HomeMy WebLinkAboutXR2023-0941 - Permits"�EWPOR,
City of Newport Beach
Community Development Department- Building Division
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 -
Work Class - Other
11111111111111111111111111111111111111111111�11111111111111COMB Permit : XR2023-0941
Plan Check No : 0729-2021
Issued Date : 04/12/2023
Inspection Area : 1
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 : 908 W OCEAN FRONT Legal Desc : N TR 234 BLK 9 LOT 3
Description: SFR BLOCK WALL W/ GLASS ON TOP 42" HIGH X 40 LF INSIDE P/L MARKERS ON SITE (STANDARD PLAN)
Owner: 908 NB PROPERTY MANAGEMENT LLC
Contractor: PATTERSON CUSTOM HOMES
Architect
Address : 3717 EUCLID AVE
Address: 15 CORPORATE PLAZA, STE 150
Address
DALLAS, TX 75205
NEWPORT BEACH, CA 92660
Phone :
Phone : (949) 723-1800
Phone
Con State Lic : 802367
State Lic
Lic Expire : 07/31/2024
Applicant: PATTERSON CUSTOM HOMES
Bus Lic : BT02110534
Engineer:
Address : 15 CORPORATE PLAZA, STE 150
Bus Lic Expire : 09/30/2023
Address
NEWPORT BEACH, CA 92660
Phone: (949) 723-1800
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Owner/Builder :
Policy No: 9065406
Designer:
Address :
W. C. Expire : 8/1/2023
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 : 0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 0
Added/New sq. ft. Garage :
0
TOTAL sq. ft. -
0
Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 0
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
®;
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable iterli(s)
(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
[he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Liconso Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) of 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 ($500).
F1 I, 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
Improvements are not 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 bull(or
improved 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' Stale License Law does not
a 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
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 covered by this. permit, I. cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, isavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca,govjcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) o Divi ion 3 of the Business and Pr salons C e, rid r rise is In full force
and effect. License Class License Date u L Contractor Signaler
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (f100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYe FEES,
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to selfinsurefor workers' compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
performance 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 which this permit is issued. My workers'
ranee carrier 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 not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
t, If I should become bject to the workers' co emation provisions of Section 3700 of the Labor Code, I shall forthwith comply Wth those provisions. kCv
nature of. Applicant Da4 (Z CLARATION REGA - i TIGN LENDING AGENCYweby affiirm 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,ode).
rder's Name Lender's Address.
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 1 have provided is correct.
I agree to comply with all applicable city and coun ordinances and state laws relating to building construction. ^ /
I authorize representatives of this city or coun I anIX the above-ideg1i" property for inspection purposes. '�/ r—
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY 7 \
,
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
1 SUBMITTED AS:KJC,3 NOTIFICA PION TO
PERMIT CANCELLED
PERMIT EXTENDED
,AQ'AD
PERrMITFINAL
S.l ^�AA
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
v
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNAtt'PE-