HomeMy WebLinkAboutXR2023-0645 - PermitsCity of Newport Beach
Community Development Department- Building Division
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100 Qvic 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 - PLUM
Work Class - Other
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COMB Permit : XR2023-0645
Plan Check No : 1106-2022
Issued Date : 0310812023
Inspection Area : 4
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 : 2715 VISTA UMBROSA Legal Desc : N TR6905 BLK'LOT .49
Description: MFR BLOCK WALL 6' HIGH MAX X 40 LF INSIDE P/L "MARKERS ON SITE' & GASLINE.TO BBQ & (3) HEAT LAMPS
Owner: BEVERLY CORCORAN
Address : 2715 VISTA UMBROSA
NEWPORT BEACH, CA 92660
Phone: (949)310-3758
Applicant: LA ROCHE DENIS A
Address : PO BOX 3708
TUSTIN, CA 02781
Phone: (949)939-3047
Owner/Builder: BEVERLYCORCORAN
Address: 2715 VISTA UMBROSA
NEWPORT BEACH, CA 92660
Phone : (949) 310-3758
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
2022
V-B
R-3
X
R-1 - Single -Unit Residential
SPECIAL CONDITIONS:
Contractor
Address :
Phone :
Con State Lie
Lie Expire
Bus Lie:
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire
Fire Sprinklers :
NO
Fire Hazard Zone :
NO
No of Units :
2
No of Stories :
0
Architect: LA ROCHE DENIS A
Address : PO BOX 3708 TUSTIN, CA 92781
Phone: (949) 939-3047
State Lie :
Engineer: HOAD AUREA
Address : PO BOX 1692
SUNSET BEACH CA 92742, CA 92742
Phone:
Designer:
Address :
Phone:
Construction Valuation :
Added/New/Ti sq. ft. Bldg:
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage:
TOTAL sq. ft. :
$6,800.00
0
0
0
I hereby affirm under penalty 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 Dem(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 signedstatement that he or she is licensed pursuant to the provisions of the Contractors' State License Caw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from llcensure and the basis for the alleged exemption. Any violation of Section 7031:5by any applicant for permit subjects the applicant to a civil penalty of
not%re than five hundred dollars ($500)..
a owner of the property, or my employees with wages as their sole compensation will de II 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-fluilder will have the burden of proving that it was not built or
Improved for the purpose of sale).
0 1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe 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),
0 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 owrior-builder if Vas not boon consm taIt' --r��s ankiraty by licensed contraDtors.l understand that a copy of the applicable law, Suction 7 44 0€ the Businoss and
Professions Code, is available upon request wh hi applic tion is sub eo/.,,"r/uaaYthe following Web site.http.-ltwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agen _� l CQ�.Civ1 Da
LICENSED CONTRACTOR'S DECLARAT
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 Professions Code, a d my license is in full foroe
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
A'.AKNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL: AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UPTO ONE HUNDRED THOUSAND DOLLARS (St96 orl IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, "a ATTORNEYS FEES,
hereby affirm under penalty of perjury one of the following declarations:
t-1I 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,
performance of the work for which this permit is issued. Policy No,.
have :and vvifl 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'
prance carrier and policy number are;
Policy Number
of Agent
Date
certify that, inthe performance of the work for which this parmit Is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre
t, if I should become $bjejc't'�tD the workers' Dom sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicalit�f! 1GirP� Date
CtARATION REGA CtlNSTRtb?Jl'14N LENDING Ac'sENCY
areby affirm under naltyo perjury th there is a Dnnstrudtlon landing agency for the performance of the work for which this permit Is issued (Section 3097, Civil ode).
tiers Name Lenders Address
my signature below, I certify to each of Ilia following:
I am the property owner or auttrorized to act onthe property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and u y ordinances and slate [am relating to building construction,
I authorize representatives of this city or coup � o r the abay9-i ti ad property for inspection purposes. _
1403
PERMIT EXPfREO
OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
PART 51 OF TITLE 40 AND AOMD RULE
CERTIFICATE OF IT FINAL 7I «j173 1 �< � .PROPOSED DEMOLITsicis ICAION
ION IS NOT APPLICABLE TO
OCCUPANCYIS5UEA I SIGNATURE: