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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, ///����