HomeMy WebLinkAboutXR2023-2914 - PermitsCity of Newport Beach II III I IIII IIII III IIIIII III IIIII III II COMB Permit : XR2023-2914
Community Development Department- Building Division X R 2 8 2 3 2 9 1 4
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 718-1888 Issued Date : 10/1612023
newportbeachca.gov/civic Final Date:
°gcwoa+�" Combination Type - Permit Status: Issued
Work Class - Other 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: 616 BEGONIA AVE, 1/2 Legal Desc : A TR CORONA DEL MAR BLK 630 LOT 18 UN 1 CORONA DEL
Description: DUPLEX REROOF -T/O SHINGLE ROOF, INSTL #30 FELT UNDERLAYMENT, REPAIR SHEATHING AS NEEDED, INSTL COMP SHINGLES 600 SF.
Owner: LISA SAPON
Contractor : RCS BUILDERS
Architect
Address : 616.5 BEGONIA AV
Address : 14236 ALLEMAN PLACE
Address
CDM, CA 92625
SANTA ANA, CA 92705
Phone :
Phone : (714) 920-1558
Phone
Con State Lie : 1023770
State Lie:
Lie Expire : 02/2B/2025
Applicant : RCS BUILDERS
Bus Lie : BT30082093
Engineer
Address : 14236 ALLEMAN PLACE
Bus Lie Expire : 07/31/2024
Address
SANTA ANA, CA 92705
Phone: (714) 920-1558
Workers' Compensation Insurance
Phone:
Carrier: CLEAR SPRING PROP. COMPANY
Owner/Builder:
Policy No: CWC00489301
Designer:
Address :
W. C. Expire : 2/9/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks : Front: 18, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone: R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS
$6,000.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby atflrrn under penalty of penury 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 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 ficensure and the basis for the alleged exemption. Any violation of Section 703L5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars (E500).
E7 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 Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided Ihat 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).
0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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 t0 the Contractors State License Law)..
❑ 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 completion of the Improvements covered by this permit, I cannot Iogail;
sell a structuro that I have built as an owner -builder it It has not teen constructed in its entirety 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:/lwww.leginfo.ca.gov/celavahtml,
Signature of Property Owner or Authorized Agent Date.___..
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my Ilcense is In full force
and effect. License Class License No Date 10-- (6-23 Contractor Signature --
WORKERS' COMPENSATION DECLARATION
WARNING; FAILURE TO SECURE WORKERSCOMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS C5100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
Ihereby affirm under penalty of perjury one of the following declarations:
Ih
u 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
performance of the work for which this permit is issued. Policy No.
, Phave 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' compensatio
nsurance carrier and policy number are:
:arrfer Policy Number Expiration Date
,lama of Agent Phone If
:11 certify that, inthe performance of the work 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
hat, if I should become subject to the workers tom nsatlon f Section 3700 of the Labor Code, I shall forthwith comply with Those provisions.
Signature of Applicant _ AGEData,�f O� ((7 Z3
)'••ECLARATION REGAR G 6 9T CTION LENOINO NCY^ __
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).
_Rude; s Name _ Lenders Address
3y 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 city or county to enterthe �ab nllfled property for inspection purposes. 14, r
Signature of Property Owner ur Authorized Agent Pont Property Owner's or Authorized Agent's Nan -- - - Date
ACTION DATE. BY I ECLARAT€ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REG aA'TIONS PART 6t OF TITLE 40 AND AQMD RULE
1403 _
PERMIT EXPIRED 'i ; SUBMITTED ASRFETOS NOTIFICATION TO
......._....." -per —PA---- -
PERMIT CANCELLELJ j W{PA
F€RMiT EXTENDED L L Q- MD
PERMIT FfNAL C-it-ZN ASBES TOS NO111-1CATION I5 NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DENIOLITiON
OCCUPANCY ISSUED _ _—3,ANATURE: