HomeMy WebLinkAboutXR2023-1165 - Permits�a�WPORT City of Newport Beach @ Community Development Department- Building Division COMB Permit : XR2023-1 1 65
p� X R 2 0 2 3 1 1 6 5
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
' Permit Counter Phone: (949) 718-1888 Issued Date : 05/05/2023
Uc rS newportbeachca.gov/civic . f emm r��..,,-r Inspection Area :8
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 : 2301 CLAY ST
Legal Desc : A TR FIRST ADD TO NEWPORT
HEIGHTS BILK 28 LOT 13
Description: SFR -REMOVE AND INSTALL (13) RETROFIT WINDOWS *NO HEADER REPLACEMENT/SAME LOCATION (STOP WORK 123-1345)
Owner: RICHARDO BANOS
Contractor :
Architect
Address : 2301 CLAY ST
Address:
Address
NEWPORT BEACH, CA 92663
Phone : (562) 572-9931
Phone :
Phone:
Con State Lie :
State Lie:
Lie Expire
Applicant : RICHARDO BANOS
Bus Lie :
Engineer
Address : 2301 CLAY ST
Bus Lie Expire :
Address
NEWPORT BEACH, CA 92663
Phone : (562) 572-9931
Workers' Compensation Insurance
Phone:
Carrier:
Owner/Builder : RICHARDO BANOS
Policy No :
Designer
Address : 2301 CLAY ST
W. C. Expire:
Address:
NEWPORT BEACH, CA 92663
Phone: (562) 572-9931
Phone
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $5,000.00
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 :
Bldg Height :
No of Stories ; 1
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5-
Flood Zone: X
Use Zone : R-1 - Single -Unit Residential
'
PROCESSED BY:
SPECIAL CONDITIONS: (STOP WORK 123-1345)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the masons) Indicated below by the cheakmark(s) I have placed next to the applicable item(s)
;Section 7051.5. Business and Professions Code: Any city or county that requires a permit to construct, altar, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
be permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stake License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from 1pcensure 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
not ore than five hundred dollars ($500).
u I, as owner of the property, or my employees with wages as their sale compensation, will do L) all of or L) portions of the work, and the structure is not Intendedor 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
rm raved for the purpose of sale).
�Ll I, 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 net
a Iy 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: _
By my signature below I acknowledge that, except for my personal residence in which I must have residedfor at least one year prior to completion of the improvements covered by this permit, I cannot legal
sell a structure that I have built as an owner builder It, has no an coned 'n its entirety by licensed contractors I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon. request when this app lon is s mi ar at tfie following Web site http l/�.leginfo.ca.gov/calaw,htmi.
Signature of Property Owner or Authorized Agent Date T j^
LICENSED CONTRACTOR'S DECLARATION'. r
I hereby affirm under penally of perjury that I our 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 foroe
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (St00,000). IN AMMON TO T
DST OF COMPENSATION, 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:
] 1 have 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
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 workfor which this permit is Issued. My workers'
ranee carrier and policy number are:
Policy Number Expiration Date
of Agent Phone #—
certify that, in the performance of the Work for which this permit is Issued, t shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
, if I should become subject to the workilIrS' compepsatigp provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
or
Data 'l —r Z-�
Ireby affirm under penalty of perjury thatthere is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code).
Iders Name Lender's 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 I have provided is correct.
I agree to ED reply with all applicable city and county ordinance and statd, laws relating to building construction.
I authorize "ea'esentafives of this city or County to enter �_a bove- dPFV2roperty for inspection purposes.
ACTION DATE BY DECLARAT16N OF20MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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