HomeMy WebLinkAboutXR2023-1391 - Permits�EWPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Community Development Department -Building Division COMB Permit: XR2023-1391
O
X R 2 0 2 3 1 3 9 1
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1828
Permit Counter Phone: (949) 718-1888 Issued Date : 05/25/2023
U S newportbeachca.gov/civic Inspection Area : 6
°'t coati`" Combination Type - SFP
Work Class - Other
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 : 36 MAINSAIL DR Legal Desc : N TR,8425 BLK LOT 83
Description: SFR -BLOCK WALL INSIDE P/L. MARKERS ON SITE. 6 X 18 3
Owner: HH MAINSAIL LLC
Address : 26500 AGOURA RD STE856
CALABASAS, CA 91302
Phone: (323)839-2858
Applicant:
TROCHEZ CONSTRUCTION INC.
Address!
227E 43RD ST.
LOS ANGELES, CA 90011
Phone:
(328)251-5637
Owner/Builder :
Address :
Phone
Contractor: TROCHEZ CONSTRUCTION INC
Address : 227 E 43RD ST.
-
LOS ANGELES, CA 90011
Phone:
(328)251-5637
Con State Lie
: 1097458
Lie Expire :
10/31/2024
Bus Lie :
BT30080556
Bus Lie Expire : 01/31/2024
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9329532
W. C. Expire: 12/15/2023
Code Edition : 2022
Fire Sprinklers :
NO
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : U
No of Units :
0
Bldg Height :
No of Stories :
0
Building Setbacks: Front: 15, Rear: 15
Flood Zone : X
Use Zone: PC - Jasmine Cre
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie
Engineer:
Address :
Phone:
Designer:
Address
Phone :
Construction Valuation :
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
INI I
$3,500.00
0
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable Rem(s)
Section 7031.5, Business and Professions Code; Any c€ty or county that requires a permit to construct, after, improve, demolish, orrepair any structure, prior to lts issuance, also requires the applicant for
he permit to file a signed statement that hear 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
Lrofassions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant far a permit subjects the appticantle a Civil penalty of
im more than five hundred dollars ($500).
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 notintended or offered for sale (Section 7044,
tushess 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
mprovemanls are not Intended or offered for sale. If, however, the holding or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
mprovod 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 doers net
I ply 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 am exempt from licensure under the Contractors' State License Law for the following reason
3y my signature below f 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 builtas 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 (his Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web sitaihttpahs w.leginfo.ea.govlcalaw.btml.
ifgnature of Property Owner or Authorized Agent Date
,ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)4)f Division 3(`�-o�f the Business and Professions Cod , d n ense is In full force
Ind effect, License Class License No Date contractor Signature
YORKERS' COMPENSATION DECLARATION
VARNINW FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE la UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUBARD DOLLARS ($100,0001, IN ADDITION TO THE
tOST OF COMPENSATION, RAMAOES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR Code, INTEREST. AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 tht
tart rTrance 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 which this permit is tssued. My workers'
carrier and policy number are:
Policy Number Expiration Date
me of Agent phone #
certify that, inthe performance of the work for which this permit is Issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and egret
t, if I should become subject to the workers' pen ation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions.
nature of Applicant Da4e�/
CLARATIGN RE. �`4NSTRUC LENDING AGENCY
rreby affirm under penal of perjury that here is a construction lending agency for the performance of the. work for which this permit is Issued (Section 3097,. Civil Code).
ides Name Lenders Address
my signature below, Icertify 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 ate laws relating to building construction.
I authorize representatives of this city or county jo enter the abowniified property for inspection purposes. , ,4 /
DATE I BY - i DECLARATION OF COMPLIANCE WITH CODE Or FEDERAL FOR OFFICE USE ONLY
1 1 REGULATIONS PART 61 OF TITLE 40 AND AQI RULE
PERMIT EXTENDED UACMD
PEAM7T FINAL ASBESI OS NOTIFICATION fS NOT APPLICABLE TO
CEP17FICATE OF ���-io ,lDJL./� PROPOSED DEMOLITION
QCCUPANCYISSU€D SIGNATURE: