HomeMy WebLinkAboutXR2023-0829 - Permits�EWPORT City of Newport Beach
o� 9 Community Development Department- Building Division X R 2 9 2 3 0 8 2 9 COMB Permit : XR2O23-0829
F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0710
Permit Counter Phone: (949) 644-3288
Issued Date : 03/29/2023
.�.Inspection Requests Phone: (949) 644-3255
c r �, ,..-, �+, ,r'+. �
�<rF00.N\ newportheachca.gov/inspections t p_ a +"' _. � - - Inspection Area : 6
Combination Type -
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: 3615 CATAMARAN DR Legal Desc : N TR 6152 BLK LOT 23
Description: SFR R/R (E) HARDSCAPE WITH STONE HARDSCAPE. (N) 16'X16' OPEN LATTICE PATIO COVER DETACHED AT REAR 256 SF.
Owner: HALLADAY WILLIAM P TR
Address : 3615 CATAMARAN DR
CORONA DEL MAR, CA 92625
Phone: (949) 759-1527
Applicant:
TERRA PRIMA INC
Address :
3800 TOPSIDE LANE
CORONA DEL MAR, CA 92625
Phone:
(714) 679-2002
Owner/Builder
:
Address :
Phone:
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: U
Bldg Height:
Contractor:
TERRA PRIMA INC
Address :
3800 TOPSIDE LANE
CORONA DEL MAR, CA 92625
Phone:
(714)679-2002
Con State Lie
: 982237
Lie Expire :
03/31/2025
Bus Lie:
BT30076800
Bus Lie Expire : 10/31/2023
Workers' Compensation Insurance
Carrier: TECHNOLOGY INSURANCE COMPANY INC
Policy No: WC92023
W. C. Expire : 3/1/2024
Fire Sprinklers : NO
Fire Hazard Zone : NO
No of Units: 1
No of Stories: 0
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: 8:7
SPECIAL CONDITIONS: LANDSLIDE
Architect
Address
Phone:
State Lie
Engineer: LACHER TODD
Address : 1201 N TUSTIN AVE
ANAHEIM, CA 92807
Phone: (714)630-6100
Designer: TERRA PRIMA INC
Address : 3800 TOPSIDE LANE
CORONA DEL MAR, CA 92625
Phone: (714)679-2002
Construction Valuation : $4,200.00
Added/New/TI sq. ft. Bldg: 0
Alteration sq. ft. Bldg :
Added/New sq. ft, Garage : 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of penury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ftem(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
the 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
Professions Code) or that he or she is Exempt from Ncensure 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 properly, provided that the
Improvements 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 builtor
improved for the purpose of sale).
11 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
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),
I I 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 lagaily
sell a structure that I have builtas an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code., is available upon request when this application is submitted or at the following Web site:htip://www.leginfo.ca.gov/calaw.btmi.
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 700 ) of ivision 3-of the Business and Professionss Code, ands , It�ennn� is In full force.
and effect. License Class License No Date h Contractor Signature Gt7n
WORKERS' COMPENSATION DECLARATION
MARRING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFULAND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS FPI D0,000), IN ADDITION TO THE
COST OF COMPENSATION; DAMAGES As PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES -
hereby affirm under penalty of perjury one of the following declarations:
n
u 1 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 ih
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
If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant[(rE(c.L 1 j4Y6L_- h=✓tc�
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm 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, Civil Cade)
ender's Name Lender's Address
ly my signature below, 1 certify to each of the following:
I am the properly owner or authorized to actor 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 stale laws relating to building construction.
I authorize representatives of this city or County to enter the a. va-identified property for inspection purposes.
ti nature of PronertU'vner or Authorized A9e111— i Print Property Owner's or Authorized Agent's Name
1CTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
i REGULATIONS PART 51 OF TITLE AD AND ACIMO RULE
ire
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OCCUPANCY ISSUED _I SIGNATURE: [•f%C,i�.u' �Ly+f77L,i-ram
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