HomeMy WebLinkAboutXR2023-0030 - Permits��EWPORT City of Newport Beach
C Community Development Department -Building Division
100 Civic Center Drive, Newport Beach, CA 92660
' Permit Counter Phone: (949) 644-3288
a S Inspection Requests Phone: (949) 644-3255
CgLIpn0.N�P newportbeachca.gov/inspections
Combination Type -
Work Class - Other
��111�����������������������������������111111111� COMB Permit : XR2O23-0030
Plan Check No : PC2023-0035
Issued Date: 03/29/2023
Inspection Area : 6
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 : 48 VIA BURRONE Legal Desc : N TR 14070 BILK LOT 80
Description : SFR DEMO (E) POOL & SPA PER CITY STANDARD. (ALTERNATE METHOD)
Owner:
AZER LIVING TRUST
Address :
48 VIA BURRONE
NEWPORT COAST, CA 92657
Phone:
(949)751-8336
Applicant:
WESTMOD
Address :
1276 E COLORADO BLVD
PASADENA, CA 91106
Phone:
(626)261-0825
Owner/Builder :
Address :
Phone:
Contractor: WESTMOD
Address : 1276 E COLORADO BLVD
PASADENA, CA 91106
Phone:
(626)261-0825
Con State Lic
: 1053685
Lic Expire :
05/31/2023
Bus Lic:
BT30079735
Bus Lic Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: EMPLOYERS PREFERRED
COMPANY
Policy No: EIG282852703
W. C. Expire: 4/1/2023
Architect
Address
Phone: a '
State Lic
Engineer: ZHANGYAO
Address: 15375 BARRANCA PKWY,i-61�6,'
IRVINE, CA 92618
Phone: (949)788-0424 ,
INSURANCE ;
Designer: WESTMOD
Address : 1276 E COLORADO BLVD
PASADENA, CA 91106
Phone: (626)261-0825
Code Edition :
20Z2.
Fire Sprinklers : NO
Construction Valuation : $5,000.00
Type of Construction
: V-B
Fire Hazard Zone : YES
Added/NewfTI sq. ft. Bldg : 0
Occupancy Groups :
U
No of Units : 1
Alteration sq. ft. Bldg :
0
Bldg Height :
No of Stories : 0
Added/New sq. ft. Garage :
0
TOTAL sq. ft. :
Building Setbacks
Flood Zone:
X
Use Zone:
PC - Newport Coast
PROCESSED BY:
SPECIAL CONDITIONS: LANDSLIDE; FIRE HAZARD / FUEL MOD ZONE
�?� C
OWI9ER-BUILDER UECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Comracors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
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
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any vlolation 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 U all of or L) portions of file work, and the structure is not intended or offered for sale (Section 7044,
business and Professions Cade: 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
»provements are not intended or offered for sake. 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
Tlpmved for the purpose of sale).
1 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 not
,pply to an owner of property who builds or Improves thereon, and %,he contracts for the projects with a. licensed Contractor pursuant to the Contractors' State License Law).
J 1 am exempt from licensors under the Contractors' Slate License Law for the following reason:
ly 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 legall,
ell a structure that I have builtas an owner -builder if ithas 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:hitp:flwww.feginfo.ca.govlcaiaw.html.
signature of Property Owner or Authorized Agent _ Date
.ICENSED CONTRACTOR'S DECLARATION
hi affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section TO 0 'of Dlv ion 3 of file Business and Profs i ns ode, and m easels in Tull force
nd elect. Lcense Class License No Date Z. ��✓ Contractor Signature
PORKERS' UOar,PENSATION DECLARATION
!f?RING: FAILURE rO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES VP TO ONE HUNOREO THOUSAND DOLLARS ($100,000), IN AGOmON TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR. CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm uniier penalty of perjury one of the following declarations:
-17 h e anc vfll 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 th
erf�nce of the workfor which this permil is issued. Policy No.
and vIII maintain workers' compensation insurance, as requlrad by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are:
Policy Number
,e of Agent _
Date
cerilfy li,&t, Ihe 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 agre
, If should become sub act to the workers' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iature of Applicant _ Da6e'= ...� 2i� a3 —____
:LARATION REGAROiN[, . Cin : r'R I rmmmN Arr"ry
ereby affirm under penalty of pei that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
roars 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 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 tq sinter the al:Ave-]denah4roperty for inspection purposes. 1 I
ACTION
DATE
BY I'DECLARIJION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
1403
PE'RMITEXPIRED
ISUBMITTFD ASSESTO$ NOT] FICATION TO
PER MIT CANCELLED
--- -MEPA
PERMITEXTENDED
L,IAQMD
PERMIT FINAL
I%�
_
� A '105 NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOF
PROPOSED DEMOLITION 1
OCCUPANCY ISSUED
armeTlmv.. K-FJ1 A
FOR OFFICE USE ONLY
2a