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HomeMy WebLinkAboutXR2023-2492 - PermitsdEWPORr City of Newport Beach IIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII II COMB Permit : XR2023-2492 Community Development Department- Building Division 0 ... b". 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2186 Z Permit Counter Phone (949) 718-1888 _ Issued Date : 09/07/2023 e'.. a newportbeachca.gov/civic c ` ` �' - _ °y Final Date: °g5;roaN`P Combination Type - i , ,� ; C Permit Status: Issued Work Class - Alteration Inspection Area : a 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 : 20 KIALOA CT Legal Desc : N TR 7B52 BILK LOT 1 UN 1 TR 7852 LOT 1 UNIT 1 OF P Description: MFR DECK REPAIR LIKE -FOR -LIKE. 108 SF Owner: NEWPORT CREST HOMEOWNERS ASSN Contractor: ANGUS SMITH CONSTRUCTION Architect Address : 201 INTREPID CT Address : 12342 CANYON TERRACE Address NEWPORT BEACH, CA 92663 SANTA ANA, CA 92705 Phone : (949) 631-0925 Phone : (714) 538-1191 Phone: Con State Lic : 637440 State Lic Lic Expire : 02/29/2024 Applicant: ANGUS SMITH CONSTRUCTION Bus Lic : BT01101101 Engineer : XIAO OIANG Address : 12342 CANYON TERRACE Bus Lic Expire : 09/30/2023 Address : 1520 BROOKHOLLOW DR #45 SANTA ANA, CA 92705 SANTA ANA, CA 92705 Phone : (714) 538-1191 Workers' Compensation Insurance Phone : (714) 662-0510 Carrier: STATE NATIONAL INSURANCE COMPANY INC Owner/Builder: Policy No: AMX080003000 Designer: Address : W. C. Expire : 10/1/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 2 Alteration sq. ft. Bldg : 108 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PROCESSED BY: D `5 SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penally 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 item(s) Election 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 nG permit to file a signed statement that he or she is licensed pursuant to Ilia 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 licansure 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 of more than five hundred dollars ($500). 7 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 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). J 1, 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 Coy 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 Lew). J I arn exempt from licensure under the Contractors' Stale License Law for the fallowing reason ,y 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 Gannet leyall) ell a structure that i have hull[ as an owner -builder if 'a has not been constructed in its entirely 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 site:http:!Iv. w.leginfo.ca.govlcalawlhtml. ,ipnature of Property Owner or Authorized Agent „ ., .,. Date .ICENSED CONTRACTOR'S DECLARATION 111---��� hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of ivisi n 3 of the Business and Professi s CQoN: andrr/yrjicense is in full force nd effect. Llcenso Class License No Date Contractor Signature JORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CCDE, INTEREST, AND ATTORNEY'S FEES. by affirm under penalty of perjury one of the following declarations: TNh have and will maintain a certiticato of consent to self- insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 370G of the Labor Code, for th� erformanee of the work for which this permit is issued. Policy No. have and will maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' canoe carrier and policy number are: ne of Agent certify Iha , in the pi if I should become nature of Applicant _ Policy Number Date ce 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 agre lu la workers rnpenBa ?on provisions of Section 3700 of the Labor Code I shall furthwlth comply with those provisions. C LARATION REGARDING CONSTRDCTI N LENDING AGENCY 3reby 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 3097, Civil Code), tiler s Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act an 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 county ordinances and state laws relating to building construction. I authorize representatives of this rite or county o nt"�'�"t`Fla abo }yl�-tentitled property for inspection purposes. ,f nature of Property Owner or Authorized Aaenl � _ >/1n Jf> d Print Pronertv Owner's or Authorized Anant's Name tr I'V%.r iC n BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLF 40 AND AQMD RUI F YfNM1I'EXPMED ( I ! U1 FJ tIITTEDASBESTOSNOTIFICATIONTO PFIVAr CANCELLFO i A FFR; IT EXTLNOED ��^111���fff EPC AQMD _ P RrINTFINAL d BE5T0SNOIIFILA N NOr APPLICABLE TC CERTIFICATE OF /f�k �J4Ir_; PROPQSED DEMOI ITf OCC I'HfJCY ISSUED i SIGNATURE.-� Date