HomeMy WebLinkAboutXR2023-2060 - PermitsQ �gWPORT City of Newport Beach II III�I I III IIII III III I I IIIII III II COMB Permit : XR2023-2060
6 Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
G T Permit Counter Phone: (949) 718-1888 Issued Date : 07/26/2023
e.. newportbeachca.gov/civic Final Date:
CgCIFeRN�P Combination Type- Permit Status: Issued
Work Class - Alteration Inspection Area : a
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: 350 CATALINA DR
Legal Desc : N TR 444 BLK LOT 1 TR 444 LOT 1 ALL -INC WLY1/2 AB
Description: DUPLEX REPLACE (12) WINDOWS W/NAIL-FIN
WINDOWS, (4) OF THEM ARE EGRESS, SAME SIZE, SAME LOCATION `NO STRUC CHANGES'
Owner: WOODCO INVESTMENT CO INC
Contractor: V 0 LAREY
ST
Architect
Address 7�
Address: PO BOX 2286
Address : 1742 PINE
: a i-,,,
L_
NEWPORT BEACH, CA 92659
HUNTINGTON BEACH, CA 92648
Phone : (949) 756-8557
Phone : (714) 305-4955
Phone:
Con State Lic : 514239
State Lic
Lic Expire : 07/31/2025
'
Applicant: V 0 LAREY
Bus Lic : BT30058476
Engineer: ,
Address : 1742 PINE ST
Bus Lic Expire : 03/31/2024
Address
HUNTINGTON BEACH, CA 92648
Phone: (714) 305-4955
Workers' Compensation Insurance
Phone:
Carrier: STATE COMPENSATION INSURANCE FUND
OwnerlBuilder :
Policy No: 1868014
Designer
Address :
W. C. Expire : 11/23/2023
Address:
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $8,900.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U,R-3
No of Units : 2
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY: —Am..
SPECIAL CONDITIONS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkrnark(s) I have placed next to the applicable items)
(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 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
Professions Code) or that he or she is exempt from licensors 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
not more than flve hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Low does not apply to an owner of property who, through employees' or personat 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).
❑ 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
ra'prply 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).
u I am exempt from licensure 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 earn pletion of the improvements covered by this permit, I cannot lagail)
sell a structure that I have built as an ownar-builder if it has not been constructed in its Or ircty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.govlcalaw.html.
Signature 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 Se If 7 0) qqj pprv't�ro 3 of the BusIn ss d Profes s ode, a y license is In full force
and effect. License Class License No l —.L6' G Contracfo gnalure (/ —
COMPENSATION DECLARATION
ARNING: FAILURE 10 SECUNE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tS100,0001, IN ADDITION TO THE
CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR COOS, INTEREST, AND ATTORNEY's FEES.
hereby a,firm 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 th
erforrxnce of the work for which this permit is issued. Policy Ne.
and will nlaNtem 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
m Agent _
Date
c?niA that, in t5e pe�r`ormance or the work for w Ich this permit is issued. I shall not employ any parson in any manner so as to become subject to the workers' compensation laws of California, and 2gre
1, if I should become s��N06CC
i worke. ' co ensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
.IaUlre of APPI' � _ te�- 26 —Z�
CLARATION CCQ.1'fONSTRUCTION LENDING AGENCY
areby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lender's Address
my signature below, I certify to each Of the 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 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 ci_ ly or county tpt bite he abov,4 u4ntified property for inspection purposes.
._--•^----�...__-_-. .��_ .,,__._. '/— /1 AiLit <_. r,----..... A. .,----- "___. \.,__._1/tc7012 O,
ACTION
PERMIT EXPIRED
PERMIT CANCF.ILED
FER AlT EXTENDED
PER.Yl1T FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE [ BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
f h REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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