HomeMy WebLinkAboutXR2023-2814 - PermitsrtWvokl, City of Newport Beach (I IIIIIII I II IIIIII II I II II I II II COMB Permit : XR2023-2814
o ti,a' 9' Community Development Department- Building Division X R 2 0 2 3 2 B 1 4
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1405
3., Permit Counter Phone: (949) 718-1888 Issued Date : 10/06/2023
newportbeachca.gov/civic « p r%r: Final Date:
Combination Type - 0' �, . 1, �' �, '-�'1 Permit Status: Issued
.�. Work Class - Other a 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: 336 HAZEL DR Legal Desc :
Description: "CHANGE OF CONTRACTOR TO PERMIT XR2023-1563"" SFR REPAIR LOWER DECK (316 SF) AND UPPER DECK (311 SF) WITH TREX DECKING
Owner:
Jackie Wiseman
Address :
336 Hazel Drive
Corona del Mar, CA 92625
Phone :
(949) 338-9971
Applicant :
SHAH DARSHAN
Address :
10 LYNNFIELD
COSTA MESA, CA 92626
Phone :
(949) 573-0570
Owner/Builder:
Address :
Contractor : B&R BUILDERS LLC
Address : 9841 IRVINE CENTER DR
IRVINE, CA 92618
Phone: (949) 899-3329
Con State Lic :
1107944
Lic Expire :
08/31/2025
Bus Lic :
BT30079557
Bus Lic Expire :
08/3112024
Workers' Compensation Insurance
Carrier: EXEMPT
Policy No : EXEMPT
W. C. Expire :
Architect
Address
Phone:
State Lic
Engineer:
SHAH DARSHAN
Address :
10 LYNNFIELD
COSTA MESA, CA 92626
Phone :
(949) 573-0570
Designer
Address
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation
Type of Construction :
V-B
Fire Hazard Zone :
YES
Added/New/TI sq. ft. Bldg
Occupancy Groups :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
3
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks :
Front:
1, Side: 4, Side: 4, Rear: 10
Flood Zone:
X
Use Zone :
95
PROCESSED BY:
SPECIAL CONDITIONS:
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 Keri
Section 7031.5, Business and Professions Code; Any city or county Ihal requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicantfor
to permit to file a signedstatement that lie 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 basis 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 flue hundred dollars t$500).
1 1, as owner of the property, or my employees with wages as their solo compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employeas' or personal effort, builds or improves the properly, provided that the
nprovements 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).
1, 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
ply 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' Stale License Law for the following reason
ly my signature below I acknowledge that, oxcept 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 cantiot legally
ell 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 theapplicable law, Section 7044 of the Business and
Tofessions Code, Is available upon request when this application Is submitted or at the following Iil site:http:llvA .leginfo.ca.govlcalaw.html.
Iignalure 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 70f)0) of Di Ision 3 of the Business and Professi deft cerise is in full force
nd effect. License Class License No Date Cantraetor Signature
VORKERS' COMPENSATION DECLARATION r��z��
IARNING: 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 ($100,000), 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:
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
arformanee of the work for which this permit is Issued. Policy No.
have end 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'
ranee carrier and policy number are:
Policy Number
is of Agent
Certify that, in the performance of the Berk for which this permit is issued, I shall
if I should become subjectl �iv�rkers' gampensatiorl provisions Of Seyt+ ,
of
Date
;m Dioy any person in any manner so as to become subject to the workers' compensation laws of California, and agree
of thekabor Code, I shall forthwith comply with those provisions.
Date,,,
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
ender's Name _ Lenders Address
•y my signature'below, iert cify [o each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application andthe information i have provided is correct.
I agree to comply w,th all applicable city and county na as and stale laws relating to building construction.
I authorize Ieoresc.n(ataves of this city or county�aJa�aEt-�denlifled�pro for Inspection purposes. /
AC rION
rERM'T CANCECE�
PERM F FINA! L /
CERTIFICATE Of
OCCUPANCY 1551 rED
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RFGUI.ATIONS PART 61 OF 71TLF 40 AND AQMD RULE
PROPOSED
NOTlpdy)'r10'N 15 NOT APPUCAISLE TO
Civil Code).