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HomeMy WebLinkAboutXR2023-1734 - Permits"EWPORr City of Newport Beach 111111p111111111111111111p11111111111111111p11111111111COMB Permit : XR2O23-1734 C4, " ii "I Community Development Department- Building Division X R 2 0 2 3 1 7 3 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: = Permit Counter Phone: (949) 718-1888 Issued Date : 06126/2023 e.. newportbeachca.gov/civic Inspection Area : 5 °9ticoaN�P Combination Type-SFP 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: 225 POPPY AVE Legal Desc : A TR RESUB OF CORONA DEL MAR BILK 143 LOT 17 Description: SFR CHANGE OUT 7 WINDOWS *NO HEADER CHANGE* Owner: LAWRENCE SULLIVAN AND RITA SULLIVAN Contractor : STN BUILDERS INC Architect Address : 22395 PINEGLEN Address : 13681 NEWPORT AVENUE #8 Address MISSION VIEJO, CA 92692 TUSTIN, CA 92780,4 Phone: Phone : (714) 713-1097 Phone Con State Lie : 817262 State Lie Lie Expire : 02/28/2025 Applicant: STN BUILDERS INC Bus Lie : BT30056339 Engineer: ,,• "; Address : 13681 NEWPORT AVENUE #8 Bus Lie 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 : $7,000.00 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 : 32 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableftem(s) 3ecllon 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 1e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rot'essfons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a Civil penalty of of more than five hundred dollars ($500). 3 1, 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, iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' Dr 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 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 E,ply to an owner of property who builds or Improvesthereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). -I I am exempt from Bcensure under the Contractors' State License Law for the following reason: iy 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 legalt, 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 'rofessfons Code., is available upon request when this application is submitted or at the fallowing Web site;httplAvww.leginfo.ca.govlcalaw.html, signature of Property Owner or Authorized Agent I Date ICENSED CONTRACTOR'S DECLARATION / hereby affirm unoer DenLIty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0f Division 3 of the Business and-Profe n de, Id r y ,Asa is In full force nii eflecL License Class License. No 0 `o -Zre^ 21 Contractor Signature VURKEkS' COME EN3ATION DECLARATION 'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO OKE HUNDRED T OUSAND DOLLARS (0100,000), IN ADOmON TO THE OTT Or fOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700OF THE LABOR CODE: INTEREST. AND ATTORNEY'S FEES. he,abygffirm under peol Jty of perjury one of the following declarations: I hate and will maintaina 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 rtfi. mr nee of thg vdrk for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, far the performance of the work for which this permit is issued. My workers' compansatioi nw al,ce carrier and policy number are: Barrier Policy Number Expiration Date 1,14me o, Agent _ Phone # 3 certify that, fr the p formande of the work for whit permit is issued, I shall not employ any person in any manner so as to become subject to the worke 'compensation laws of Calffomfa. and agre ,hat, if I should bet a ubj�\��ry.��Un wor rs' mp Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �7 3fgnature of Applic8 c-� � Dale ^ G DECLARATION RE G CONSTRUCTION LENDI OENCy hereby affirm under nasty o elury that there Is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, l 11 Code). _endees 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 c n ordinances Dnd state Ia aifng to building construction. I authorize representatives of this city or county entenne abov da tf ' property for inspection purposes. 1 Signature of Property Owner or Authorized A ant c� ` Print Property Owner's or Authorized Agents Name L- ACTION DATE BY V DIKLARATCNor COMPLI NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY V\ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUEO �S Nf TAPPt C#BLE T C