HomeMy WebLinkAboutXR2023-0527 - Permits�eWPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-U527
p� d Community Development Department- Building Division X R 2 0 2 3 0 5 2 7
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 644-3288 Issued Date : 0212712023
u emu. Inspection Requests Phone: (949) 644-3255 Inspection Area : 6
c,ClpQ pN�P newportbeachca.gov/inspections
Combination Type -
Work Class - Other
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 : 710 MARIGOLD AVE Legal Desc : CORONA DEL MAR, BILK 740, LOT 12 AND A POR OF LOT 14 OF PROJE CT 939-82LOCATE D ON
AP 459-071-25 TOGETHER WITH AN LIND 1/2
Description: MFR CHANGE OUT WINDOW AND REPLACE W/ DOOR *NO HEADER CHANGE*
Owner: BRAHM GARY
Contractor: SOLUTION PROPERTY SERVICES
Architect
Address : 710 MARIGOLD AVE
Address : 5198 ARLINGTON AVE SUITE 935
Address
CORONA DEL MAR, CA 92625
RIVERSIDE, CA 92504
Phone:
Phone: (714)809-9957
Phone:
Con State Lic : 1041346
State Lic
Lic Expire : 02/28/2025
Applicant: SOLUTION PROPERTY SERVICES
Bus Lic : BT30073244
Engineer
Address : 5198 ARLINGTON AVE SUITE 935
Bus Lic Expire : 10/31/2023
Address:
RIVERSIDE, CA 92504
Phone: (714) 809-9957
Workers' Compensation Insurance
Phone:
Carrier: NORGUARD INSURANCE COMPANY
Owner/Builder :
Policy No: RAWC339631
Designer
Address:
W. C. Expire: 6/8/2023
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 : 2
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories: 2
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: . ,
$4,000.00
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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 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 lie or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 or the Business and
Professions Code) or that he or she is exempt from licensure 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 Eve hundred dollars ($500),
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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).
El 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
'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).
El 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 improvements Covered by this permit, I cannot lagail,
sell a structure that I have built as an owner -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
Professions Code„ isavailable upon request when this application is submitted or at the following Web site:http:fiwww.leginfo.ca.gov/calaw.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 0 f Division 3 of the. Business and Pr f sJafiyCode, and my license is In full force
and effect. License Class License No Date Contractor Signatum ( "r ------
WORKERS' COMPENSATION DECLARATION
'WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SID0,000), IN ADDmON TO THE
.COST OF COMPENSATION, DAMAGES "PROVIDED FOR 1N SECTION 470E OF THE LASOR CODE, INTEREST, AND ATTORNEY'S FEES.
',.I hereby affirm under penally of perjury one of the following declarations:
111 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, forth
Lperjormance, of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code.. for the performance of the work for which this permitis issued. My workers'
carrier and policy number are:
Policy Number
of Agent
Date
-1 certify that, in the parlor. nce of the wank for which this a issued. ! shall not. employ any person in any manner so as to become subject to the work 'Compensation laws of California, and 2grel
hat, If I should beco P
workers' com sat on pt�p ro sons of Section 3700 of the Labor Code; I shall forthwith comply with those provisions.
Signature of Applican
XCLARATION REGTRUCTION LENDING AGENCY
hereby affirm under ry that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Clv I Code).
_enders 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 city and cour t ordinances and state laws relating to bmldi structlon. \ r
I authorize representatives of this city or cou ter e-identff or inspection purposes. h j e"� .mnaL,m of Prnnerf ' rlumrrr n AuIHnAvorl Annni � � P inl Prnnortb rl,unor'a nr dufhnri>ud AnnnYe fJom d\ -C�1 n
ACTION
DATE.
BY I ; DECMRAT€ON OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
jj REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE
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PERMIT EXPIRED
I SUHMITTFD A58EST3a .,OTIHrATION TO
PERMIT CANCELLED
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LJASBESTOS NOTIFICATION 15 NOT APPLICABLE To
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