HomeMy WebLinkAboutXR2022-2694 - PermitsrgWcoR.. City of NewportCOMB
Beach II III I I I II I II I III III II II II
�`r A Community Development Department - Building Division
i 100 Civic Center Drive, Newport Beach, CA 92660
U S Permit Counter Phone: (949) 644-32BB
c.� Inspection Requests Phone: (949) 644-3255 {'�
C7�-�FORN`P newportbeachca.gov/inspections
4 �--
Wok Class- AltterationP MECH PLUM I � � � 9
Permit : XR2U22-2694
Plan Check No : PC2022-2533
Issued Date: 1011112022
Inspection Area : 6
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 : 202 HARBOR WOODS PL
Legal Desc : N TR 11935 BLK LOT 3 UN 100 TR 11935 LOT 3 UNIT 100 OF PROJE CT LOCATED ON AP
Description: MFR REMODEL TO 1ST AND 2ND FLOOR 1200
SF
Owner: JANRIC REAL ESTATE LLC
Contractor: GALLO BUILDERS INC
Architect:
Address : 921 EMERALD BAY
Address : 1278 GLENNEYRE ST #412
Address
LAGUNA BEACH, CA 92651
LAGUNA BEACH, CA 92651
Phone :
Phone : (949) 683-3500
Phone
Con State Lie : 852218
State Lie
Lie Expire : 01/31/2023
Applicant: GALLO BUILDERS INC.
Bus Lie : BT3002899B
Engineer
Address : 1105 N. Coast Highway
Bus Lie Expire : 08/31/2023
Address
Laguna Beach, CA 92651
Phone: (949) 715-9874
Workers' Compensation Insurance
Phone:
Carrier: STARNET INSURANCE COMPANY
Owner/Builder :
Policy No: BNUWC0155365
Designer : PRECISION PROPERTY MEASUREMENTS
/PPM
Address :
W. C. Expire: 11/20/2022
Address : 3626 E PACIFIC COAST HWY, 2ND FL
LONG BEACH, CA 90804
Phone:
Phone: (562)621-9100
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $110,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/NewITI sq. ft. Bldg:
Occupancy Groups : U,R-2
No of Units : 1
Alteration sq. ft. Bldg : 1,200 - - - - - -
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage : 0
TOTAL sq. ft. Bldg: 0
Building Setbacks
Flood Zone : X
Use Zone : RM - Multiple Residential
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
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 [hat requires a. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
Te 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 licensors and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the applicant to a civil penalty of
at more than five hundred dollars ($500).
1 I, as owner of the properly, 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
nprovements are not intended or offered for sale. IL 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
'n�TTproved for the purpose of sale).
.r I, as owner of the property, am exclusively contracting With licensed Contractors to construct t11e project (Section 7044. Business and Professions Code: The Contractors' State License Law does not
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
I am exempt from licensure under the Contractors' Stale 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 legall
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
'rofessions Code, is available upon request when this application is submitted or at the following Web she:http:/iw .leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent - Date _.
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally 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 O� j ��2Z. Contractor Signature
VORKERS' COMPENSATION DECLARATION
DARNING: 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 ($100,0001, IN ADDITION TO THI
UST OF COMPENSATION, PAMAGESAS PROVIDED FOR IN SECTION STOs OF THE LABOR CODE, INTEREST, AND ATTORNEY'S PRES.
hereby affirm under penalty of perjury one of the following declarations:
] 1 have and will maintain a certificate of consent to self•insum for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tr
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'
rence carrier and policy number are:
Policy Number
of Agent
Date
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
, if I $front(] becomelsubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Dale____ �,'),,�,� —_
�reby 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).
Ides s Name Lender's Address
my signature below, I certify to each of the following:
I am the properly owner or authorized to act on the property owners behalf.
I I lave 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.
' authorize representatives of this city or county to ante the a 1 vee�nlifjed property for inspection purposes.
rized rature of Property Owner or AuthoAgent / Y \ f/' cL¢ i ((��c rip >._J Print Prooertv Owner's or Authorized Anent's Nama
ACTION
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