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HomeMy WebLinkAboutXR2023-1195 - Permits (2)�aEWPoRr City of Newport Beach Community Development Department- Building Division F t"y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic cqt/FOFN�P Combination Type - SFP Work Class - Alteration ImIll111111111111111111111111111111111111111111111n 11COMB Permit: XR2023-1195 Plan Check No: Issued Date : 05/09/2023 Inspection Area : 5 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 : 220 HELIOTROPE AVE Legal Desc : A TR RESUB OF CORONA DEL MAR BILK 35 LOT 16 RESUB OF CORONA D EL MAR BLK 35 & NELY 10 Description: SFR R/R SIDING (ALL ELEVATIONS) Owner: PONCE GEORGE H JR TR G & N PONCE Contractor: APPROVED CONTRACTOR INC Architect: FAMILY TR Address : 220 HELIOTROPE AVE Address : 9015 ETON AVENUE UNIT D Address CORONA DEL MAR, CA 92625 CANOGA PARK, CA 91304 Phone : Phone: (773) 528-7963 Phone: Con State Lic : 952272 State Lic Lic Expire : 09/30/2024 Applicant: APPROVED CONTRACTOR INC Bus Lic: BT30076444 Engineer: Address : 9015 ETON AVENUE UNIT D Bus Lic Expire : 08/31/2023 Address CANOGA PARK, CA 91304 Phone: (773) 528-7963 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder: Policy No: 1966713 Designer: Address : W. C. Expire: 3/1/2024 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 : U,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: 15, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone: R-1 - Single -Unit Residential R J PROCESSED BY.. SPECIAL CONDITIONS: PR/Z ($59,500.00 0 2,700 0 0 16 OWNER -BUILDER DECLARATION 1 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 item(s) 3ecAon 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 IS 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 professions Code) or that he or she is exempt from licensum and the basis for the alleged exemption" Any violation of Section 7031.5by 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 (, all of or U pardons of the work; and the structure is not intended or offered for sale (Section 70", 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 builtor n roved 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' Stale License Law does not ly to an owner of properly who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from liaensure--under the Contractors' Slate 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 Improvementscovered by this permit, I.cannot legal 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 theapplicable 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:/Mnvw.teginfo.ca.govlcalaw.htmi. ;Ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force. nd effect. License Class License No Date Contractor Signature 1IORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WOMEJRS' COMPENSATION COVERAGE 18 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND, DOLLARS (5100,0", IN ADDITION TO TH OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: ] I have and will maintain a Certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for fl erformance of the work for which this permit is issued. Policy No. have 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' rance carder: and policy number are: ter Policy Number Expiralton Dale ne of Agent Phone # 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 L If I should become subject to the workers' compensation provisions or Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. nature of Applicant Date_ CLARATION REGARDING CONSTRUCTION LENDING AGENCY Imby 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). ider's Name - Lenders Address my signature below, I certify to each of the following: I 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 compiv with all applicable city and county ordinances and state laws relating to building construction. I authorize rep,esentai;ves of thiscity or county to enter the above -identified property for inspection purposes. DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 51. OF TITLE 40 AND AQMD RULE TO PERMIT FINAL (�2 0/' ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CEHTIGCATEOE ` PROPOSED DEMOLITION 04LCUPANCYISSUEO, I SIGNATURE: