HomeMy WebLinkAboutXR2023-1194 - PermitsaEvuaoRT City of Newport Beach II IIIII III IIIIII III III IIII II II III II COMB Permit : XR2O23-1194
p� d Community Development Department- Building Division X R 2 0 2 3 1 1 9 4
> 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1654-2022
>h i Permit Counter Phone: (949) 718-1888 Issued Date : 0510912023
newportbeachca.gov/civic Inspection Area : 8
,�/PORN Combination Type - SFP
Work Class - Other
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 : 325 SANTA ANA AVE Legal Desc : N TR 444 BLK LOT 64
Description: **RENEW EXPIRED PERMIT X2022-1795** SFR ALT: R/R DECK, GLASS RAIL, STAIRCASE, SIDING, & HANDRAIL @ GARAGE. *STOPWORK 121-0871*
Owner: RANDY HAMILTON
Address : 325 SANTA ANA AVE
NEWPORT BEACH, CA 92663
Phone
Applicant: OUTDOOR CONCETPS
Address: 28241 CROWN VALLEY PKWY, F293
LAGUNA NIGUEL, CA 92677
Phone : (949) 295-4417
Owner/Builder :
Address:
Phone:
Contractor: OUTDOOR CONCETPS
Address: 28241 CROWN VALLEY PKWY, F293
LAGUNA NIGUEL, CA 92677
Phone:
(949)295-4417
Con State Lie
: 831378
Lie Expire:
02/29/2024
Bus Lie:
BT30060506
Bus Lie Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: BENCHMARK INSURANCE COMPANY
Policy No: CST5021783
W. C. Expire: 6/18/2023
Code Edition :
2019
Fire Sprinklers ;
NO
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups :
U,R-3
No of Units :
1
Bldg Height :
No of Stories :
2
Building Setbacks :
Front: 14, Side: 4, Side: 4, Rear: 5
Flood Zone:
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
S42x9r_1119010MI10111101163
Architect
Address
Phone
State Lie
Engineer: ZHANGYAO
Address : 15375 BARRANCA PKWY,'H106
IRVINE, CA 92618
Phone: (949)788-0424
Designer:
Address:
Phone:
Construction Valuation :
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
0
I
VYLIUARM11940
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 item(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 toils issuance, also requires the applicant for
ie permit to BID a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
)rofeswurs; Code) or that he or she is exempt from licensors 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
iof more than five hundred dollars ($500),
1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovenients 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 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
Ipply 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 Law),
1 am exempt from licensureLinder 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 by this permit, I cannot legally
oil a structure that I have built as an awnor-builder if it has not boon constructed in its entirely by license contractors, I derste 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 folio n .ca. / tml.
Signature of Property Owner or Authorized Agent Date
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under previsions of or 9 (commeneg with Section 7000 f i ''on 3 of th u s and Profassio o �y-111ansa s In full force
Ind effect. License Class License No / %.� / L ate C �tor Signature
VORKERS' COMPENSATION DECLARATION
EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (SiD0,000), IN ADDITION TO THE
:OST OP COMPENSA, fuN, JAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I hav^ and rill mairtain 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 lh
erformance of hie WOIK for which this permit Is Issued. Policy No.
hci a 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'
ranre carrier and po'Icy number are:
Policy Number
c` Agent
Date
uenrfy that, in the performance of the wd11 w Ic tehHl�par l ed not employ any person in any manner so as P �become subject to the workers' compensation laws of California, and ogre
e
;, ;f I s:iould become subject to the we s r sicn (Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j.
nature of Applicant,,: ` / .�Lta`e.� 1._..._�
CLMt41DON REGARDING CONSTRUCTION LENDING AGENCIK
:reby affirm Under neoatty 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 Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the. properly owner's behalf.
I have read this application and the information 1 have provided is correct.
I agree to comply with all applicable city and county oncli p a ces ce and state as relating to building construction.
I authorize representatives of this city or county to entaVe jQlpveado7I1#d property for inspection purposes.
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
_............I....... ............._..._.__..._
PERINITEXTENDED
PERMIT FINAL _
CERTIFICATE OF
OCCUPANCYISSUED
or Authorized ADent ',�— VU 1. I -Ge, lI — Print Property Owner's or Authorized Agent's Name
DATE I BY
RFG ULATIONS PART 61 OF TITLE 40 AND AQMD RULE
ASBESTOS
SIGNATURE:
ASBESTOS
FOR OFFICE USE ONLY
I 6 V�