HomeMy WebLinkAboutXR2023-1117 - Permitsaa�WPoRr City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
u s Permit Counter Phone: (949) 644-3288
e.. Inspection Requests Phone: (949) 644-3255
Cq</F00.N\P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
11IIIIIIIIIIII111111111111111111111111111111111111111111I jj COMB Permit : XR2023-1117
Plan Check No : PC2023-0994
Issued Date : 0510112023
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 AND HOLIDAYS IN ALL AREAS
Job Address : 50 BALBOA COVES Legal Desc : N TR 1011 BILK LOT 50
Description: SFR - R/R (37) RETROFIT WINDOWS AND INSTALL (1) DOOR SLIDER
Owner: HOWARTH RONALD TR R & C
REVOC TR
Address : 50 BALBOA CVS
NEWPORT BEACH, CA 92663
Phone:
Applicant: SWANK INTERIORS INC
Address : 578 SO PASEO CARMEL
ANAHEIM, CA 92B07
Phone: (714)504-7048
Owner/Builder :
Address :
HOWARTH Contractor: SWANK INTERIORS INC
Address : 578 SO PASEO CARMEL
ANAHEIM, CA 92807
Phone : (714) 504-7048
Con State Lie : 990476
Lie Expire : 02/29/2024
Bus Lie: BT30081432
Bus Lie Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: EXEMPT
Policy No: EXEMPT
W. C. Expire:
Architect
Address
Phone:
State Lie
Engineer
Address
Phone:
Designer
Address:
Phone: Phone
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg
Occupancy Groups :
R-3
No of Units:
1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
2
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks :
Front: 5, Front: 15, Side: 4, Side: 4
Flood Zone :
AE, 8 FT; X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: LIQUEFACTION/HIGH-DENSITY ZONE
$75,000.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
(Section 7031.5, Business and Professions Code: Arty 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 statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of DMsion 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 for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
71 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 built or
improved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to constatct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply 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),
0 I am exempt from ncensure under the Contractors' Stale License Law for the following reason:
By 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 legal
sell a structure that I have built as an owner -builder if ithas 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:liwww.teginfo.ca,govlcalaw.html.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter S (commencing with Section 7 i P a ' 3 of the 6usi Coda d my li ns:e s In fpll-f rue
and effect. License Class License No DateV / Contrac r
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO 9?rPRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDRED THOUSAND DOLLARS ($100,00Ji, IN ADDmON TO TH'
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TOS OF THE LIBOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby of irm um: er penc,ity of perjury one of the following declarations:
Q 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 if
performance of the work for which this permit is issued. Policy No..
El, have and will ncintain 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' compensatic
insurance carrier and poli^y number are:
'Carrier Policy Number Expiration Date
Naryre of Agent Phone #
Rnenify that, in, the per.orn o he work for which this permit is issued. I shall not. emplo any person in any manner so as to became subject to the workers' compensation laws of California, and Egret
it that, I should became leot to th workers' compen of Sectior e Labor Code, I shall forthwith comply with those provisions.
DECLARATION
AppRFG Date 'LJ/ DECLARAT[ON kkGH TI EN NG AGENCY
I hereby affirm under penalty erjury that there Is a construction lending agency for the performance of the work for which this permit is issued. (Section 3097, Civil Code).
Lendiv s Name Lender's Address
8y my signature below, I oartify to each of the following:
I am the property owner or authorized to out 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 coancas ands s relating to building. construction.
I authorize representatives of this city or my to -Et h e-der3 ifled fo ospection purposes.
Signature of Property- Owner or Authorize Print Property Owner's or Authorized A enta Name aY Date
ACTION DATE BY DECLARATiCNtIOUF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AONID RULE
1403
PERMfTEXPIRED j U ISUBMITTED ASBESTOS NOTIFICATION TO
PERMITEXTENDED
PERT(FfCAA'At li /p D ,r r I �,-�'y$ES70A ATEON IS NOT Ap BLE 70
CE5TIFICATE OF ti/ I G6i f 4fROPOS M ON
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