HomeMy WebLinkAboutXR2023-0982 - PermitsCity of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
04,
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
nenewportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
111I��III��111111111111111111111111111111111111111111111111COMB Permit : XR2O23-o982
Plan Check No:
Issued Date : 04/17/2023
Inspection Area : 1
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: 312 CORONADO ST
Description: SFR WINDOW (6) CHANGE OUT
Owner: CRISLER KELLY GLENN TR K
Address : 312 CORONADO ST
NEWPORT BEACH, CA 92661
Phone: (949)903-8734
Applicant: CALIFORNIA WINDOW MASTERS
Address : 6937 Village Parkway 2007, 2007
Dublin, CA 94568
Phone: (877)464-4005
Owner/Builder
Address :
Phone
Legal Desc : A TR NEWPORT BAY TR SUB OF BLK C BLK LOT 33
Contractor: CALIFORNIA WINDOW MASTERS Architect:
Address : 6937 Village Parkway 2007, 2007 Address
Dublin, CA 94568
Phone: (877)464-4005
Con State Lic :
972660
Lic Expire :
05/31/2024
Bus Lic :
BT30081297
Bus Lic Expire
: 04/30/2024
Workers' Compensation Insurance
Carrier: EXEMPT
Policy No : EXEMPT
W. C. Expire:
Code Edition : 2022
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 :
1
Building Setbacks : Front: 9, Side: 3, Side: 3, Rear: 5
Flood Zone : AO 1; X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Phone:
State Lic
Engineer:
Address
Phone :
Designer:
Address
Phone :
Construction Valuation :
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
$5,746.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' Slate 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, poor to its issuance, also requires the appflcant for
1G permit to Pie 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 Buslness'and
'rofessions Code) or that he or she is exempt from licensure 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).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (`) portions of the work; and the structure is not intended or offered for sale (Section 7044,
tusiness 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
nprovemenls 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).
7 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
..poly 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)..
3 1 am exempt from licensure under the Contractors' State License Law for the following reason:__-.______
fy 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
all a structure that I have built as an ownor-builder if It has not boon 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:liwww.leginio.ca.govlcelaw.html.
signature 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 0. 0) of Div' ion 3 of the Business and Pr ssiy de, an a is In full force
rid effect. License Class License No Date z Contractor Signatur
VORKERS' COMPENSATION DECLARATION
'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,0001. IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE. )NTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
I t 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 the
erformance of the work for which this permit is issued. Policy No.
11 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' compensatior
isurance Carrier and policy number are:
:arrier Policy Number Expiration Date
I me of Agent vnone rt
certify that, in the performance of the work for whis parmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
tathould become sub' ct to the workers' cion provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. ignature of.Applica/,nt Date �4;E/212
IECLARATION REAR ING STR. N LENDING AGENCY
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 vil Code).
onder s Name Lenders Address
ly 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 rend this application and the information i have provided is correct.
1 agree to comply with all applicable city and county ordinances and slat - ling to building construction. �/_r
I authorize representatives of this city or coun� t^% /ant t operty, for inspection purposes. ®M I� MC)Z, f4J\,IcLn
lionature of P(ODBRv Owner or Authorized Agent Y ___ Print Property Owner's or Authorized Agent's Name V I' e _
ACTION ( DATE AY / DFFGULATI ION PO 81 OF TNT F MPLIACE WITH
C QMODE F FEDERAL I FOR OFFICE USE ONLY
PERMIT CANCELLED
PERMIT VxTENOED
wrwT a F
CERTIFICATE OF
OCCLIPANCY15SUED
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