HomeMy WebLinkAboutXR2023-0252 - Permits�EWPO,gT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2023-0252
04 e Community Development Department - Building Division
> 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No :202.L • btGl ifu > 2 Permit Counter Phone: (949) 644-3288 Issued Date : 01/27/20 3
o-. Inspection Requests Phone: (949) 644-3255 Inspection Area : 2
C9�IFORH�P newportbeachca.gov/inspections
Combination Type - MFP
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 : 5 SWIFT CT
Description:
MFR - BALCONY REPAIR
Owner:
NEWPORT CREST HOA
Address :
201 INTREPID ST
SANTA ANA, CA 92705
Phone:
Applicant:
ANGUS SMITH CONSTRUCTION
Address:
12342 CANYON TERRACE
SANTA ANA, CA 92705
Phone :
(714) 538-1191
Owner/Builder
:
Address :
Phone :
Legal Desc : N TR 7817 BLK LOT 4 UN 217 TR 7B17 LOT 4 UNIT 217 OF PROJECT LOCATED ON AP
Contractor: ANGUS SMITH CONSTRUCTION
Address : 12342 CANYON TERRACE
SANTA ANA, CA 927D5
Phone:
(714)538-1191
Con State Lie
: 637440
Lie Expire :
02/29/2024
Bus Lie:
BT01101101
Bus Lie Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: STATE NAT'L INS CO
Policy No: AMX080003000
W. C. Expire : 10/1/2023
Architect
Address
Phone:
State Lie
Engineer: XIAO QIANG
Address : 1520 BROOKHOLLOW DR #45
SANTA ANA, CA 92705
Phone : (714) 662-0510
Designer:
Address
Phone: jI
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
No of Units :
4
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage:
TOTAL sq. ft.
Building Setbacks
Flood Zone :
X
Use Zone :
PC - Newport Crest - UP1585
PROCESSED BY:
SPECIAL CONDITIONS:
$10,000.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penaltyof 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 item(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
Irofessions Code) or that he or she is exemptfrom licensers 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).
I, 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,
Wetness 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
mprovemants 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 €t was not built or
mproved for thepurpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70,44, Business and Professions Code: The Contractors' State License Law does not
Ipply 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),
1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y my signature below 1. 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 legallj
roll a structure that I have built as an ownar-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:llwvrvr.leginfo.ca.gov/calow:btml.
gnature of Property Owner or Authorized Agent Date
_ICENSED CONTRACTOR'S DECLARATION //��
hereby affirm under penalty of perury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Division 3 of the Business and PrD ssigtr nd license is In full force
Ind effect. License Class License No Date 2%— 3 Contractor Sign t llll r
o e, a
PORKERS' COMPENSATION DECLARATION
ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (S100,000), IN ACOrrION TO THE
LOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS Fees_
hereby affirm underpenalty of perjuryone of the following declarations:
4ohave and wilt 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, forth,
rmance of the work for which this permit is issued. Policy No.
: ave 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' compensatiol
nsur nee carrier and policy number are:
ar Policy Number Expiration Date
Qame of Agent Phone #
I certify that, in the performe ff of the work hich 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 agre
hat, if I should become ubjec totha workers' pelnsatle provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iignalure of Applicant _ Pa" 1-7
_U
)ECLARATION REGAR N CONSTRUCTION LENDING AGENCY
hereby 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).
_ender's Name Lender's Address
3y 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 d y and cow ordi noes and state laws relating to building construction.
I authorize representatives of this city or c oUly t e to the above Iified property for inspection purposes.
>Ignature Of Property Owner or Author_tz_ad Abe Print Property Owner's or Authorized Agent's Name N/ i t
Date
ACTION
DATE
DECLARATION OFCOMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY Vj
RFGULATIONS PART 61 OF TITLE 40 AND AQNID RULE.
1403
PERMITEXPIRED
I I SUBMITTED ASBESTOS NOTIFICATION TO _
PERMITCA.NCELLED
PERMITFXTENDEO
- j
PER,UNTFINAL
CERTIFICATE OF
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I
Trn6mD
LJASHFSTOS NOTIFICATION 15 NOT APPUCAiI t0
PROPOSED DEMOLITION
OCCUPANCY15SUED
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SIGNATURE: