HomeMy WebLinkAboutXR2023-0765 - Permits��EWPpA�
City of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
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������������ II Co',AB Permit : XR2023-0765
Plan Check No : 2896-2019
Issued Date : 03/22/2023
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 : 1405 KEEL DR Legal Desc : N TR 6634 BLK LOT 79
Description: SFR -DELTA 3 -BLOCK WALL 42" X 33' (INSIDE P/L)
Owner: 1461 BTH LLC
Contractor :
SEACOAST DEVELOPMENT
Architect:
LU JOHNNY
CORPORATION
Address : 17620 FITCH STE220
Address :
P O BOX 1228
Address :
411 E HUNTINGTON DR #308 ARCADIA,
IRVINE, CA 92614
SAN JUAN CAPISTRANO, CA 92693
CA 91006
Phone:
Phone:
(949)973-7334
Phone:
(949)294-2666
Con State Lie
: 498194
State Lie
Lie Expire : 01/31/2024
Applicant: SEACOAST DEVELOPMENT CORPORATION
Bus Lie : BT30066365
Enq'neer
Address : P 0 BOX 1228
Bus Lie Expire: 03/31/2024
Address:
SAN JUAN CAPISTRANO, CA 92693
Phone: (949) 973-7334
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Owner/Builder :
Policy No: 9246901
Designer
Address :
W. C. Expire: 3/6/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $5,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U
No of Units : 1
Alteration sq. ft. Bldg:
Bldg Height :
No of Stories : 0
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks : Front: 21, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY : .
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor ' tale License Law for the reason{s) indicated below by the chockmark(s) I have placed next to the applicable Item(s)
Section 743f .5, Business and Professions Code: Any city or county that re '.es a permit to construct, alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ie 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
'rofessions Code) or that he or she is exempt from licensureand 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),
3 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 intended or offered for sale (Section 7044,
lusiness 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 not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Buflder will have the burden of proving that it was not builtor
nproved for the purpose of sale).
1, 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
ly to an owner of property who builds or Improvesthereon, 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:
,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, (cannot legail)
all 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, $action 7044 of the Business and
rofessions Code, isavailable upon request when this application is submitted or at the following Web site:htip:llwww.leginfo.ca.gov/cslaw.html.
:Ignature of Property Owner or Authorized Agent w Date
,ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of peritp that I am licensed under provislons of a ter 9 { ommencing with Section �7000Q)�o�f �Divigg�sJiQon 3 of the Business and Prdf@@s�sions Cod an my license is In full torte
nd effect. License Class License. No 1�� Dale Contractor Signaturer�a
WORKERS' COMPENSATION ECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE is UNLAWFUL: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($ D0,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T0&OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
e ormance 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'
carrier and policy number are:
Policy Number Expiration Date
of Agent
JI certify that, in the performance of the work for which this permit is issued I snail not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agre
tat, if I should become subject to thp workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Ifgnature of Applicant ) Datdl� IECLARATIGN REGAT31N CONST� G AGENCY +!
hereby affirm under ponalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Cwil Code).
enders Name Lenders Address
ly 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 enter a. - e-I entiffed property for inspection purposes.
li nature of Property Owner or Authorized Agent nnl Property Owner's or Authorized A Vs Name it Q. C Date
ACTION DATE BY i9ICLAITATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE
1403
P€RMiTCANCELLED
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PERMIT FINAL
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UA5Bp5T05 NONFICA IIONS NOT APPLICABLE TO
CERt1PICATE OF
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PROPOSED DEMOLITION
OCCUPANCYISSUEO
SIGNATURE: