: 3, Side: 3, Rear: 0
Flood Zone : X
Use Zone: R-1 - Single-UnResidential
PROCESSED BY:
SPECIAL CONDITIONS: LIQUEFACTION, SEISMIC ANALYSIS NOT REQ PER POLICY #1405/SBC2512
DECLARATION
€ hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable ftem(s)
3eclion 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
to 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
^rofessions Code) or that he or she is exempt from )!censure 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).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure Is not intended or offered for sate (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 -Builder will have the burden of proving that it was not built or
nprovod for the purpose of sale).
-1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Proresslons Code: The Contractors' State License Law does not
pply tc an owner of property who builds or improves thereon, and who contracts for the projects vdth 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
ry 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 legall,
ell A structure that I have built as an ovmor-builder if if 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
'rofesslons Code, is available upon request when this apphration is submitted or at the following Web site;hiip:liwwwo.Ieginfo.Ga.govlcalaw.html.
signature of Property Owner or Authorized Agent .,..__�_._.__._.�......___._Date ,v_...�_._v_____..�.__
ACENSED CONTRACTOR'S DECLARATION
hereby Affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (cbmmancing with S Ion 7 f Div1 ioa3 o�the Bus nes and P Gfession ode, my Iicen is In full force
Ad effect License Class License No D —� — G 5 Contractor Si at re
VORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SEC:'RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NOREO THOUSAND DOLLARS ES100,000), IN ADDITION TO THE
OST OF cOMPENSA fkJd, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
erjpnnance of the work for which this permit is issued. Policy No.
and Ail; r,a.r,;ain 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
na of Agent
Date
1' certify that, in the p r€ormanco of the work for which this. permit is issued:, I shall not employ any person in any manner so as to become subject to lne worke ' compensation laws of California, and agr
tat, if I should beet e subject to the workers''cG�/pynsati_un/proyl'�r. s of Section 3700 of the Labor Code, shall forthwith comply with )hose provisions. �y
Ionalu,e of Ap car `—
IECLARATiMI• CARDING CPNSTRUCTIPN LENDING AGENCY
hereby 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 30 , Civil Code).
ender's Name _ Lender's Address
ly my signature below, certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf,
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
1 authorize representatives of this ci{'�',\or cou o en he abjO nntifie�d pro for inspection purposes. Q ^
Iionature of PrODertV Owner or AuthorizedW non C 1.2wapertv Owner's or Authorized Anent' a ie / 01 S °Q to
ACTION I DATE BY I DECLARATION OF COMPLdN1rE VVITE CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AWY10 RULE
1403
PERM) EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PFAMrTCAntCFCLED j ❑EPA
PERMIT EXTENDED
PCRNifT FIMAi ❑ 5 STUS NOl IFICAitON IS NO1 APPLI LE TO
CERTIFICATE OF , SED DEPnOLITI0P1
OCCUPANCYISSUED SIG TURF:
3