HomeMy WebLinkAboutXR2023-3213 - PermitsagWPORT City of Newport Beach IIIIIIIIIIIIIIIII IIIIIIIIIIIIII II COMB Permit XR2U23-3213
Community Development Department- Building Division X R 2 0 2 3 3 2 1 3
F n100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 718-1888 Issued Date : 11/1312023
U ems. newportbeachca.gov/civic Final Date:
C,C/F00.N�P Combination Type - SFP Permit Status: Issued
Work Class - Repair Inspection Area : 5
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: 224 POINSETTIA AVE Legal Desc : A TR RESUB OF CORONA DEL MAR BILK 143 LOT 24 RESUB
Description: SFR RE -ROOF - T/O COMP SHINGLES. REPLACE PLYWOOD AS NEEDED. INSTALL 1 LAYER 30# FELT, INSTALL 14 SQ COMP SHINGLES
Owner: SALLY-JAN SCHOEN
Address : 224 POINSETTIA AVE
CORONA DEL MAR, CA 92625
Phone:
Applicant: WESTECH CONSTRUCTION ENGINEERING
Address: 25 PACIFICA #5300
IRVINE, CA 92618
Phone: (949)345-3330
Owner/Builder :
Address :
Contractor: W E S T E C H
ENGINEERING
Address :
25 PACIFICA #5300
IRVINE, CA 92618
Phone:
(949) 345-3330
Con State Lic
: 1076883
Lic Expire :
06/30/2025
Bus Lic :
BT30082470
Bus Lic Expire : 08/31/2024
CONSTRUCTION Architect:
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No: 9333637
W. C. Expire: 2/18/2024
Ph one '0N S-r9jj. 9 Io�J
State Lic: ' pv
Engineer
Adores
Phone : �l
Designer
Address
Phone:
Phone"
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/Newts sq. ft. Bldg
Occupancy Groups :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
$B4O00.00
0
0
0
! hereby ahinn under penalty of perjury that I am exempt from the Contractors' State Lice nsa Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item (a)
Section 7031.5. Business and Professions Code: Any city or cow nty'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 provisions of theContractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofess ons Code) or that he or she is exempt from licensure 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 penotty of
Idt more than five hundred dollars ($500).
1, as owner of the property, army employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044,
3usiness 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 properly, provided that the
mprovemenls 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 builtor
mproved for the purpose of sale).
1 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
apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
3 1 am exempt from Iicensure under the Contractors' State License Law for the following reason:
3y 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 legally
of a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Irofess ons Code., is available upon request when this application is submitted or at the following Web site:hitpi/M'ww.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
_ICENSED CONTRACTOR'S DECLARATION /
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Pro essons Code nd may license is In full force
urd effect. License Class License No Dates Contractor Signature
PORKERS' COMPENSATION DECLARATION l/`1 t -�� `�
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND'. OLLARS ISt00,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the following declarations:
+ 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
erfo ranee of the work for which this permit is issued. Policy No.
and will maintain 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'
carrier and policy number are:
Policy Number
of Agent
Date
I certify that. in the performance of the rk Or which this permit is issued, I shall notemploy any person in arty manner so as to become subject to the workers' compensation laws of California, and agre,
L if I should become subject to thew rs compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply *In those provisions.
nature of Applicant _ Datd/ `C) �, �
CLARATION REGAR I CONS U N LENDING AGENCY -1 7—iZ
3reby affirm und'EKY Gi perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
ides s Name Lender's Address
my signature below, I certify to each of Ilse 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 proyidey Is correct.
I agree to comply with all applicable city and county ordi be a and slate Yaws relating to building construction.
I authorize representatives of this city or couofyyloanter s Identified property for inspection purposes. A
signature of Property Owner or Authorized Agen Print PropertypOwner's or Authorized A
ACTION f DATE. BY LARA IONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
'. REGULATIONS PART 610E TITLE. 40 AND AQMD RULE
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