HomeMy WebLinkAboutXR2022-2131 - PermitsCity of Newport Beach II III
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
COMB Permit : XR2022-2131
Plan Check No: 1161-2022
Issued Date : 08108/2022
Inspection Area : 3
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: 1507 MARINERS DR Legal Desc : N TR 3004 BLK LOT 39
Description: 55 LF X 42" HIGH BLOCK WALL ON P/L (AGREEMENT ATTACHED)
Owner:
ALEX KAHN
Contractor:
NIV CONSTRUCTION
Address :
1507 MARINERS DR NEWPORT BEACH, CA
Address :
10372 TRASK AVENUE, F GARDEN
92660
GROVE, CA 92843
Phone:
(949)943-0521
Phone:
(949)606-6895
Con State Lie
: 929624
Applicant :
NIV CONSTRUCTION
Lie Expire :
03/31/2023
Address :
10372 TRASK AVENUE, F GARDEN GROVE,
Bus Lie:
BT30044187
CA 92843
Phone:
(949) 606-6895
Bus Lie Expire : 07/31/2022
Owner/Builder :
Address
Phone:
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height :
Workers' Compensation Insurance
Carrier :
Policy No:
TWC4103511
W. C. Expire:
4/20/2023
Fire Sprinklers:
NO
Fire Hazard Zone : No
No of Units :
1
No of Stories :
1
Building Setbacks : Front: 20, 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:
Architect :
David L. Bailey Architect, Inc.
Address :
23183 LA CADENA DR #101 LAGUNA
HILLS, CA 92653
Phone:
(949)573-1050
State Lie
Engineer: WILSON KALEN
Address: 23152 VERDUGO DR #102 LAGUNA
HILLS, CA 92653
Phone: (714)576-6524
Designer:
Address
Phone:
Construction Valuation : $5,400.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
AddedlNew sq. ft. Garage: 0
I hereby of nin under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable lean(s)
Section 7031,5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also require$ the applicant for
is permit to file a signed. statement [lint 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
Tofeasions Code) or that he or she is exempt from licensors 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 penatty of
of more than five hundred dollars ($500).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portion$ of the work, and the structure is not intended or offered for sale (Section 7044,
luainess 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
Dprovements 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 built of
reproved for the purpose of sale).
1, as owner of the property. am exclusively contracting with: licensed Contractors do construct the project (Section 7044. Business and. Professions Coda; The Contractors' State License Law does not
ply town 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 lioensure undarthe Contractors' State License Law for the following reason: _
ly my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this. permit, Lcannot Iegalll
all 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
'rofessions Code, is available upon request when this application: is submitted or at the following Web site:http:l/www,leginfo.ca.gov/calaw.html.
iignature. of Property Owner or AuthorizedAgentOnto
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section -000 f t ion 3 of the. Business and Professions C��y}}t-and my lioense is In full force
Ind effect. License Class License No Date O Contractor Signature a G�
VORKERS' COMPENSATION DECLARATION �r
IARNING: 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 IS500,0001, IN ADDITION TO THE
'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700:OF THE LABOR CODE. INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
31 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 in
erfo€manceof the work for which this permit Is issued. Policy No.
have and will maintain workers' compensation insurance, asrequiredby Section 3700 of the Labor Code:, for the performance of the work for which this permit is issued. My workers' compensatiol
surance 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 asto become subject to the workers' compensation laws of California, and afire
1, if I should become subject o the workers' compensation provisions of Section 3700 of the Labor Bode, I -shall forthwith comply with those provisions. !J
nature of Applicant D to Q� 202Oi
CLARATION REGA. DING CONSTRUCTION LENDING AGENCY
Ireby.afOrm under penalty of perjurythat there is a construction lending agency for the performance of the workforwhich this permitis issued -(Section 3097, Civil Code).
Idler's Name Lenders Address
my signature below, f certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I haw read this application and the information i have provided is correct.
I agree to comply with all applicable city and county ordinances and stale laws relating to building construction. 0/;,Y/j /
I authorize representatives of this city or county to enter h/e above -identified property for Inspection purposes. (,. l I , /D__.9
nature of Property Owner or Authorized Aoent rj Print Property Owner's or Authorized Agent's NamkA /V/ V 717YY�M /i
ACTION I DATE ( BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
j REGULATIONS PART 51 OF TITLE ADANO AOMD RULE
PERMITCANCFLLED
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EPA
All required alarms, latches gates and fenceswhich serve as part Of $pool/spabarrier, shall
be in place PILO rto approval tofill pool/spa & shall remain in place & be meInto hie d for the
life of the pool.
PERMITEXTFNOEO
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PERMIT FINAL
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ASBESTOS NOTIFICATION I5 NOT APPLICABLE TO
CERTIFICATE OF
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PROPOSED DEMOLITION
OCCUPANCY 155UED
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