HomeMy WebLinkAboutXR2023-2999 - Permits��EW'Oar City of Newport Beach
0
p Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
�[rco RN�P Combination Type - SFP
Work Class - Alteration
COMB Permit : XR2O23-2999
Plan Check No : PC2023-2595
Issued Date : 1110112023
Final Date:
Permit Status: Issued
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 : 3719 OCEAN BLVD
Description: SFR R/R 2 DOORS AND DECK RAILING
Owner: DWIGHTMANLEY
Address: 3719 OCEAN BLVD
NEWPORT BEACH, CA 92625
Phone : (949) 500-5111
Applicant: FABIAN BUENAVENTURA
Address: 3655 Torrance Blvd # 300, # 300
Torrance, CA 90503
Phone: (310) 770-5538
Owner/Builder :
Address :
Legal Desc : A TR CORONA DEL MAR BLK A CORONA DEL MAR BLK A POR
Contractor: KITCHEN ART FLOOR AND BATH
Address : 24231 AVENIDA DE LA CARLOTA, 120
LAGUNA HILLS, CA 92657
Phone :
(714) 870-1575
Con State Lie
: 965892
Lie Expire :
09/30/2025
Bus Lie :
BT30053966
Bus Lie Expire : 02/28/2024
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No : 9255163
W. C. Expire: 6/4/2024
Architect
Address
Phone:
State Lie
Engineer: VELASCOJOSE
Address: 8371 BENJAMIN DR
HUNTINGTON BEACH, CA 92647
Phone : (877) 821-1213
Designer:
Address
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation : $12,000.00
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 :
3
Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
Building Setbacks :
Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone:
VE, 14 FT; X
Use Zone:
R-1-Single-Unit Residential
WORK
WORK
I V is i V 4.J ! V
NO CONSTRUCTION
PROCESSED BY:
as
SPECIAL CONDITIONS: HIGH DENSITY ZONE; LANDSLIDE; VE14 FLOOD ZONE ON SATURDAYS
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the Peasants) indicated below by the checkmark (s) I have placednext 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, aISO requires the applicantfor
to permit to file a signed statement that he or sheds 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 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
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 that the
nprovements are riot 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
❑proved for the purpose of sale).
] 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 owner of property who builds or improves thereon, and who contracts for the projects with a licensed Ccntractor pursuant to the Contractors' State License Law).
] 1 am exempt from licensure under the Contractors' State License Law for the following reason
.y 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 legally
ell a structure that I have built as an owner -builder 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 Web site;hltp:flvrww,leginfo.ca.govicalav+.html,
ilgnature of Property Owner or Authorized Agent _ Date _
,ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that l am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession e, and my Ikons f force
no effect. License Class License No Date, //�� Contractor Signature //�� "
VORKERS' COMPENSATION DECLARATION
'ARNING: 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 (E100,000), %AODRION TO THE
OST OF COMPENSATPON, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR COO E, INTEREST, AND ATTORNEY-3 FEES.,
hereby affirm under penalty of perjury one of the following declarations:
7 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 the
e9nniance of the Work for which this permit is. issued. Policy No.
have 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'
ranee carrier and policy number are:
Number
Date
me of Agent Phone #
certify that, in the performance of the work for which this permit is issued, I short notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agree
f, if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
nature of Applicant `s> � _ f, �'!Date_ /I /// Z j
CLARATION REGARDING CONSTRUCTING AGENCY
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code)..
idler's Name _ Lender s Address
my signature below, I certify to each of the following:
1 am the property owner or authorized to act on the properly owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with at applicable city and county Ordinances and state laws relating to building construction.
1 authorize representatives of this city or county to egiter the above -idle if property for inspection purposes. I G' mIf/�/
nature of Pranedv Owner or Authorized Arent -+�� � � Print Prooerty Owner's or Authorized AnenCs Nam���/!!-de L
IERhIF EXPIRED
DECLARATION OF COMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART fit OF TITLE 40 AND AOMD RULE
TO
Ff IF EXTFNr EJ L.IAQmD
PERMIT FIWAL
J(7, A5BES70SNOTIFICAt10NI5NOTAppLICAeLE_7Q
CERTFICAT6 PANCI, pf _ PROPOSED DEMOLITJp1i�`�, �, 9
pCCUPArfCY ISSU4p SIGNATURE:�G
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