HomeMy WebLinkAboutXR2023-3594 - Permits�aEWeoR� City of Newport Beach Come Permit : XR2023-3594
Community Development Department- Building Division X R 2 8 2 3 3 5 9 4
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 718-1B88 Issued Date : 12/22/2023
ra s newportbeachca.gov/civic Final Date:
Cq(/GpPN�P Combination Type - MFP Permit Status: Issued
Work Class - Alteration Inspection i4rea : 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WO
Job Address: 404 ORION WAY Legal Desc : N TR4692 BILK LOT 71 TR 4692 LOT 71
Description: MFR STUCCO REPAIR AROUND ELEC PANEL
Owner:
CARTER FIELDS
Address :
404 ORION WAY
NEWPORT BEACH, CA 92663
Phone:
(949)423-5702
Applicant:
CARTER FIELDS
Address :
404 OR10N WAY
NEWPORT BEACH, CA 92663
Phone:
(949)423-5702
Owner/Builder : CARTER FIELDS
Address: 404 ORION WAY
NEWPORT BEACH, CA 92663
Phone : (949) 423-5702
Contractor
Address :
Phone:
Con State Lie
Lie Expire
Bus Lie:
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
�ARS FROM ORIGINAL ISSUANCE DATE
ON SUNDAY AND HOLIDAYS IN ALL AREAS
WITH
Lie:
Code Edition :
2022
Fire Sprinklers : NO Construction
Valuation :
$1,000.00
Type of Construction :
V-B
Fire Hazard Zone : NOAdded/New/Ti
sq. ft. Bldg :
0
Occupancy Groups :
U,R-2
No of Units : 1 Alteration
sq. ft. Bldg:
0
Bldg Height :
No of Stories : 2Added/New
sq. ft. Garage :
OTAL sq. ft.
0
Building Setbacks
Flood Zone :
X
Use Zone :
RM - Multiple Residential
PROCESSED BY:
SPECIAL CONDITIONS
€ hereby affirm under penalty of peniury that I am exempt from the Contractors' Slate License Law for the reason(s) Indicated belovi by-fi s asid rna&(s) Wave placed next to theapplicable ftem(s)
(Secllon 7031 5, Business and Professions Code: Any cityor county that requires a permit to construct, alter, improve, demolish, or repair ally $trrtcf?re,F*r ip. i'ts,'Issuanae, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractors' Stale. License, Law (Chaptar 3juomnlenGirrg. witFPSeiRibrii 7000) of Division of the Business and
Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031,5. by any applicant for a permit subjects the applicant to a civil pensity of
not more Than five hundred dollars ($500),
0 I, as owner of the property, or my employees with Wages. as their.5010 compensation, will do C}all of at (—) portions of the work; anrr the structure mt. intend®d or`=efferaA for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emplo�P.'es' urper5ona! Effort builds do improves the property, provided that the
Improvements are not purpose
f sal ). offered for Sal&. If, however, the building or improvement is sold within one year of Completion=the Owner-Suijdee will have the b-indr a of proving that it was not built or
Improved for the purpose. of sale).
:..! 1, asowner of the property, am exclusively contractingwith licensed Contractors to oonstnrci the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
wnar of property Who builds of Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law),
I am a of from fleensure under the Contraclors' State License Law for the following reason: _
3y m nature below I acknowledge that, except for my personal residence in which I must resided for of least one year prior to completion of the tmp YBmetils 0pvr..rad by this.parmit, 6oarmbt legzll,
a structure that I have built as an owner -builder if it has t been constructed in Its onhroty by licensed contractors. I understand that a copy of lhoapplicaole law, SacLon 7044 of the Business and
'rofessions Code, is available upon request when this appl d lion'is sue. r at the following Web site:hltpiliwww.leginio.Ga.gov/calaw,html. of Property Owner or Authorized Agent_ j-� _ 4
-ICENSED CONTRACTOR'S DECLA..RATION .Date
hereby aflirm under penalty of perjury that I am licensed .12
under provisions of Chapter (commencing with Section 7000).of Division 3 of the Business and. Professions Cods, and my license is in full force
red effect. License Class License No Data Contractor Signature
PORKERS' COMPENSATION DECLARATION
EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL. AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS W00.000), IN ADDITION TO THE
AST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR COOS, INTEREST, AND ATTORNEY% FEES.
hereby affirm under penalty of perjuryoneof the following declarations:
I I have and will maintain 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 the
erIbneance of the work for which this permit Is issued. Policy No. _.
have and will maintain workers' compensation insurance, as
fence carrier and entry number are;
of Agent
required by Section 3700 of the Labor Code, for the performance of the work for Which this permit is issued. My workers'
Policy Number
Date
nwne s
I certify the(, in the performance of the work for which this permit is issued I snail not employ any person in any manner $d a$ to become subject totheworkers' compensation laws of Califomi
t If I should become subject he workers' compensation provisions of. Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. e, and ogre
mature of Applicant _ _
GLARATtgN REGAR ING CGNSTRt1GTtgN LENDING AGENGY Oatai_ y4 Z
rrebyafflrm under (penally of perjury that there is a construction lending agency for the performance of the work for which thispermlf is issued (Section 3097,. Civil Coda),
ider's Name LendersAddress
my signature below, I eeriify to each of the following..
I am the Property owner or authorized to act an the property owner's behalf.
I have read this applicationand the information I. have provided is correct.
1 agree to comply with all applicable city and county ordinances and state lawsrelating to building. construction.
I authorize representativesof this. city or county to enterI�a above -identified property for inspection purposes.
ACTION
EXPIRED
BY l DECLAMATION OF COMPLIANCE wiT?I CODE OF FEDERAL FOR
E REGLILATIONS PART 51 OF TITLE 40 AND AQMD RULE
l 11103
renmrl NrrE I. %/rf �J/ t9705 NOnrICATION 15 NOT APPLICABLE TO
CFR7lFtCAFOF PRO 5ED DEMOLRION
QCCtlPANCV ISSUED
Name