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HomeMy WebLinkAboutXR2023-2690 - PermitsCity of Newport Beach Community Development Department- Building Division X R 2I IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-2690 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 y u_. Issued Date: 09/26/2023 newportheachca.gov/civic Final Date: Combination Type - SFP Permit Status: Issued Work Class - Repair Inspection Area : 2 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 : 108 VIA CORDOVA Legal Desc : N TR 907 BLK LOT 1049 Description : SFR - RE-ROQ.F- T/O CLAY TILE 5/5 PSF. INSTALL NEW FELT, RE -INSTALL SAME CLAY TILES, REPLACE ANY BROKEN TILE. 11 SQ Owner; TOM FLANAG Address : 10E VIA COR A - NEWPORT B H, CA 92663 Phone : (949) 610-26 co � IN: Applicant : ENTERPR CONTRA ING Address : 15218 SU T AVZ #�B'--611 FONTAN A 92536 J Phone:::: (909) 27 17-co `` Owner/Builder: Address : __ _ Z Phone: V r^� Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height: Building Setbacks : Front: 10, Front: 4, Side: 3, Side: 3 Flood Zone : X Use Zone : R-1 Single -Unit Residential PROCESSED BY: - SPECIAL CONDITIONS: Contractor; ENTERPRIZE CONTRACTING Architect Address : 15218 SUMMIT AVE #300-611 Address FONTANA, CA 92336 Phone : (909) 279-9917 Phone Con State Lic : 989191 State Lic Lic Expire : 12/31/2023 Bus Lic: BT30079675 Engineer: Bus Lic Expire : 09/30/2023 Address Workers' Compensation Insurance Phone Carrier: MIDWEST EMPLOYERS CASUALTY CO Policy No : BNUWC0158003 Designer W. C. Expire : 9/25/2024 Address Phone: Fire Sprinklers : NO Construction Valuation Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg No of Units : 1 Alteration sq. ft. Bldg : No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. %i 209 $14,000.00 0 VY9IYCR'O UIILIicly Ucti� r i hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the resson(s) indicated below by the checkmerk(s) I have placed next to the applicable items) section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernolish,. or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that ba 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 refessions 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 of more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 nprovemants 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 nproved for the purpose of sale). I, 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 poly 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 I am exempt from licensure under the Contractors' State License Law for the following reason ._......... q my signature below] 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 legally 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 or at the following Web site:http:liwvrw.leginfo.ca.gavlcalaw.html. .ignature of Property Owner or Authorized Agent,.��..,....��.___._..____...---___.__.____._,..�_._�..____�.-__.. Oate .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of C r ( commencing with Section 7 00 of iVisian f the Business and Profes and my licen_ n Tr fojrie nd effect. License Class License Now / Date Contractor Signatur PORKERS' COMPENSATION DECLARATION / EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (31 DD,000j. IN AODMCN TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1709 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have a.d 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 th Be,e oI the work for which this permit is issued. Policy No. ova 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 ' issued y workers' compensatiol 1s ranca c jrI rand policy number Policy Number �/�/y L�1/Ci J ri�de2 ;7!7 Expiration Date lame of Agent Phone # :11 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 Agra iat, if I should become subject to ' compensa OVISIOns f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 31 nalme of A licanP _perjUry '�...-y .—._.. ___._ P Date-_ g ppF(tfiN)ECLARAT€ON REGARpU OG A ENCYhered affirm under anal at there Is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, toil ode). ender's Name Lenders Address Iy my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 I - at'ing to building construction. I authorize representatives of this city or county L r above-i I ied prop e I r inspection purposes. _ ;ianature of ProaBily Owner or Authorized Agent _ A/ Print Property Owner's or Authorized Agents A[iION I DATE. BY �,4�'tFCLARATiCNOF COMPLIANCE WITH CODE OF FE.DEI !, REGIII AFIONS PART 51 OF TITLE 40 AND AQMD RULE 14aE PERMIT EXPIRED _ , ISUBMITT€DASBFSTOS NOTIFICATION TO PEAMrT CANCfRED EPA ...... .... ........._ ..... .......... PERNHT EXTENDED DAQM D PERMIT FINAL `Y/� �� ASBESTOS 11FIC NOI APPIiCA -0 CERTIFICATE OF �2I I" �L, PROPOSED0 ITl OCCUPANCY ISSUED SIGNATUR FOR OFFICE USE ONLY