HomeMy WebLinkAboutXR2023-0661 - PermitsWPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-0661
Community Development Department - Building Division x R 2 0 2 3 0 6 6 1
�> y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0554
`5� S Permit Counter Phone: (949) 644-3288 Issued Date : 04/18/2023
Inspection Requests Phone: (949) 644-3255 Inspection Area : 1
newportbeachca.gov/inspections
Combination Type - SFP
WN ,!, (aa¢c - Alteratinn
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: 4909 SEASHORE DR Legal Desc : A TR OCEAN FRONT TR BLK 49 LOT 5
Description: SFR REPLACE 3 (E) SLIDING GLASS DOORS WITH 3 BIFOLD DOORS; R/R EXISTING 2ND LEVEL BALCONY DECKING AND GUARDRAIL &DRAINAGE
Owner: VINNY SMITH
Contractor: LUCCO CUSTOM CONSTRUCTION
Architect
Address : 4909 SEASHORE DR
Address : 32158 Camino Capistrano, A343
Address
NEWPORT BEACH, CA 92663
San Juan Capistrano, CA 92675
Phone:
Phone: (714)478-0542
Phone: ��•�
Con State Lie : 473808
State Lie : • , ,
Applicant: LUCCO CUSTOM CONSTRUCTION
Lie Expire : 02129/2024
Bus Lie: BT30052415
Engineer: MURPHY MICHAEL NI.CHOLAS
Address : 32158 Camino Capistrano, A343
Bus Lie Expire : 09/30/2023
Address : N 57 BIRCH
WPORT BEACH, �26s0
San Juan Capistrano, CA 92675
Phone: (714) 478-0542
Workers' Compensation Insurance
-
Phone: (949) 292-1987
Carrier: STATE COMPENSATION INSURANCE FUND
Owner/Builder :
Policy No: 9335344
Designer: BRUCE MANZER
Address :
W. C. Expire : 3/1812024
Address : 24275 PONCHARTRAIN LN
LAKE FOREST, CA 92630' .
Phone: (714) 720-4394
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $35,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
0
Bldg Height:
No ofStories : 2
Added/New sq. ft. Garage:
TOTAL sq. ft. 0
Building Setbacks : Front: 5, Front: 0, Side: 3, Side: 3
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
r*...
PROCESSED BY:
//�'.��y-g�- N NOISE
N�gg CONSTRUCTION
iV® i./IJIV�Tr'lUi./ 6 9l,JlV IVIJ�JL
SPECIAL CONDITIONS: LIQUEFACTION/HIGH-DENSITY ZONE
OR THE WEEKEND
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 checkmarR(S) I have placed next to the applicable fferl
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve-, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that lie or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 foommoncing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from Ilcensure and the basis tattle alleged exemption_ Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500)..
I, as owner of the property, or my employees with wages as their sole compensation, will doL). all of or (, ) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
improved for the purpose of sale).
L as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code; The Contractors' State License Law does not
apply to an owner of property who Wide or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
'J am exempt from licensure under the Contractors' State License Law for the following reason:
3y my signature below f acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements coveted by this permit, Icannot legail)
soil a structure That I have built as an owner -builder if ithas not been constructed in its entirely by licensed contractors. I understand that copy of the applicable tow, Section 7044 of the Business and
professions Code, is available upon request when this application Is submitted or at the following Web site:httpJlwww.ieginto.ca.govtcalaw,html.
3lgnatum of Property Owner or Authorized Agent
_ .Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm undsr Per salty of perjury that I am licensed under provisions of Chapter (commencing with Section f 7ivi 'on 3 of the Business and Prof as l ON de, �mylcenn full force
and effect License "aJs License No Date `1 't Contractor Signature
N0,1AEFS' CONJ ENSATION DECLARATION
YARNING: FAILURE TO S..I,6R 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
mO OF COMPENSATION, DANSAOES AS PROVIDED FORIN SECTION 3708 OF THE LABOR COUR, INTEREST, "a ATTORNEY'S FEES.
hereby affirm under peri of perjury one of the following dec€arations:
I I Lave Intl will maintain a certiffcate 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 th,
narforrynce of the work for which this permit is issued. Policy No.
eve and will n,air,t«in 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' compensatio
rance carder and policy number are:
is:_ __ _ Policy Number Expiration Date
ie of Agent A Phone 4
rer"'P+that, in'he, pd'raw"
r for WIT h t 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 agro
If I should beu,mE S ' comp sa n previsions of Setion 3700 of the Labor Code, I shall forthwith comply with those provisions.
lafure of Applicant Date�� `a A®�.1 ARATICIN Pill nnN I rmnuu: _ Ancuru
!reby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for Which this permit is issued (Section 3097, Civil Code),
Wer's Name Lenders 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 s have provided Fla orr ct.
agreecomply applicabley City Y g g construction.
I authorizerepresentativesiofthis
ityor co tl t tot nt,]/dr tl abo d n 7ffed property lfty for lie tlon purposes.
. Al p `,II�I ���
nature of Property owner or Authorized Agent � Pnnt Property gwner'3 or Authorized Agents Name _11LLil�t)'�'�`'. V� `��'fLt �L: Data
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE
ONLY
( REGULATIONS PART 51 OF TITLE 40 AND ACtMD RULE
rtnrvrri C.1.nneL+
L5 I SUBMITTED ASBESTOS NOTIFICATION TO
PEM17CANCUUED
EPA
PERM7"(E VVIN I D
OMO
PERMFT`FFNAL
, 2q
Q AS'9EST5NOTIFICA OCIN I5NW APPUCABLt TO
CERRRCAM OF
JJ
PROPOSED DMQI.ITEON
OCCUPANCYISSUED
{tr.NAT,IQc Ail