HomeMy WebLinkAboutXR2023-2448 - PermitsnoFrr, City of Newport Beach
m Community Development Department - Building Division
> y 100 Civic Center Drive, Newport Beach, CA 92660
n` Permit Counter Phone: (949) 718-1888
.0 t. . r newportbeachca.gov/civic
�9c,Fowe`" Combination Type -
Work Class - Alteration
COMB Permit : XR2023-2448
Plan Check No : PC2023-2148
Issued Date : 09/01/2023
Final Date:
Permit Status: Issued
Inspection Area : 1
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 : 5011 SEASHORE DR, A
Legal Desc : A TR OCEAN FRONT TR BLK 50 LOT 6
Description: DUPLEX R/R DECK COATING AND STUCCO
PATCHING FOR FLASHING. 144 SF **STOPWORK
123-2870**
Owner: MEYER WILLIAM TR
Contractor: BOB HILTON PAINTING
& Architect:
CONSTRUCTION INC
Address : 5011 SEASHORE DR
Address : 20121 CAPE COTTAGE LANE
Address
NEWPORT BEACH, CA 92663
HUNTINGTON BEACH, CA 92646
Phone : (949) 872-6719
Phone : (562) 577-1949
Phone
Con State Lie : 462212
State Lie
Lie Expire : 11/30/2023
Applicant : BOB HILTON PAINTING & CONSTRUCTION
Bus Lie : BT30082507
Engineer
INC
Address : 20121 CAPE COTTAGE LANE
Bus Lie Expire : 08/31/2024
Address
HUNTINGTON BEACH, CA 92646
Phone: (562) 577-1949
Workers' Compensation Insurance
Phone:
Carrier: INSURANCE COMPANY OF THE WEST
Owner/Builder:
Policy No: WSA5044778
Designer: BOB HILTON PAINTING &
CONSTRUCTION INC
Address :
W. C. Expire : 12/12/2023
Address : 20121 CAPE COTTAGE LANE
HUNTINGTON BEACH, CA 92646
Phone:
Phone: (562) 577-1949
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $8,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U
No of Units : 2
Alteration sq. ft. Bldg: 144
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks : Front: 5, Front: 0, Side: 3, Side: 3
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
NO CONSTRUCTION WORK
}e
PROCESSED BY: Rs
SPECIAL CONDITIONS: HIGH DENSITY ZONE
ON SATUR®A`lS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable bem(s)
(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, after, 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 of the Business and
Professions Code.) or that he or she is exempt from licensure and the bass for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500)-
❑ 1, as owner of the property, or my employees with Wages as their sole compensation, will do U all or 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 properly who, through employees' or personal effort, builds or improves the property, provided that flip
'nnprovelnents 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
Improved for the purpose of sale),
❑ I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
apply 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 am exempt from licensure under the Contractors' Slate License Law for the fallowing reason
By 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 legaAl
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, Section 7044 of the Business and
Professions Code, Is available upon request when this application is submitted or at the following Web sHe:http:/lww. v.leginfo,ca.gov/calaw.html.
Signature, of Property Owner or Authorized Agent
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/5)rvision 3 of the Business and Professions C� `qrt tryy license is in full force
and effect. License Class License No Date (/ Z Contractor Signature Cr9 Z iL9/1
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (f100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
IJ I have and will maintain a cerlibcate of consent to self -insure for workers' compensation, issued by the Direclor of Industrial Relations as provided for by Section 3700 of the Labor Code, for th•,
uerfarmanec of the Work for which this permit is issued, Policy No.
have and -will maintain workers' compensation insuranCOr 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:
(Policy Number
Date
Jame of Agent Phone 8
]I certify that, In the performance of the work for wh ch this permit is Issued I shall not employ any person in any manner so as to become subject t0 the workers' compensation laws of California, and agre
Tat, if I should become sub)e to the workers: compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
E f
li9nalure of Applicant w. _.__...._. ✓ ,.., F._._.._-............_.......___�..............____.,....._.._..-..__..._........._.__._.._..........�....,.�,,,.
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
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 Lender's Address
ly 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 applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to an abb -I entlfied property for inspection purposes, �
denature of Pronelf. Owner or Authorized Aaenf / Print Prooerty Owner's or AuthorizRd Anent's Name. /,r� w
ACTION
PERlvif LXPI&EO
PFRMI'T CANCEI LED
PERMIT EXTENDED
DATE I DY ', DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
RFGI)IATIONS PART 61 OF TITI.F 40ANO ACIMDAULE
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT FINAL [SBE5T
CERiIFKAiEOF Z•S•Z I PROPOSED
OCCUPANCY ISSUED 1 SIGNATUR
15,401 APPLICABLE TO