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HomeMy WebLinkAboutXR2023-1195 - PermitsaF,WPpRT City of Newport Beach �� IIIII III IIIIIIIIIIIIIIIIIII IIII II IIII �� COMB Permit : XR2023-1195 4 @ Community Development Department -Building Division X R 2 0 2 3 1 1 9 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 05/09/2023 newportbeachca.gov/civic Inspection Area : 5 Combination Type - SFP p Work Class - Alteration 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 : 220 HELIOTROPE AVE Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 35 LOT 16 RESUB OF CORONA D EL MAR BLK 35 LOT 16 & NELY 10 Description: SFR R/R SIDING (ALL ELEVATIONS) Owner: PONCE GEORGE H JR TR G & N PONCE Contractor: APPROVED CONTRACTOR INC FAMILY TR Address : 220 HELIOTROPE AVE Address : 9015 ETON AVENUE UNIT CORONA DEL MAR, CA 92625 CANOGA PARK, CA 91304 Phone Applicant: APPROVED CONTRACTOR INC Address: 9015 ETON AVENUE UNIT D CANOGA PARK, CA 91304 Phone: (773)528-7963 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2022 V-B U,R-3 Phone: (773)528-7963 Con State Lic : 952272 Lic Expire : 09/30/2024 Bus Lic : BT30076444 Bus Lic Expire : 08/31/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 1966713 W. C. Expire: 3/1/2024 Fire: Sprinklers: NO �I Fire Hazard Zone : NO\� No of Units No of Stories : 2 - C, Front: 15, Side: 3, Side: 3, Rear: 5 R-1 -Single-Unit Residential SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer Address Phone: Designer: Address Phone: Construction Valuation : $87,900.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 2,700 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 ContraCdra' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ltem(s) (Section 7031 5, Business and Professions Code: Any city or county that requires a permit 10 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 he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 Gt the Business and Professions Code) or that he or she is exempt. from licensers, and the basis for the alleged exemption. Any violabon of Section 7031 Z by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($51 0 I, as owner of 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 employeesar personal effort; builds or improves theproperty, 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 roved for the purpose of sale). LJ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7049, Business and Professions Code: The Contractors' State License Law does not 1a €y 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). L,! i am exempt from licensureunder the Contractors' State License Law for the following reason: By my signature below € 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 lsgalt) 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, $action 7044 of the Business and Professions Code„ is available upon request when this application is submitted or at the following Web sit¢;nttp./M1+vv.}eginto.ua.gov/calaer.htmL Signature of Property Owner or Authorized Agent fate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty a that I am licensed under provisions of Ch ter 9 (Commencing with Section 7000) of Divi/s�io.�n/�3 �of the Business and Professions C de, and my license i8 in full force and effect. License Class 4WS License No Date .I S: Contractor Signatur WORKERS' COMPENSATION DECLARATION— WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (;14DA00), IN ADDITION TO THE COST OF COMPENSATION, DAMAGED AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COPE, INTEREST, AND ATTORNEY'S FEES_ I hereby affirm under penalty of perjury one of Ins following declarations: © I have and will maintain a certificate of consent to sett -Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th Sanco of the work for which this permit is issued. Policy Nor awe and will maintain warblers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi insur nee earner and policy number are: AT Policy Number Expiration Date no of Agent Phone N certify that. in the performance of the work for which this permit is Issued. I shall notemploy any persooin any manner so as to become subject to the workers' compensation laws of California, and ogre. i, if f should become su FyfttfhViat5thers mpe reatinn provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. F nature of Applicay: Date-A`Z CLARATION REi17N CTION LENDING AGrENGY % Heby affirm under penalty of is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address 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. l have read this applcation and the Information I have pro ' correct. I agree to comply ',omit all applicable city and count r ine, an ata laws relating to building construction. Cf Ak�(,.L,n, I authorize representatives of this city or county M{r the ove-ide iftedproperty for inspection purposes. n , ,,I EXP1REP PERNN Wf`NOED PERiYtIT FWAL CEPURC4tE Of OCCUPANCYISSUED DATE Fly\ I.RE` ATION itSOAR n6 OF TNTtE 40 AN CE WITH nAQNDE OfO RULE ERAL ( FOR OFFICE USE ONLY TO Fi2C545L12IRKi1!1I11111111Z+]