HomeMy WebLinkAboutXR2023-1350 - PermitsCity of Newport Beach
Community Development Department- Building Division
l — 100 Civic Center Drive, Newport Beach, CA 92669
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
C911 F00.��P Combination Type - SFP
rr
Work Class -Alteration
a or, rLEC 9 Oi1
COMB Permit : XR2023-1350
Plan Check No : PC2023-1213
Issued Date : 07/06/2023
Final Date:
Permit Status: Issued
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 : 215 MILFORD DR
Description: SFR -DECK FRAMING REPAIR 738 SF
Owner: ANDREW BOYUM
Address : 215 MILFORD DR
NEWPORT BEACH, CA 92625
Phone:
Applicant: ELIAD DORFMAN
Address : 611 S CATALINA, 310
LOS ANGELES, CA 90005
Phone: (213)674-7650
Owner/Builder:
Address :
Phone
Legal Desc : N TR 3357 BLK LOT 166
Contractor: LAGUNA BAY DEVELOPING INC
Address : 4540 CAMPUS DR, 118
NEWPORT BEACH, CA
Phone:
(949)899-7565
Con State Lic
: 1072840
Lic Expire :
01/31/2025
Bus Lic:
BT30073249
Bus Lic Expire : 10/31/2023
Workers' Compensation Insurance
Carrier: MARKEL/EVANSTONINSURANCE
Policy No : 3AA674433
W. C. Expire : 5/23/2024
Architect
Address:
Phone:
State Lic
Engineer: BURNAZYAN GEGAM
Address : 7621 LOUISE AVE
VAN NUYS, CA 91406
Phone: (818)522-3181
Designer: ELIAD DORFMAN
Address: 611 S CATALINA, 310
LOS ANGELES, CA 90005
Phone: (213)674-7650
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
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
1
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks :
Front: 6, Side: 6, Side: 6, Rear: 6
Flood Zone:
X
Use Zone:
R-1-6000 - Single -Unit Residential (6000 indicates minimum
lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
$20,000.00
0
0
0
I•-
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, 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 sheds 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permitsubjectsthe applicant to a civil penalty of
not more than five hundred dollars (550D),
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of 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 property who, through employees' or personal effort, builds or improves the ,property, provided that the
improvements 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 property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
eQply 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).
Ll I am exempt from licensors under the Contractors' State License Law for the following 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 legally
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 copyof the applicable law, Section 7044 of the Business and
Professions Code, is ava4lable upon request when this application is submitted or at the following Web site:http://www,leginio.ca..govlcalaw.iitml.
Signeture of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 bf ' ision 3 of the Business and Profession ode, a In license is in full force
and effect, License Class License No Date 3 Contractor Signature -ll
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 OUSAND DOLLARS W00,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE., INTEREST, AND ATTORNEY's FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 have and will maintain a certificate of consentto self -Insure for workers' compensation, issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for IT(
iperformance of the work for which this permit is Issued. Policy No.
andwill 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:
to of Agent
certify that. in the p¢
, if I should become
iature of Applicant..
Policy Number
Date
for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' Gompensallon laws of California., and
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Will those provisions.
nr,rR _ �/,5,/23
I hereby affirm under penal of perjury fiat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name _ Lender's Address
SV_ my signature below, I carlfy [o eoch ofihe following:
I am the property Owner or authorized to acton the property owner's Dshal'
I have read this application and the Information i have provided is Corr .
I agree to comply with all applicable city and county ordinanc stale l re€Bting to building construction.
author<e representatives of this city or county to enter I a ve= a ' led properly for inspection purposes.
51 nature of Property Owner or Authorized Ac ent Print Pro ert Owner's or Authorized Agent s Name =Al�/I _ — A ,eJ Date
ACTION DATE By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE.
1403
PERMIT EXPIRED E LI I SUBMITTED ASBESTOS NOTIFICA110N TO
PERA'1TCAI'JCILEc DEPA
PERMIT EXTENDED QMD
....... ... .... ..._._... -3�—� 77--��,,
PERK IT FINAL 31 € WASBESrOS NOVEICATION 15 NOT. I LE TO
CERTIFICATE Of I PROPOSED DEMOLITION
OLfUnANCYlSSUFD I SIGNATURE: