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HomeMy WebLinkAboutXR2023-3399 - Permits��EWPORT City of Newport Beach - g Community Development Department - Building Division b" 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 u h .a,. newportbeachca.govlcivic cy4F00.N`P Combination Type - SFP Work Class - Alteration i r q COMB Permit : XR2023-3399 Plan Check No : PC2023-2895 Issued Date : 11/30/2023 Final Date: Permit Status: Issued Inspection Area : 6 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: 17 CHATELAINE Legal Desc : N TR 14571 BLK LOT 57 Description: SFR ALT. REMOVE WINDOW FROM OPENING AND INSTALL NEW HEADER. INSTALL NEW PATIO SLIDER, ADD PORCH LIGHT AND SWITCH. REMOVE DOOR AND ADD WINDOW IN OPENING. Owner: COLE MARC A TR COLE FAMILY TR Address : 17 CHATELAINE NEWPORT COAST, CA 92657 Phone: Applicant: ALL AMERICAN DOOR, INC. Address : 2025 W. Commonwealth Ave Suite D Fullerton, CA 92833 Phone : (714) 680-8999 Owner/Builder : Address : Contractor: ALL AMERICAN DOOR, INC. Address : 2025 W. Commonwealth Ave Suite D Fullerton, CA 92833 Phone: (714)680-8999 Con State Lie : 810993 Lie Expire: 07/31/2024 Bus Lie : BT30080207 Bus Lie Expire : 12/3112023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9065320 W. C. Expire : 7/17/2024 Architect Address Phone : State Lie Engineer: BLACK IAN Address : 19401 OLANA LANE HUNTINGTON BEACH, CA 92646 Phone: (714)593-4125 Designer: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $38,000.00 Added/New/TI sq. ft. Bldg : 0 Type of Construction : V-B Fire Hazard Zone : NO 1 Alteration sq. ft. Bldg : Occupancy Groups : U,R-3 No of Units : No of Stories : 2 Added/New sq. ft. Garage : 0 Bldg Height : TOTAL sq. ft.: 0 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 _ Flood Zone : X Use Zone : PC - Newport Ridge PROCESSED BY: SPECIAL CONDITIONS t 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 appllcable 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 is pormit to file a signed statement that he or sho is liconseld pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and =rofessions 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 of more than live hundred dollars ($500). D 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness Intl 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 oneyear of completion, the Owner -Builder Will have the burden of proving that it was not built or nproved for the purpose of sale). 11. as owner of the property, am exclusively contracting with licensed Contractors to conslmot the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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 I am exempt from licensure under the Contractors' Slate License Law for the following reason ___..______,_,,. t m signature below I acknowledge that. except for m - - y y g g p y personal residence In which I must have resided for at least one year prior to completion of the Improvements covomd by this permit, I cannot legafl, ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contraclors. I understand that a copy of the applicable law, Section 7044 of the Business and 'mfessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww,leginfo.ca..govlcalaw.html. signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perfury that I am licensed under provisions of Chapter 9, (commencing with Section 7000) of Division 3 of the Business and Profs ssi ode, and my license is in full force ad effect. License Class License No Data I It - 56 -2-3 Contractor Signature e `ems WORKERS' COMPENSATION DECLARATION ARNING: FAILURE. TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES OF TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby wi irm under penaltyof perjuryone of the following declarations: 7 I have and will maintalh 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 erformance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit Is issued. My workers' carder and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit Is issued, I shall notemploy any person inany manner so as to become subject to the workers' compensation laws of California, and If I should becoma subj t to the workers ompe_ osation provisions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions. -9G Iature of Applicant Dale 2- 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 ly my signature below, I certify to each of the following: I am the property owner or authorized to acton the property owner's behalf. I have read thisapplication and the information I have provided is correct. I agree to ^onlplp withall applicable city and county ordinances and state laws relating to building construction. I authorize reprev,entatives of this city or county toe r a bove-ide " d property for inspection purposes. grture of Property Owner or Authorized Agent _ Print Property Owner's or Authorized Aoent s Name VQ ffr I-) ACTION PE,iAdtT EXPI.iEC PERMIT CANCELLED PERrm1T EXTcNDED = iefi flflCATE OF OCJUPANOt ISSUFU OATS DBy DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL J FOR OFFICE USE ONLY REGULATIONS PART BI OF TITLE 40 AND AQMD RULE LJ A58EST05 NOTIFICATIO NOTAPPUCABL€ TO PROPOSED DEMOLITION -9 1 LO H ' Z OC W o C(S 6 a 4 00 AOaCD mH O —0 L) LL PLO�" Ar m OL7�U Z� W a x �am.0 a W W o OIL o A�a3 UW O W (n 0LU W Y U o 0 o 0 cn W � �O .- 'CD 00 N N .L-O cu a) -O y m E U •C N a y a)0O c N ('i O y ai U L N cn 'a too aa)) mY� m� N Na a) N Q. m N.L.. VID -O w cp � p t f6 a C C-0 4) y E 'yp L" C a) O s .ci �. 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