HomeMy WebLinkAboutXR2023-0779 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Other
jji���III��111111111111111111111111111111111111111111111 jj COMB Permit : XR2023-0779
Plan Check No
Issued Date : 03/24/2023
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 SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 409 CATALINA DR Legal Desc : N TR 1136 BLK LOT 60
Description: SFR - REROOF W/30 YR ASPHALT COMP SHINGLES 20 SQ CL "A"
Owner: PAUL ANDERSON
Contractor : JOHN CHRISTOPHER CONSTRUCTION
Architect
INC
,
Address : 409 CATALINA DR
Address : 17632 METZLER LN UNIT 103
Address
NEWPORT BEACH, CA 92663
COSTA MESA, CA 92627
Phone: (310)709-6579
Phone: (949)415-4534
Phone:
,
Con State Lic : 1001495
State Lic
Lic Expire : 11/30/2023
„
Applicant: JOHN CHRISTOPHER CONSTRUCTION INC
Bus Lic: BT30073589
Engineer
Address : 17632 METZLER LN UNIT 103
Bus Lic Expire : 11/30/2023
Address
COSTA MESA, CA 92627
Phone: (949) 415-4534
Workers' Compensation Insurance
Phone:
Carrier: STATE COMPENSATION INSURANCE FUND
-
Owner/Builder:
Policy No: 9239073
Designer :
- -
Address :
W. C. Expire: 10/2/2023
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$24,000.00
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 : 2
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 0
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
t hereby a0llnm under penalty of perjury that 1 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 hems)
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
to permit to file a signed statement that no or she is licensed pursuant to the provisions 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 licensure and the bases for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do {_) all of or t_) 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
nprovemenls 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
nproved for the purpose of sale).
3 I, 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
poky 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).
I I am exempt from Ilcensure under the Contractors' State License Law for the following reason:
ly my signature below I 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 legallt
ell a structure that I have built as an ownor-builder if it has not been constructed in its Entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site.http:liwww.teginfo.ca,govlcalaw.html.
lignature of Property Owner or Authorized Agent____,_,_,�_ _��.,�� Date,��,___�
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm undEr ^alaity of pert'ury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) f Division3 of the. Business and Protessio o _my license is in full force
,nd effect Licensr O'a5s License No Date uZ Contractor Signature
VE)'2'CEF'.S' COMPEtISATION DECLARATION
tAiral FAILURE T1 9EC44E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (VOD,000), IN ADDITION TO THE
Or, OF CJMPENSATION, DAMAGES AS VROVIDeO FOR IN SECTION 3706 OF THE LADOR CODE, INTEREST, AND ATTORNEY'S FEES.
h..reb} . ifiran under ;penalty of perjury one of the following declarations:
I I have and wile romf9in a Certificate 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 th
eyorrnaoce of the work for which this permit is issued. Policy No.
have Ind will nn&t^,ii workers' 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'
ranee carrier and policy number are:
9s of Agent _
certifv'hat, in .he p
, if I should beecmc
lature of ADDlicant
Policy Number
Date
of the work for which this 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
Mh rs compensatiDn previsions of Section 3700 of the Labor Cade, I shall forthwith comply w41h those provisions.
..w... .,,... Date �/z--I
hereby affirm under penalty i perjury that there is a construction lending agency for the performance of the work for Which this permit is issued (Section 3097, Civil Code)
enri Name Lender's Address _
y 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.
I have read this application and the information I have provided is correct.
I agree to comply with all applicabte city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to em th e-identlfied property for inspection purposes. .l1l^ }i z
idnature of Prooertv Owner'or Authorized Agent Print Property Owner's or Authorized Agent's Name_ •ll '^
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
BY I DEICLARAT€ON 01"20MPLIANCE WITH CODE OF FEDERAL { FOR OFFICE USE ONLY
I REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
DEMOLITION
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