HomeMy WebLinkAboutXR2023-2495 - Permits'cam POR> City of Newport Beach
Community Development Department- Building Division
}F, . 100 Civic Center Drive, Newport Beach, CA 92660
>w+ T Permit Counter Phone: (949) 71 B-1888
o— newportbeachca.gov/civic
Combination Type - MFP
Work Class -Alteration
11IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII jj COMB Permit : XR2023-2495
Plan Check No : PC2023-2186
Issued Date : 09/07/2023
Final Date:
d - Permit Status: Issued
` " '' '� a �`•`� Inspection Area :
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: 6 WILD GOOSE CT Legal Desc : N TR 7852 BLK LOT 1 UN 1 TR 7852 LOT 1 UNIT 1 OF P
Description: MFR DECK REPAIR LIKE -FOR -LIKE. 114 SF
Owner: NEWPORT CREST HOMEOWNERS ASSN
Address : 201 INTREPID CT
NEWPORT BEACH, CA 92663
Phone : (949) 631-0925
Applicant: ANGUS SMITH CONSTRUCTION
Address : 12342 CANYON TERRACE
SANTA ANA, CA 92705
Phone : (714) 538-1191
Owner/Builder :
Address :
Phone
Contractor: ANGUS SMITH CONSTRUCTION
Address : 12342 CANYON TERRACE
SANTA ANA, CA 92705
Phone :
(714) 538-1191
Con State Lic
: 637440
Lic Expire :
02/29/2024
Bus Lic:
BT01101101
Bus Lic Expire : 09/3012023
Workers' Compensation Insurance
Carrier: STATE NATIONAL INSURANCE COMPANY
INC
Policy No : AMX080003000
W. C. Expire : 10/1/2023
Code Edition : 2022 Fire Sprinklers : NO
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : U No of Units : 8
Bldg Height : No of Stories : 2
Building Setbacks
Flood Zone : X
Use Zone : PC - Newport Crest - UPI 585
PROCESSED BY: Q -5
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer: XIAO QIANG
Address: 1520 BROOKHOLLOW DR #45
SANTA ANA, CA 92705
Phone : (714) 662-0510
Designer
Address
Phone:
Construction Valuation :
$10,500.00
Added/New/Ti sq. ft. Bldg :
0
Alteration sq. ft. Bldg :
114
Added/New sq. ft. Garage :
0
TOTAL sq. ft.
0
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that i am exempt from the Contractors' State License Law for the reasDn(s) indicated below by the eheckmark(s) I have placed next to the applicable items)
3echorl 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
is permit to file a signed statement that he 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 licensureand 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 ($500).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;uslness and Professions Code. The Contractors' State License Law does not apply to an owner of property who, through employees' or personal Blind. builds or improves the property, provided that the
nprovernenls are not intended or offered for sale. If, however, the building or improvement is sold within one yearof completion. the Owner -Builder will have the burden of proving that it was not built or
nproved 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
poly 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).
n9 8 P Y P _ ._._..... _.. .__—.__ _..._......
I exernpl from liaensure under the Contractors' Slate license Law for the following reason.
lY my • signature below I acknowledge that. except form personal residence in which I must have melded for at least one vear prior to completion of the Improvements covered by this permit, I cannot legal]!
ell A structure that I have bull[ as an ovmer-builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and
Irofessions Code, Is available upon request when this application is submitted or at the following Web site:hlip>fvoww.legi mo.ca.gowcalaw. 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 70 ) of Divisi 3 of the Business and Professio fe, and my license is in full force
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FALU RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNI FEES..
affirm under penalty of perjury one of the following declarations:
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
a 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'
ranee carrier and policy number are:
Policy Number
is of Agent
Date
certify that, in the perfo ha, a of rW'ork 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 agre
t, It I should become su cl t the rkers co nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Apphcanl ,.., . .._. ..._.
CLARATION REGARDIN CONSTRUCTION LENDING AGENCY
3reby 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).
hders Name Lenders Address
my signature below, I certify to each of the following
I am the property owner or authorized la act on 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 sdinances and slate laws Totaling to building construction.
I authorize representatives of t.i, uity or county to e t r the abo•. identified property for inspection purposes.
Si nalure of Property =Winer or Authorized Argent p Print Property Owner's or Authorized A SI s Name Dale
ACTION OAT C D'/ DGCIA ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RFGULATIONS PART 61. OF TITLE 40 AND AQMD RULE
_ 1403
PERMIT ExpfRED i 1 SUBMITTFD ASBESTOS NOTIFICATION TO
PE9PAT(A1VCNLFO T € LJEPA
PERMfT FINAL `` a r^am,�( ` ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF !. / �y Y/""y ROPOSE_ OEN101. ft�'�l
OCCUPANCYUSUED "r'�. SIGNATURE: fl� .,n.