HomeMy WebLinkAboutXR2022-2583 - PermitsEwPoRr City of Newport Beach II III I I I II I II I III III I III II COMB Permit : XR2O22-2583
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2417
Permit Counter Phone: (949) 644-3288 Issued Date :
U c r Inspection Requests Phone: (949) 644-3255 Inspection Area : 1
gpppgN� newponbeachca.gov/inspections
Combination Type - SFP
Work Class - Alteration
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 : 918 BALBOA BLVD E Legal Desc : A TR BALBOA TR BILK 13 LOT 9 BALBOA TR LOT 9 BLK 13 ALL -INC FOR ABAN ST
Description: SFR REPLACE (2) SLIDNG DOORS W/ Nr,EW ON FIRST AND SECOND FLOOR
Owner: SCOTT TR ARCHER Contractor: MUR-SOL BUILDERS, INC Architect
Address : 918 E. BALBOA BLVD iJ Address : 119 E JOSEPH ST Address :
NEWPORT BEACH, CA 92661 ARCADIA, CA 91006
Phone
Applicant: BUCHAN IAIN R
Address: 142 AVENIDA SANTA
SAN CLEMENTE, CA�
Phone : (949) 395-0619 �,0
Owner/Builder : \O
Address :
Phone:
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
2019
V-B
U,R-3
.r�
Phone: (626)447-0558
.,w
on State Lic :
997510
0
\ c Expire :
10/31/2024
�\ Bus Lie:
BT30067305
,RITA
d Bus Lie Expire
: 05/31/2023
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9212692
®� W. C. Expire : 6/20/2023
Front: 1, Front: 10, Side: 3, Side: 3
AE, 8 FT; AO 1; X
R-2 - Two -Unit Residential
SPECIAL CONDITIONS:
Fire Sprinklers :
NO
Fire Hazard Zone :
NO
No of Units:
1
No of Stories :
2
Phone:
State Lie
Engineer: BUCHAN IAIN R
Address: 142 AVENIDA SANTA MARGARITA
SAN CLEMENTE, CA 92672
Phone: (949)395-0619
Designer:
Address : ^
Phone,
Construction Valuation : $60,000.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg:
Added/New sq. ft. Garage: 0
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 ilein(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
he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, huilds or improves the properly, provided that the
Qu rovemonts 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
mprovod for the purpose of sale)_
D 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
I ply 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).
I am exempt from licensors under the Contractors' State License Law for the following reason: _
3y 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
;ell 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 site:http:llwww.leginfo.ca.gov/calaw.html,
ggnature 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 700 ) of Division 3 of the Business and Prof ssio- s e h' - yy 1 ,e _ In full force
Ind effect. License Class License No Date L Contractor Signature
PORKERS' 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 HONORED T OUSAND DOLLARS (E100,0001, IN ADDITION TO THE
:OST OF COMPENSATION; DAMAGES AS PROVIDED FOR 1N SECTION 0m8 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES_
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent 1D self -insure for workers' compensation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for thi
prOpmanee or the work far 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'
ranee carrier and policy number are!
Policy Number
Date
me of Agent Phone #
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 Calffomia, and
L it I should become subject to It r Las on ns Ian previsions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions.
nature of Applicant
CLARATION REGAR R CTIOI LENDING AGENCY V
rreby 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),
Ider's Name Lenders Address
By 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 ordf nc and st le laays relating to building construction.
I authorize representatives of this city or count. to a er he v - ied property for inspection purposes. r / r
Signature of Property Owner or Authorized Agent Print Propertyp Owner's or Authorized Agent's Name �-rs�.. r -''� Date I Z9 l'ZZ
ACTION DATE BY IF DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
33 REGULATIONS PART 61 OF TITLE 40 AND AOtMO RULE
1403
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