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 . �/
�