HomeMy WebLinkAboutXR2023-3078 - PermitsCity of Newport Beach
¢��WPoRr
- A
Community Development Department - Building Division
.^;
n100
Civic Center Drive, Newport Beach, CA 92660
u Y
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Cq<�FORN`P
Combination Type - SFP
Work Class - Alteration
J ... - w. ♦A a �.. A' C
COMB Permit : XR2023-3078
Plan Check No:
Issued Date : 10/30/2023
Final Date:
Permit Status: Issued
Inspection Area : 2
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 : 105 VIA QUITD Legal Desc : N TR 907 BLK LOT 137
Description: SFR R/R STAIR GUARDS AND RAILINGS WITH GLASS (REV2023-2156)
Owner: MICHAEL GRAY
Address : 105 VIA QUITO
NEWPORT BEACH, CA 92663
Phone : (877) 742-4624
Applicant: MICHAEL GRAY
Address : 105 VIA QUITO
NEWPORT BEACH, CA 92663
Phone: (877)742-4624
Owner/Builder: MICHAEL GRAY
Address : 105 VIA QUITO
NEWPORT BEACH, CA 92663
Phone: (877)742-4624
Contractor
Address :
Phone:
Con State Lie
Lie Expire
Bus Lie :
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire
Architect
Address
Phone:
State Lie
Engineer: TRUONG PHONG
Address: 3000E BIRCH ST
BREA, CA 92821
Phone: (949)254-2751
Designer:
Address :
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$1,500.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups :
R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage :
0
TOTAL sq. ft.
0
Building Setbacks :
Front: 10, Front: 4, Side: 3, Side: 3
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
65
PROCESSED BY:
SPECIAL CONDITIONS:
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 items)
Section 7031-5. Business and Professions Code: Any city or courtly (hat requires a permit to construct, after, improve. demolish, or repair any structure, prior to its issuance, also requires the applicant for
no 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 ficensure 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 penatty 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 t_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
rusiness 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 -Sunder 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
pp to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
3 1 am exempt from (censure under the Contractors' State License Law for the following reason
ry my signature below I acknowledge that, except for my personal residence In which I must have resided for at least one year prior In completion of the improvements covered by this permit, I cannot legally
oil a structure that I have built as an owner -builder if I has n t 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 a I ti vgym d oral the fol ing'dyeb site:http:liwww.teginfo.ca.,gov/calaw.html,
signature of Property Owner or Authorized Agent _ _ Date _J
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am Ilcensed under provisi of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force
ndeffect. License Class License. No Date Contractor Signature
COMPENSATION DECLARATION
ING: 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 fW0,000). IN ADDITION TO THE
OF COMPENSATION DAMAGES As PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
`ormance, 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 permitis issued. My workers` compensa
!Rance carrier and policy number are:
Policy Number
of Agent
Date
:edify that, inthe performance of the work for which this permit is issued'., I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California., and
if I should become subi th"orkflu compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date / 0/3 0 /23
hereby 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).
Anders Name Lenders Address
iy my signature below, I certify to each of ilia following:
I am the propel ty owl,er or authorized to act on the property ow.ner's behalf.
I have read this appli:ation and the information I have provided is correct.
I ag. ea to com;71;' 'Mth all applicable City and county ordinances and state laws relating to building construction.
I authorize rep-es^rlatives of this city or county to ente�4h,_O"vyp id llfied plaperty for inspection purposes.
3
ACTION
DATE
By 1 DECLARATIONOI�COMPUANCE WITH CODE OF FEDERAL
1 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
FOR OFFICE USE ONLY
P iAi iEYPiRED
1 SUBMITTED ASBESTOS NOTIFICATION TO
PfPh41T CANCELLED
�'.
I IIEPA
PtR, ArrT EXTENDED
3 �oQMD
PCRbflT FINAL --- —'
I
p/�� IWESTONIF�IOON 15 N6�1APPLIALE TO v
LERTI Y
PROON
OCCUPANCY ISSL"O I
SIGNATURE: