HomeMy WebLinkAboutXR2023-0879 - Permits�a£`wPORT City of Newport Beach
� e Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
tea., Inspection Requests Phone: (949) 644-3255
cqC/FepN�p newportbeachca.gov/inspections
Combination Type -
Work Class - Alteration
11111111111III 1111111111111111111111111������ COMB Permit : XR2023-0879
Plan Check No:
Issued Date : 04/05/2023
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 : 1726 OCEAN FRONT W
Description: DUPLEX WINDOW (7) CHANGEOUT
Owner:
JEFF HIGHBEE
Address :
1726 OCEAN FRONT W
NEWPORT BEACH, CA 92663
Phone :
(909) 772-5079
Applicant:
american vision windows
Address :
2125 madera road
simi valley, CA 93065
Phone:
(714)425-8393
Owner/Builder :
Address :
Phone:
Legal Desc : A TR NEWPORT BEACH SEC B BLK 17 LOT 13 NEWPORT BEACH SEC B L OT 13 BLK 17 -EX NLY
RECT.
Contractor:
AMERICAN VISION
Address :
2125 N MADERA ROAD#A
SIMI VALLEY CA 93065, CA 93065
Phone:
(888)563-0008
Con State Lie
: 778326
Lie Expire :
05/31/2024
Bus Lie:
BT30020889
Bus Lie Expire : 10/31/2023
Workers' Compensation Insurance
Carrier: INSURANCE CO OF THE WEST
Policy No: WSD505899301
W. C. Expire : 1/1/2024
Architect
Address
Phone :
State Lie
Engineer:
Address
Phone:
Designer
Address
Phone:
Code Edition :
2022
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 : 1
Alteration sq. ft. Bldg:
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks :
Front: 7, Side: 3, Side: 3, Rear: 10
Flood Zone :
X
Use Zone:
R-2-Two-Unit Residential
a1
NO CONSTRUC ION NOISL
PROCESSED BY:
SPECIAL CONDITIONS:
ON THE WEEKEND
$6,000,0a,
0
0
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 ftem(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' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
hofessions Code) or that he or she is exempt from lieensure 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
lot more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044,
Justness 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
itprovements 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
mproved for the purpose of sale).
1, as owner of the properly, 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 properly who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
1 am exempt from lieensure under the Contractors' Slate 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 logall)
oil a structure that I have built as an owner-btlildor 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:httpJiwww.leginfo.ca,gov/calaw.html.
tignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of pA g'ury that I am licensed under provisions of�hapter 9 (commencing with Seclinn 70 0) of f (jar n 3 of the Business and Prof ss' f s Cade, d y license is in full force
ind effect. License Class License No ,� 3Z� Dat 5 e Contractor Signature
VORKERS' COMPENSATI N DECLARATION /
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRF,4 OUSANO DOLLARS [S100,000). IN AOORION TO THE
OST OF COMPENSA'f J;l; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
foe 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 in
er orm$nce of the ✓ a. k for which this permit is issued. Policy No.
al n 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' compensatior
t .Circe d@rriar and nIle�y`f umbeF are:
'.arr,ar_ ; L_1,S . '{� '% YID �J�S9 Policy Number W5� �aS � G%� G Z' Expiration Date
lama of Agent _ Phone #
I cErt:fy 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 agree
,it, If I should become subject to i orkers' ensstion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
fgnafure of Appucent..
�;:C:.. RATION IS RDI1VG C G LENDING AG. CY
he-rty affirm ucde, penalty of par' ry that there is a construction lending agency for the performance of the work for which this permit is. issued (Section 3097, Civil Code).
Cinder's Name - - . / Lender's Address
y 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 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 i7�/�enter/u�{y�,,above-id fed property for inspection purposes,
ianature of Prooertv Owner or Authorized, N ��lL z l/iLti_ Print Prooertv Owner's or Authorized Anent's Name SCT Yarry16-s -L' / � Date
DATE. ay I DECrLLyRATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
RE6 CATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED 1_l l SUBMITTED ASBESTOS NOTIFICATION TO
MIT
PERMIT EXTENDED j—..__..--- .. _._..._1__.� A
OMD
PERMIT FINAL 7 U ASBESTOS NOTIFICA'rIONIS TAPPUCABLE TO
CERTIFICATE Of 22 U PROPOSEDAI�Y[%ON
OCCUPANCY15SUED r SIGNATURE: q�y, ///����