HomeMy WebLinkAboutXR2022-1909 - Permits��EWPORT City of Newport Beach
6 Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
z Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C4C/Fp 0.N�P newportbeachca.gov/inspections
COMB Permit:
Plan Check No :
Combination Type
Work Class : Other
Issued Date:
Inspection Area : 2
XR2022-1909
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: 2571 VISTA DR Legal Desc : N TR 1102 BLK LOT 50
Description: SFR BLOCK WALL (INSIDE P/L) 6' X 78' (CITY STANDARD)
Owner:
NEIL LONGMAN
Contractor:
LONGMAN CONSTRUCTION CO INC
Architect
Address:
2782 CIRCLE DR NEWPORT BEACH, CA
Address :
2782 CIRCLE DR NEWPORT BEACH, CA
Address
92663
92663
Phone:
Phone:
(949) 722-7711
Phone:
Con State Lie
: 393881
State Lie
Applicant:
NEIL LONGMAN
Lie Expire:
08/31/2023
Address :
2782 CIRCLE DR NEWPORT BEACH,
CA Bus Lie :
Engineer
92663
Phone
Bus Lie Expire :
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire
Code Edition :
2019
Fire Sprinklers :
NO
Type of Construction :
Fire Hazard Zone :
Y
Occupancy Groups :
U
No of Units :
0
Bldg Height:
No of Stories :
0
Building Setbacks :
Front: 10, Side: 3, Side: 3, Rear: 10
Flood Zone :
X
Use Zone:
R-1 - Single -Unit Residential
Processed By:
Zoning Approval:
Grading Approval:
SPECIAL CONDITIONS:
Address
Phone:
Designer:
Address
Phone:
Construction Valuation
Added/New sq. ft. Bldg
Added/New sq. ft. Garage:
1Qr,��
i t %_� f �.
Public Works Approval:
Plan Check By:
Approval To Issue:
$5,000.00
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placednext to the applicable items)
;Section 7031.5, Business and Professions Code', Any city or county thatrequires a permit to construCt, after, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for
:he 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 Vie Business and
brofessions 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
not more than five hundred dollars ($50D).
D I, 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 intendedor 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
Improvements are not intended or offered for sale, if. however, the building or improvement is said 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' State License Law does not
apply 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).
1 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 coverod byth' permit, nnot legal
'.
sell 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, Sociipn 7044 the B ess and
Professions Code, Is available upon request when this application Is submitted or at the following Web site:http:(/www.leginfo.ca.govicalaw.html. /
Signature of Property Owner or Authorized Agent D e
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 Division 3 of the Business and Professi pond a is in full force
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
MRNING: FAILURE TO SECURE WORKERSr COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I1100,000I, IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ 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 th
ce 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 issued. My workers'
carder and policy number are:
Policy Number
no of Agent _
II certify that, in the performanc irk fo m t ' permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation rs of C mia, and agre
tat, if I should become sub` nr Pe provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��-"""___ ��/
rCLAreof Applicant _ . I� D
iECLARATlON REG G CONSTRUCTION LEND AGENCY
hereby affirm under penalty of perjury that there is instruction Is
agency for the performance of the work for which this permit is issued (Section 3097, Civil Cad .
Date
Lender's Name _ Lender's Address
By my signature below, I certify to each of the following;
1 am the property owner or authorized to acton the property owner's beh
I have read this application and the information I "provicorrI agree to comply with all applicable city and counrelating to building construction.
I authorize represenlalives of this city or coun to property tar inspection purposes.
Si nature of Pro ert Owner or Authonzed A entPrint Property Owner's or Authorized Agent s Name • Date
ACTION DATE BY € DECLARATION OF COMP' NCE WITH CODE OP FEDERAL POR OFFICE USE ONLY
REGULATIONS PART 61 OF TTLE 40 AND AOMD RULE
� i403
PERMIT LXPIPED I i R SU8MITTFD ASRFST05 NOTIFICATION TO
PERMIT CANCELLED All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.
MS SIGNATURE:
; DEPA
PERMIT EXTENDED
{,
OMp
PERMIT FINAL
ASBESTOS N011PICATION 15 NOT APPLICABLE TO
.IN
CERTWfCATE OF
'Zr1i 2 pb �
PROPOSED DEMOLITION
OCCUPANCY155UED