HomeMy WebLinkAboutXR2023-2265 - PermitsEWNo City p of Newport Beach IIII�I��I�����I�IIII��IIIIIII�I�III II
p� RT COMB Permit : XR2023-2265
0 @ Community Development Department- Building Division X R. 2 0 2 3 2 2 6 5
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 718-1888 Issued Date : 0811712023
,. newportbeachca.gov/civic Final Date:
Combination Type - SFP
YP Permit Status: Issued
Work Class - Other Inspection Area : 8
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 SA IURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK. ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 329 SANTA ANA AVE Legal Desc : N TR 444 BLK LOT 63
Description: SFR REPAIR AND REPLACE SIDING WITH SIDING ON SIDE OF HOUSE. RENEW EXPIRED PERMIT
Owner: MICHAEL & GINA MCGLONE FAMILY TRUST
Contractor :
Architect
Address : 329 SANTA ANA AVE
Address :
Address
NEWPORT BEACH, CA 92663
Phone:
Phone:
Phone:
Con State Lie :
State Lie
Lie Expire
Applicant:
Bus Lie :
Engineer
Address :
Bus Lie Expire :
Address
Phone :
Workers' Compensation
Insurance
Phone
Carrier :
Owner/Builder : MICHAEL & GINA MCGLONE FAMILY
Policy No :
Designer
TRUST
Address: 329 SANTA ANA AVE
W. C. Expire:
Address
NEWPORT BEACH, CA 92663
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 : 0
Occupancy Groups : U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
1
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks : Front: 14, Side: 4, Side: 4, Rear: 5
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indica'.
(Section 703t_B, BusinesH and Professions Code. Any City or county that requires a permit to construct, alter. 'improve, demo
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License La
Professions Code) or that he or she Is exempt from licensure and the basis for the alleged exemption. Any violatfan of Seetlo
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do t_.) all of or L) portions of thl
Business and Professions Code_ the Contractors' State License Law does not apply to an owner of property who, through er
improvements are not intended or offered for sale. If, however, the building or Improvement is Sold within one year ofcomple
Improved for the purpose ofsalo)_
❑ L as Owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, B
apply to an owner of property wife builds or improves thereon, and who contracts for the projects with a licensed Contractor p
El I am exempt from licensure under the Gnntrartrr, State License Law for the following reason
By my signaturo below I acknowledge that, except for my personal residence in which I must have resided for at least one ye
$011 a structure that I have built as an owner builder if it has not boon Constructed in Its er irety by licensed contractors. I undo
Professions Code, is available upon request when this ap Jr ton is submit d�Qr at the (towing Web sile:hltp.Hwww.leginto
Signature Of Pmperty Owner or Authorized
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of I
and effect. License Class License No
COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO Cf
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEy's FEES.
hereby affirm under penalty of perjury one. of the following declarations:
I have and will maintain a certif,ca€e or Consent to self -Insure for workers' compensation, issued by the Director of
foomance of the work far which this permit is issued. Policy No,
have and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the pe
trance carder and policy number are:
Tier Policy Number
no of Agent
Cerny that, in the performance of the work for which this permit is issued, I shall not Employ any person in any manner
L if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith
nature of Appluant
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
rreby affirm under penalty of perjury that there Is a construction tending agency for the performance of the work for which
Iders Name ____ __ Lender's Address
my signalu re below. certify to each of 11 e 101" og:
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 ordinance and state laws relating to building construction,
I authorize representatives of this city or county, o en,jfl air jldprytifled,prDperty for inspection purposes.
d below by the checkmiti I have placed next to the applicable items)
ill, or repair any structure, prior to Its issuance, also requires the applicant for
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
k, and the structure Is not Intended or offered for sale (Section 7044,
(-es' 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).
prior to completion of the Improvements covered by this permit, I cannot
stand that a copy of the applicable low, Suction 7044 of the Business and
Date !!i - JI —
3 of the Business and professions Code, and my
In full force
AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS r$100,0001. 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
to become subject to the workers' compensation laws of California, and
)Iy with those provisions.
Date
penult Is issued (Section 3097, Civil Code),
ACTION
i DATF `9.)'
DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL
RlrGULATION5 PART 61 OF I ITLF AO AND AI RLA E
1403
FOR OEEICEUE
ONLY
PF_HM17 EXPIRIFt,
;.. I sUHMITTED ASRFSTOS NOTIFICATION TO
tEJ fiFRMti{AM1CF
...
....._._. _._.. .__._.
❑[nA
PERMIT EXTFfVOFD
;
❑AQMD.
PERNNT FINAL
Z2 31
ASBESTOS NO III [CA I ION IS NOT APPLi CAutE ib
CERNFEATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUFO
!
SIGNATURE: