HomeMy WebLinkAboutXR2022-2918 - Permits��EwroRr
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.govfinspections
Combination Type - SFP
Work Class - Other
COMB Permit
Plan Check No
Issued Date:
Inspection Area : 6
XR2022-2918
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: 516 JASMINE AVE, 112 Legal Desc : P BK 333 PG 29 PAR 1 UN 1 PM 333-29, PAR 1 OF PROJECT 938-01 LOCATED ON
Description: SFR - INSTALL NEW DECK COATING AT EXIST'G 2ND FLR DECK
Owner: JILL KINDER
Address: 516 1/2 JASMINE AVE
CORONA DEL MAR, CA 92625
Phone
Applicant:
CRANK WATERPROOFING
Address:
134 COMMERCIAL WY
COSTA MESA, CA 92627
Phone :
(949) 646-9356
Owner/Builder :
Address:
Phone
Contractor: CRANK WATERPROOFING
Address: 134 COMMERCIAL WY
COSTA MESA, CA 92627
Phone:
(949) 646-9356
Con State Lic
: 1038420
Lic Expire :
04/30/2024
Bus Lic :
BT30063958
Bus Lic Expire: 06/30/2023
Workers' Compensation Insurance
Carrier: FALLS LAKE FIRE AND CASUALTY
COMPANY
Policy No: FLA01345002
W. C. Expire : 1/26/2023
Architect
Address
Phone:
State Lic
Engineer:
Address:
Phone
Designer:
Address :
Phone:
Code Edition :
2019
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 :
2
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage:
TOTAL sq. ft. Bldg
Building Setbacks :
Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone:
X
Use Zone:
R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: WATERPROOFING DESERT CRETE IAPMO ER-0586
$8,00X).00
257
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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 applicableltem(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 to its issuance, also requires the applicant for
in permit to file a signed statement that he or she is licensed pursuant to the previsions of the Contractors' State License Caw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
rofessions 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 ponatty of
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their solecompensation, will doL) all of or L) portions of the work; and the structure is not intended or offered for sale (Section 7044,
rosiness 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
aprovements 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
nprovedfor thepurpose of sale).
I I, as owner of the property, am exclusively contracting with licensed Contractors t0 construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ppiy to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
3 1 am exempt from licensors under the Contractors' State License Law for the following reason:
iy 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 owner -builder if It has not been constructed in its entirety, by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Yofessions Code, is available upon request when this application is submitted or at the following Web site:httpJ/Www.leginfo.ca.gov/calawfitml.
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 7000)-of Division 3 of the Business and Professions -Cede, a d my II a is In full force
nd effect. License Class License No Date 7�I1 / wt 2'L Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: 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 ($100,000). IN ADDITION TO THE
DST OF CCIMPENSA-11 •%9 V CAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR COVE, INTEREST, AND ATTORNEY's Fees.
hereby a`irm under penalty of perjury one of the following declarations:
_.A I. have and wi,l ruwLnain 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
orfirm,&ace of the work for which this permit is issued. Policy No.
Iove and will mPintgln 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'
anca carrier r,nd poll. y number are:
of Agent __ _
certify that, in the performance of the
111 should become vlbject to the we etnrq of Applicant _.
Policy Number
Date
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 agree
compensation p vision 3700 of the Labor Code, I shall forthwith comply with those provisions.
.,lt.L1� /yy(/I Dated L l I ('Z
Ireby affirm undccpenalty 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).
Idler'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 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 city or county/to enter }(�'q'above-'dentifl�I��r. property for Inspection purposes, i\. S�Q�H �nU ,.�i,,m nr Pr..,.- rt n,—.r nr A, Ahnnrorl Annul 7l'- �. ti �T Print PrnnoRv n unar'c nr d,dhnri>ari dnwnFc Hama
ACTION DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF At FOR OFFICE USE ONLY
1403
4 REGULATIONS PART bI OF TITLE 40 AND AQNIO RULE
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