HomeMy WebLinkAboutXR2022-2748 - Permits��EwPogT City of Newport Beach
' Community Development Department - Building Division
0 m
r Y 100 Civic Center Drive, Newport Beach, CA 92660
U tM S Permit Counter Phone: (949) 644-3288
e.< Inspection Requests Phone: (949) 644-3255
°gcrc<>aH�P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Alteration
111111111111111111111111111111111111111111111111 ������� COMB Permit: XR2022-2748
Plan Check No : PC2022-2238
Issued Date : 10/17/2022
Inspection Area : 5
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 : 210 LARKSPUR AVE Legal Desc : A TR RESUB OF CORONA DEL MAR BILK 138 LOT 7 RESUB OF CORONA D EL MAR LOT 7 BLK 138
NELY 65 FT
Description: SFR -NEW SLIDING GLASS DOOR/HEADER
Owner
Address
Phone:
ALBER KENNETH L TR KLA CALIFORNIA Contractor: DUANE MCDONALD
RESIDENCE TR
402 TRANQUIL PEAK CT
HENDERSON, NV 89012
(702)591-7807
Applicant: DUANE MCDONALD
Address : 3334 COAST HWY E, 163
NEWPORT BEACH, CA 92625
Phone: (949)466-9980
Owner/Builder:
Address :
Phone
Address:
3334 COAST HWY E, 163
NEWPORT BEACH, CA 92625
Phone:
(949)466-9980
Con State Lic
: 814418
Lic Expire :
11/30/2022
Bus Lic:
BT30051296
Bus Lic Expire : 06/30/2023
Workers' Compensation Insurance
Carrier: ACCREDITED SIRETU AND CASUALTY
COMPANY INC.
Policy No: 1ATCA16000726
W. C. Expire : 12/9/2022
Code Edition:
2019
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups :
R-3
No of Units:
1
Bldg Height:
No of Stories :
2
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 10
Flood Zone :
X
Use Zone:
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Architect: JEANNETTE BRION S
Address: 470 OLD NEWPORT BL`/^ NEWPORT
BEACH, CA 92663
Phone: (949)645-5854
State Lic :
Engineer:
Address: ,-
Phone:
Designer:
Address
Phone:
Construction Valuation : $3,800.00
Added/New/Ti sq. ft. Bldg:
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. Bldg: 0
NP, QO$TRUCTJON NOISE
ON THE VVE ENS
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)
ctlon 7031.5, Buemess and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolist , or repair any structure, prior to its issuance, also requires the applicant for
permit to file a signed statement that tie or she is licensed pursuant to the provisions of the Contractors' State License Law i Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and
fasslons Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Any violation of Section 7 U31.8 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred actions (S500),.
I 1 1, as owner of the property, or my employees with wages as their solecompensation, will do L) all of or U portions of the t
Business and Professions Code: 'rhe Contractors' Slate License Law does not apply to an owner of property who, through emp
improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of complain
Ii-myproved for the purpose of sale).
Ll 1, as owner of the property, are exclusively contracting with licensed Contractors to construct the project (Section 7044, Bun
apply to an owner of property who bulbs or improves thereon, and who contracts for the projects with a licensed Contractor par
I am exempt form lieensure 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
sell a structure that I have built as an ownar-budder if it has not been constructed in its entirety by licensed cnnlmotors. I unden
Professions Code, is available upon request when this application is submitted orat the following Web sfu:http:/twwvr.leginfo.0
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) pf Df^
end effect. Licenses Class ] License No/ i y ]
WORKERS' COMPENSATION DECLARATION
NAIIl I,IU! r. ILURE TO6cCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
COST OF COMPENSATIn Y, orV AGES "PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
horeny affirm under nenalty of perjury one of the following declarations:
El I have and will nelrVaEo a Certificate of Consent to sell -insure for workers` Compensation, Issued by the Director of m(
tsN@mnari of the work for which this permit is issued. Policy No.
e®Gf'Jnave and will mamhsai workers compensation insurance, as required by Section 3700 of the Labor Code, for the perfoi
insurance.arrier and policy number are:
Policy Number
of Agent _.
rerpt,'hat, in the performance of the work Ixwhich this
, if 1 should become subject to the war If
nature of Applicant
k, and the structure is not intended or offered for sale (Section 7044,
Des' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law),
that a copy of the applicable law, Section 7044 of the Business and
Data
n 3 of the Business and Prof e si s lid y nse is In full force
Contractor Signature
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 4100,0001. IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for Which this permit is Issued. My workers`
Date
I shall not employ any person in any manner so a4 to become subject to the workers' eampans ition laws of California, and
dice 3700 of the Labor Code; I shall forthwith co ply with those provisions.
Dated' YV —
imby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Aer's Name Lender's Address
my signature below, I ready to each of the following:
I an) the property owner or authorized to act on the property owner's behalf,
I have teed this application and the information I have provided is correct.
I agree to comply With all applicable city slid county ord' as and state laws relating to building construction.
I authorize representatives of this city or county to a the tkova-rdsn�tifwie�d,party far I%�spoctlbn purposes.
stature of Provertv Owner or Authorized AGant — _ 1fII JV Ind X1d9s4t Arinl Property Owner's or Authori ed Aaent's Nome
RFG'ULA'TIONS PART51 OF TITLE 40 AND AQMfD RULE
PERMi"f.EX7£NDEO p
PERA41TEXTE _D O�I�)
CEATINCATEOf
OCCUPANCYISSUED
FOR OFFICE DSff ONLY
Date