HomeMy WebLinkAboutXR2024-0447 - PermitsD��EWaoR 6 City
mry De opmm M Community Department - Bwding nivision I II I II I I III I II IIIII III II II II
F 100 Civic Center Drive, Newport Beach, Cr, 92666
Permit Counter Phone: (949) 718-1888
.s. newportbeachca.gov/civic
C,C/FORH�P Combination Type - SFP ELEC
Work Class - Other
COMB Permit : XR2024-0447
Plan Check No :
Issued Date : 0212312024
Final Date:
Permit Status: Issued
Inspection Area : 3
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 : 370 23RD ST Legal Desc : N TR 300 BLK LOT 103 TR 300 LOT 103 FOR OF LOT
Description: SFR REPLACE (E) LIGHTING FIXTURE AND INSTALL FASCIA. T/O AND RE -ROOF 32 SQ WITH COMP SHINGLES AND REPLACE PLYWOOD.
Owner: JOHN ERIK TR ODEEN ODEEN
Address : 370 23RD ST
NEWPORT BEACH, CA 92660
Phone:
(949)335-7084
Applicant:
5 STAR BUILDER
Address :
17539 MITCHELL DR
MITCHELL DR, CA 92530
Phone:
(949)678-0763
Owner/Builder :
Address :
Phone
Contractor :
5 STAR BUILDER
Address :
17539 MITCHELL DR
MITCHELL DR, CA 92530
Phone :
(949) 678-0763
Con State Lie
: 717951
Lie Expire :
11/30/2024
Bus Lie:
BT30083702
Bus Lie Expire : 02/23/2025
Workers' Compensation Insurance
Carrier :
Policy No : EXEMPT
W. C. Expire:
Code Edition :
2022
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups :
R-3
No of Units :
1
Bldg Height :
No of Stories :
1
Building Setbacks :
Front: 20, Side: 5, Side: 5, Rear: 20
Flood Zone :
X
Use Zone :
R-1-7200 - Single -Unit Residential (7200 indicates minimum
lot area)
PROCESSED BY
SPECIAL CONDITIONS:
,,� CCTOR
Architect
Address
Phone:
State Lie
Engineer
Address
Phone:
Designer:
Address
Phone:
Construction Valuation : $26,500.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I ant exempt from the Contractors' State License Law for the reas,ln(5) indi4al5d )elo•v by the cheskmark{s) I have placed next to the applicable Item(s)
(Section 7031.5. Business and Professions Code: Arty city or county that Tequires a permit to construct. alter, improve, dernobsh or repair any stricture, 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 Li;;er.su '-aw ;Chapter 9 (aom,rneocing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from tcensure 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 five hundred dollars ($500).
El I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) parlors of the work, Pad the st-uc'urc 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 wh,% though employees or persorai short 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 ycar of cerupleticn.. ha Owmer•Sufluer mli 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 in construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply 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).
❑ I am exempt from licensureunder 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 it, I cannot legal
sell a structure that I have built as an ownor-builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section of thae usinoss and
Professions Code, is available upon request when this application is submitted or at the following Atop site,http:fiwww.leginfo.ca.govlcalaw.htmi.
Signature of Property Owner or Authorized Agent _, ___ __�___ to
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisir 3 the Business and Profa and in cane is In full force.
and effect. License Class License No Date —'Z li Contractor Signature
WORKERS' COMPENSATION DECLARATION
✓YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION To THI
COST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 370S OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Ihereby affirm under penalty of perjury one of the following declarations:
D I have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations Be provided for by Section 3700 of the Labor Code, for if
performance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensati surance, as required by Section 3700 of thee. Labor Cade,. for the performance of the work for which this permit is issued. My workers` compansatiol
ranee carrier and policy number are:
HITP umber Expiration Date
la of Agent Phone #
spftify that, in the parlor ance of the wor r which thi 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
if I should become su iect to the work compons Ion provlsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions,
al.re of Applicant T., ......,.�....,.,,,, Data 2 7
areby affirm under pkal yef'perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civil Code).
idar's Name Lenders Address
my signature below. I certify to each of the following:
I am the property owner or authorized to act on the property ow s bah /
I have read this application and the mformahon I have prov' d Es car t.
I agree to comply with all applicable city and county ordi Fees a.. slat aevs lating to building. construction. n /
I authorize representatives of this city or county to a he a �idenf le roperty, for inspection purposes, t,�_
Date
ACTION
DATE
BY ` LARAT€ONOF COMPLIANCE WITH COOT-pFEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE
1403
FOR OFFICE USE ONLY
L/
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTI FICATION TO
PERMIT CANCELLED
f[ —05A
PERMIT EXTENDED
�
QMD.
PCAPrHT FIAlA1
IC�Z�
': � 7/a',`50E5T05 NOTIFl r1T10N IS NO " PPLICABLE TO
CERTIFICATE OF
✓
( PROPOSED I. MOLL 10
OCCUPANCY I5SUED
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