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Home My WebLink AboutXR2023-1398 - Permitsaa�WPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-1398 0 @ Community Development Department- Building Division X R 2 0 2 3 1 3 9 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1271 Permit Counter Phone: (949) 718-1888 Issued Date : 05/26/2023 ur.newportbeachca.gov/civic Inspection Area : 2 Cqt/FOftN�P Combination Type - MFP p 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 : 14 ESCAPADE CT Description: MFR - BALCONY REPAIR 81 SF Owner: LOPEZ FAMILY REVOCABLE LIVING TRUST Address : 14 ESCAPADE CT NEWPORT BEACH, CA 92663 Phone: Applicant: ANGUS SMITH CONSTRUCTION Address: 12342 CANYON TERRACE SANTA ANA, CA 92705 Phone: (714)538-1191 Owner/Builder : Address : Legal Desc : N TR 7817 BLK LOT 4 UN 217 TR 7817 LOT 4 UNIT 217 OF PROJECT LOCATED ON AP Contractor: ANGUS SMITH CONSTRUCTION Address : 12342 CANYON TERRACE SANTA ANA, CA 92705 Phone: (714) 538-1191 Con State Lic : 637440 Lic Expire: 02/29/2024 Bus Lic: BT01101101 Bus Lic Expire : 09/30/2023 Workers' Compensation Insurance Carrier: STATE NAIL INS CO Policy No: AMX080003000 W. C. Expire : 10/1/2023 Architect Address Phone: State Lic: Engineer: XIAO OIANG Address: 1520 BROOKHOLLOW DR #45 SANTA ANA, CA 92705 Phone: (714)662-0510 Designer: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $12,500:00 = Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 7 Alteration sq. ft. Bldg : 81 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone: PC - Newport Crest - UPI 585 BY: PROCESSED SPECIAL CONDITIONS: It 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 applicable'tem(s) Section 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 lieensure 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 penally 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 (_) all of or U portions of the work; and the structure is not intended or offered for sale (Section 7044, rosiness 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 nproved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coder The Contractors' State License Law does not .poly 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). a 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 bythis permit, I cannot legally all 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 'rofessions Code, is available upon request when this application is submitted or at the following Web sitaihttpliwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent --_- Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Div' , 3 of the Business and Profess) C nd my Iic rise is In full force Ind effect. License Class License No Date - Contractor. Signature PORKERS" COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES; UNLAWFUL, ANO SHALL SUBSECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVILFINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ACWTION TO THE :OST OF COMPENSATION: 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: 3,,,,,,jjJJJJI-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 th 1mlance of the work for which this permit is issued. Policy No. pow 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' compensatiol �surance carrier and policy number are: .arrier Policy Number Expiration Date dame of Agent Phone # -1I certify that, in the perto nice he 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 agre iat, if I should become subjec is a worker mpensation prov€sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. tignature of Applicant .�I `1 CNSTRUC Date_ J �J ECLARATION REGARDIM1YG 1 N LENDING AGENCY :Iereby afrvm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). nnder's Name Lender's Address Ly my signature Jelob, I certify to each of the following: am the propef,y owner or authorized to act. on the property owner's behalf. I have read lKs appIcaton and the information 1 have provided is correct. agrze to cor.Fly Witt all applicable city and coun o ' noes and state laws relating to building construction. I authorize re; m-rntatives of this city or county to nu r e above= entified property for inspection purposes. iianatUu of Prc erty Owner or Authorzed,3 ent Print Property Owner's or Authorized Agent's Name"rl _ Date � ArTnN DATE BY OECLARATION OF COMPLIANCE WITH CODEOF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ?ER41i-5PIREO LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LJAQMD PERMIT FINAL / / STOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF /"�/,'Z �'( RF�S�iFDEMOLITION OCCUPANCVISSUED YYY YYY - E