HomeMy WebLinkAboutXR2023-3279 - Permits�EWPORr City of Newport Beach IIII�IIIIIIIIIIIIIIIIIIIIIIIII IIIIIII II COMB Permit X�2�23-3279
Community Development Department- Building Division X R 2 0 2 3 3 2 7 9
100 Civic Center Drive, Newport Beach, CA 92660 Plan (.heck No : P,;2023-28J7
u- = Permit Counter Phone: (949) 718-1888 Issueu Date : 11/1-,/2023
o- newportbeachca.gov/civic Final Date:
°"c�Foae`P Combination Type - SFP Permit Status: Issued
Work Class - Alteration IrspecPen 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: 28 WHARFSIDE DR Legal Desc : N TR 15850 BLK LOT 34
Description: SFR REPLACE (E) WINDOWS WITH 2 BI-FOLDING DOOR SYSTEMS.
Owner: LEE HONG MO TR LEE FAMILY TR Contractor: HARKINS CONSTRUCTION
Address : I CYPRESS POINT LN Address : 34167 PCH #D
NEWPORT BEACH, CA 92660 DANA POINT, CA 92629
Phone
Applicant: LUCAS SMITH
Address : 39167 PACIFIC COAST HWY
DANA POINT, CA 92672
Phone: (194)975-0951 x1
Owner/Builder :
Address :
Phone:
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
2022
V-B
U,R-3
X
PC - Newport Coast
PROCESSED BY: AR45
Phone: (949)245-9028
Con State Lic :
935372
Lic Expire :
03/31/2024
Bus Lic :
BT30066134
Bus Lic Expire
: 02/28/2024
Workers' Compensation Insurance
Carrier: SIRIUSPOINT AMERICA INSURANCE
COMPANY
Policy No : WC9013301
W. C. Expire: 2/22/2024
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories
SPECIAL CONDITIONS: IRWD; LAGUNA BEACH SCHOOL DISTRICT
Architect
Address
Phone:
State Lic
Engineer: BURKE LEO
Address: 34167 PACIFIC COAST HWY #D
DANA POINT, CA 92629
Phone: (949)226-7130
Designer:
Address
Phone:
NO Construction Valuation :
NO Added/New/Ti sq. ft. Bldg
1 Alteration sq. ft. Bldg :
2 Added/New sq. ft. Garage:
TOTAL sq. ft. :
$20,000.00
0
0
0
V MYI'rCR-�LILV till 4LULMl�f1.i5Jlt
I hereby affirm under penalty or pe•ju`y thrf I Am Pxempt from the i onlraotors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
Section 7031.5, Business acid Professions Code: Any c,ty or t ounty 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 th; l ae cr oho s licor,sed pursuuLt 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 licansure 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 five hundred dollars (S500).
D I, as owner of the property, or m7 emp'oynes wth wages as their role ncmpensat'lon, will do U all of or U portions of the work, and the structure is not intendedor offered for sale (Section 7044,
Business and Professions Code: Tho Con,mc(ors' Stale License. Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, provided that the
nproverments are not Intended or o,lerad for sale. If. ;,owe ver, the Lui€ding or improvement is sold within one year of completion, lire 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 7D44, Business and Professions. Code: The Contractors' State License Law does not
Iply to an owner of properly 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' State License Law for the following reason
y 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 legalh
ell 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
'rofessions Code. is available upon request when this application Is submitted or at the following Web sHe:http:IAvww.leginfo.ca.gov/calawthtml.
kgnature 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 3 of the Business and Professions Co and my license is In fylll�rce
❑d effect. License Class License No Date /�%/� ��� Contractor Signature
ifORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, Me SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS if100,0001, IN ADOITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
oormance of the work for which this permit is issued, Policy No.
have 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' compensa
Trance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance 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
. if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant
Date �,��/SfZ
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),
enders Name Lender's Address _
y my signature below, I certify to each of Elie following:
I am the property owner or authorized to acton 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 enter the above -identified property for inspection purposes.
ionature of PrOD nV Owner or Authorized Aaent C Print Property Owner's or Authorized Aoi Name / L�Ca
FOR OFFICE USE ONLY
REGULATIONS PART 61 DF TITLE 40 AND AQMD RULE
1403
PERMiT EXPIRED
PERMIT EXTENDED + UAQMD
PERMIT FINAL / / / LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF /ery 7, />`/,�J]l.'s/ PROPOSED DEACLITION
OCCUPANCYfSSUEO /" SIGNATURE: ��-
Date
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