HomeMy WebLinkAboutXR2023-0955 - PermitsEW oRT City of Newport Beach
D� @ Community Development Department- Building Division
H 100 Civic Center Drive, Newport Beach, CA 92660
6 ? Permit Counter Phone: (949) 644-3288
aM Inspection Requests Phone: (949) 644-3255
°g4c6nN'p newportbeachca.gov/inspections
Combination Type- MFP
Work Class - Other
111I��III��11111111111111111111111111111111111111111111111COMB Permit : XR2023-0955
Plan Check No
Issued Date : 04/13/2023
Inspection Area : 4
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 : 410 VILLA POINT DR Legal Desc : TRACT 11937,LOT 2:OF PROJECT 939-63 LOCATED ON AP 442-411-1 1 TOGETHER WITH AN
UND. 1/228 INT. IN LOT 2 AND TRACT 14055,
Description : MFR - REPLACE UNDERLAYMENT UNDER EXIST'G ROOF TILES; TILES TO BE RE -INSTALLED 60 SO.
Owner: VILLA POINT CONDOMINIUM ASSOCIATION
Address : 181 S. OLD SPRINGS ROAD
ANAHEIM HILLS, CA 92808
Phone:
(714)395-5245
Applicant:
CRANK WATERPROOFING
Address :
134 COMMERCIAL WY
COSTA MESA, CA 92627
Phone:
(949)646-9356
Owner/Builder :
Address :
Contractor: CRANK WATERPROOFING
Address : 134 COMMERCIAL WY
COSTA MESA, CA 92627
Phone:
(949)646-9356
Con State Lic
: 1038420
Lic Expire :
04/30/2024
Bus Lic :
BT30063958
Bus Lic Expire : 06/30/2023
Workers' Compensation Insurance
Carrier: FALLS LAKE FIRE AND CASUALTY
COMPANY
Policy No: FLA01345003
W. C. Expire: 1/26/2024
Architect
Address
Phone:
State Lic:
Engineer
Address
0i=
Designer:
Address:
Phone:
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 :
R-2
No of Units :
10
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 - Villa Point Apartments
PROCESSED BY: (Inc
SPECIAL CONDITIONS: I N L_�.j
$24,000.00'
0
01
OWNER -BUILDER DECLARATION
t 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 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
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Caw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from Ilcensure 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 more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sets compensation, will do (_) all of or L) portions of the work, and the structure is notintended 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
'niprovements 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).
7 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
apply 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),
0 I am exempt from licensure 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 resided for at least one year prior to completion of the Improvementscovered by this: permit, I cannot legal
sail a structure that I have built as an owner -builder if Ithas not been constructed in its entirely by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:limw.leginfo.ce.gov/ulaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section TOOL) of Dlvision.3 or the Business and Professions Code, and my license is In full force
and effect. License Class License No Date A,. tW 41 I ,Pontractcr Signature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL RENALTR:S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS L$100,0001, }N AUDITION TO TH
COST OF C(IMPENSATION, ❑AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm Under penalty of perjury arm of the following declarations:
I have and aJll mor.iam a certificate of consent to self insure for workers' compensation, Issued by the Director of Industrial Relaffons as provided for by Section 3700 of the Labor Code, for tl
p^rformaice of the work forwhich 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 work for which this permit is Issued. fly workers`
ran,e carrier and policy number are:
Policy Number Expiration Date
to Gf Agent Phone
certify that. F, the performance of the work for which this permit is issued. I shall not: employ any person 4n any manner sous to become subject to the workers' compensation laws of California, and
it I should b'"rorr subject to the Wei compensation provisions of Section 3700of the Labor Code; I shall forthwith comply with those provisions.
Of
Dala--kuSi 2 `�-
hereby affirm un0e" Density of perjury that hers is a construction lending agency for the performance of the work for which this permit Is issued tSection 3097, Civil Code).
nnoor's Name Lender's Address
y ,I') signature �)ei�w, 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,>;o enter the above -identified property for inspection purposes.
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
CERPF1CATE OF
OCCUPANCYIS5UED
DATE. BY ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE
[ REGULATION'S PART 51 OF TffLE 40 AND AQMD RULE
SUBMITTED ASBESTOS
Ir I RkASBESTOS NO] IFICATION IS NOT APi LICABtE 10
SIGNATURE:.