HomeMy WebLinkAboutXR2023-2427 - Permits�tw horr City of Newport Beach IIIII II III I IIII IIII IIIII II III I II II COMB Permit : XR2023-2427
p P Community Development Department - Building Division x R 2 0 2 3 2 4 2 7
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
ii i, Permit Counter Phone: (949) 71 B-1888 Issued Date : 08131/2023
newportbeachca.gov/civic Final Date:
Combination Type - SFP Permit Status: Issued
,w Work Class - Alteration Inspection Area : 4
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 : 3107 CORTE CALETA Legal Desc : N TR 12271 BLK LOT 150
Description: SFR CHANGE OUT 4 WINDOWS *NO HEADER CHANGE'
Owner: AYALA BARBARA R TR TRUST A
Contractor: AMERICAN VISION
Architect
Address : 3107 CORTE CALETA
Address : 2125 N MADERA ROAD#A
Address
NEWPORT BEACH, CA 92660
SIMI VALLEY CA 93065, CA 93065
Pyr
Phone:
Phone: (888)563-0008
Phone:
�s
Con State Lid : 778326
State Lic :
0
Lic Expire : 05/31/2024_-
Applicant : AMERICAN VISION
Bus Lic: BT30020889
Engineer :
Y
Address : 2125 N MADERA ROAD#A
Bus Lic Expire : 10/31/2023
Address
SIMI VALLEY CA 93065, CA 93065
ff
Phone: (888) 563-0008
Workers' Compensation Insurance
Phone:
tB-
Carrier: INSURANCE CO OF THE WEST
Owner/Builder :
Policy No : WSD505899301
Designer
Address :
W. C. Expire : 1/1/2024
Address
�y
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$4,800.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
occupancy Groups : 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: 5, Side: 5, Side: 5, Rear: 5
Flood Zone : X
Use Zone : PC - North Ford
PROCESSED BY: '
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmarkls) I have placed next to the applicable Items)
Section 7031,5, Business and Professions Code; Any city or county that requires a permit Io construct, alter, improve, demolish, or repair any structure, prior Io its issuance, also requires the applicant for
re 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 Codej or that ne or she is exempt from llcensure and the basis for the alleged exemption. Any violation of Section 71 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars (5500)_
1 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
luslness 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
nprovod 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
pply to an avner 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 I am exernpl from licensure under the Qoniraclorg' 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 iln provemenls covered by this permit., I cannot legal],
oil a structure that I have built as an owncrrhuildc 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 VVeb sitelhttp:lJwww'.leginfo.ca,gocdca ow. MITI.
lignature of Property Owner or Authorized Agent..._.___.,...._.....,.,Data
ACEN'.SED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Ch �t 9_rjror� lancing with Section 0 o iv; ions of the Business and Pro Est Code, an oy fcense is in full force
no effect. License Class License No ? W Date Contractor Signatur
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS III OU,000), IN "Cori TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 070E OF THE LARDS CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a certificate of Consent to self-in5trre for Workers` compensation. Issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Cade, for
brmance of the work for which this permit Is issued. Policy No.
ive and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
ice carrier and of cy yumher /Pro :
//!S L(J' � �/ E ✓��ST Policy Number Expiration Date
of Agent -_ Phone d
JI Certify that, in the performance of the work for which this permit is issued, I shall not employ any person m any manner so as to become subject to the workers' compensation taws of California, and agre
rat, if I should beco. Ie bra' the work s Compensation provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. 91311
ignature of Applicant .._. ._. �i/,�:�t......._.._...._..__...,____.__.____.___.._ . Date ��
IECI.ARATION REGA f ONSTRUCTION LENDING AGENCY
hereby affirm under penaf f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lenders Address
ry my signature below, I certify to each or 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 comph with all applicable city and count ordinances and state laws relating to building construction,
I authorize representatives of this city oil Loon NJ
en, he �al,,ove ,d , ItifiaG property for Inspection purposes.
'onatu,e of Property Owner or Authonzed Acant he
V-"Ji Print Properly Owner's or Authorized Aeent's Name lIlF-5 "� /K� / '� Dot,,
DATE
PART 61 OF l"[TI.E 40 AND AQMD RULE
PERMIT EXPIRED
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15 JR dll TED A5 31"105 NOTIFICATION TO
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OCCUPANCY ISSUED
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FOR OFFICE USE ONLY