HomeMy WebLinkAboutXR2023-1553 - Permits��EWPOQT City of Newport Beach
@ Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
u S Permit Counter Phone- (949) 718-1888
newportbeachca.gov/civic
CqC/FOF{��F Combination Type - SFP
Work Class - Alteration
111111111111111111111111111111111111111111111111111111111jj COMB Permit : XR2023-1553
Plan Check No: PC2023-1391
Issued Date : 06/09/2023
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 : 606 CARNATION AVE Legal Desc : A TR CORONA DEL MAR BLK 631 LOT 6
Description: SFR REPAIR SLAB, WINDOW FRAMING AND PORTION OF THE ROOF, AND ENCLOSURE IN BATHROOM `I23-0375'
Owner: ANDREWS ALAN V TR
Address : 2015 BAYADERE TER
CORONA DEL MAR, CA 92625
Phone: (714)264-9748
Applicant: ANDREWS ALAN V TR
Address : 2015 BAYADERE TER
CORONA DEL MAR, CA 92625
Phone: (714)264-9748
Owner/Builder : ANDREWS ALAN VTR
Address: 2015 BAYADERE TER
CORONA DEL MAR, CA 92625
Phone: (714)264-9748
Contractor
Address :
Phone:
Con State Lic
Lic Expire:
Bus Lic:
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Architect
Address
Phone:
State Lic
Engineer:
HELFRICHSTEVEN
Address :
30640 KRISTIN CT
REDLANDS, CA 92373
Phone:
(909)389-7316
Designer:
Address :
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$23,647.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks :
Front: 10, Side: 3, Side: 3, Rear: 2.5
Flood Zone:
X
Use Zone:
PC - Corona del Mar Homes
-
p' I� 1
NO C®N.S7`RUC7-f()M
PROCESSED BY:
mnl,
SPECIAL CONDITIONS:
ON THE WEEKEND '
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)
9ec0on 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, altar, improve, demolish, or repair any structure, prior to Its issuance, also requires (he applicant for
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Lew (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
re than five hundred dollars ($500).
Ij,n
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7D44,
ess 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
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).
a I, as owner of the property, am exclusivelycontracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
only 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' Slate License Law for the following reason:
ly 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 legap
ell a structure that I have built as an owner -builder if it has not been construc d i t' ty 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 applic�afi d Ilowio�httpJlwww.leginfo.ca.govlcalaw.html. �2_3
lignature of Property Owner or Authorized Agent „1 � ,�/ Date. % \Juyt,
.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 andProfessionsCode, and my license is In full force
.nd effect License Class License No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 14 UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100.900), IN ADDITION TO THE
:DST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 IN
Ierformance of the work for which this permit Is issued. Policy No.
:1I 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' compensatior
nsurance carrier and policy number are:.
:artier Policy Number Expiration Date
dame of Agent Phone It,
:3I certify that, in the performance of the work for which this permit is Issided. 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California., and agree
hat, If I should become subject to the worke no;ear
Section 3700 of the Labor Code, I shall for hwilh comply With those provisions. _
Signature of Applicant Date_
XCIARATION REGAROING CO T CTION 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, Civil Code).
_tinder's Name Lender's Address
Sy my signature below, I cartlfy 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 ate taws relating to building construction.
I authorize rer resentwives of this city or county toe ntified property for inspection purposes. 1 J n..-]�JZ3
Sicnature .,f PropeRp Owner or Authorized Agent "r / Print PropertyOwner's or Authorized Agent's Name a ',Lt! i � Dai9
AC PION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51: OF TITLE 40 AND AQMD RULE
1403
PER;dIT EXPIRED l U I SUBMITTED ASBESTOS NOTIFICATION TO
PE7MIT CANCELLED OEPA
PEA ,7 fXTENDEFi QMD
PF9,ub7 FINAL �7-, f j< Je_ t4 ASBESTOS NOTIFICA 1S PLICArBLE TO
CE4, WCAM OF PROPOSED DEAR
SIGNATURE:
OCCUPANCYISSUEL I (_