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HomeMy WebLinkAboutXR2023-2417 - Permits04., City of Newport Beach III IIIIII II IIIIIIII IIII IIIIIIIIIIIIIIIIII III II COMB Permit : XR2O23-2417 Community Development Department - Building Division X R 2 0 2 3 2 4 1 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 Issued Date : 08/3012023 newportbeachca.gov/civic Final Date: Combination Type - Permit Status: Issued Work Class - Repair 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: 720 LARKSPUR AVE Legal Desc : A TR CORONA DEL MAR BLK 738 LOT 22 Description : DUPLEX - T/O 2-PLY TORCH. INSTALL 3 PLY MULEHIDE SYSTEM 15 SO. INSTALL 2 LAYERS 30# FELT, 9 SQ LIGHTWEIGHT TILE CRRC 0918-0037. 6 PSF. (USE EXISTING SHEATHING) Owner: LAURIE DAVIS Address : 23 CARMEL BAY DR CORONA DEL MAR, CA 92625 Phone: (949)230-3616 Applicant : OSHCON Address : .1047 BUCKEYE DRIVE GREENVILLE, OH 45331 Phone: (937)467-2832 Owner/Builder : Address : Phone Contractor : OSHCON Address : 1047 BUCKEYE DRIVE GREENVILLE, OH 45331 Phone: (937)467-2832 Con State Lic : 918872 Lic Expire : 07/31/2024 Bus Lic : BT30082491 Bus Lic Expire : 08/31/2024 Workers' Compensation Insurance Carrier: CLEAR SPRING Policy No: CWC00283801 W. C. Expire: 11/5/2023 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U.R-3 No of Units : 2 Bldg Height : No of Stories : 2 Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 u Flood Zone X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer Address Phone: Designer Address Phone: Construction Valuation : $10,500.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Skate License Law for the reason(S) indicated below by the checkmark(s) I have placed next to the applicable itemil 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 previsions 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.E by any applicant fors permit subjects the applicant to a civil penalty of tot more than five hundred dollars ($500). 1, as ownerof the property, or my employees with wages as their sole compensation, will do L) 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 mmovements 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 reproved for the purpose of sale)- 1, 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 Ipo€y to an owner of property who builds or improves thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License Law for the following reason By my signature below I acknowledge that, excopt for my personal residence la which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal, cell a structure that I have built as an ownenbuildor !fit has not been constructed in its entro4f by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and ?rofessions Code, is available upon request when this application is submitted or at the following 'Aleb site;http:/iwvn'r.Iaginto.Ca.govlCalaw.html. >ignature of Property Owner or Authorized Agent .._._,.._.....______._._ Date _ .ICEN'.SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comrnencing with Section 7 0 ) of jai 3 of the Business and Prof io de, iH _� epse is in full taros ind effect. License Class License No Data S 7T Contractor Signature— VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AMC $WALL SU$JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS E100,000), IN ADDRION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: II have and YAP maintain a cerlificaLe 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 in rgTr c `lanes of the work for which his permit is issued. Policy No. 1 hake and will maintain workers' compensation insurance, a$ required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compersatiol isur: ce carrier and policy number Dew Policy Number of Agent Date 11 certify that, in the performance of rk for w i his 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 hat. If 1 should become subject to a rker •o pen lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p >ignalure of Applicant _,_.[ Qp ,%C, 2� DECLARATION R£GA ONST� GTI N GENi71 G AGENGY ""�'�'"rr------ ------ hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued. (Section 3097, Civil Code). _ender's Name _ Lenders Address 3y my signature bellow, I certify to each of the following: _ I am the property owner or authorized to act on the property owner's behalf. �s I have read this application and the Information I have provided is correct. {,/tjq�t� Lyy/,Agt 1 agree to comply with all applicable city and county ordin s and laws relating to building construction. I authorize representatives of this City or Coup to an t no d f property for inspectlun purposes, Si nature of PrUPOL Owner or Authorized Apo Fruit PrO n_�rty Or ne-'s Cr Authnrized Agent's Name Date ..— ACTION OATF BY ECLARATION Or COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 StGULATIOMS PART 61 OF TITLE 40 AND AQMD RULE PERnm r EXPIRED i i ISURMITfFD ASBESTOS NOTIFICATION TO PERMIT CANCEtl€D E �E9A PEFMWFEXTFNOED.. Pf RrWTFINpL CEPr1FtCAYE Of _ ga% r -.... _[AQMD ,4468010SNOTIHCA iSN%^1' ICAIL.E To � A- � FROPD5FD O At // OCCUPANCY ISSUED i '. SIGNATUR . �/ �