HomeMy WebLinkAboutXR2023-0967 - Permits<WF�?T, City of Newport Beach
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COMB Permit : xR2o23-0967
Community Development Department - Building Division
Plan Check No : PC2023-0858
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Issued Date : 04/25/2023
Inspection Requests Phone' (949) 644-3255
Inspection Area : 2
�gcrcoa,: ° newportbeachca.gov/inspections
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
ON SATURDAY
OR SUNDAY IN HIGH DENSITY AREAS AND
NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
NO CONSTRUCTION RELATED NOISE
Job Address : 1416 DOLPHIN TER
Legal Desc : N TR 1700 BILK LOT,24.
SFR REMOVE (E) WALL AND STEPS TO CONSTRUCT (N) FRONT YARD RETAINING WALL
42" MAX HAX BY 72' LONG WITH STEPS INSIDE P/L
Description:
Owner: DAVID & JANA EWLES
Contractor :
Architect :
Address
Address : 1416 DOLPHIN TER
Address :
�' 4'`, ✓ `"
NEWPORT BEACH, CA 92625
Phone:
Phone: (714)270-7605
Phone:
State Lie
Con State Lie :
Applicant: DAVID & JANA EWLES
Lie Expire
Bus Lie :
Engineer : ASKARIAN KYLE
Address: 17595 HARVARD AVE #C-734
Address : 1416 DOLPHIN TER
Bus Lie Expire :
IRVINE, CA 92614
NEWPORT BEACH, CA 92625
Phone (714) 270-7605
Workers' Compensation Insurance
Phone : (310) 404-1834
:
Owner/Builder : DAVID & JANA EWLES
Carrier
Policy No :
Designer : DANIEL GARRISON MAC BETH
Address : 1416 DOLPHIN TER
W. C. Expire:
Address : 37 PARKCREST
NEWPORT COAST, CA 92657
NEWPORT BEACH, CA 92625
Phone: (949)584-4999
Phone: (714)270-7605
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $25,000.00
0
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
Occupancy Groups : U
No of Units : 1
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
Bldg Height:
No of Stories : 0
TOTAL sq. ft. 0
Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY :
-
SPECIAL CONDITIONS: O/B FORM ATTACHED
;
Is +:zaY&-N :�.i.
I hereby affirtn under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicate
(Section 7031.5, Business and Professions Code, Any city or county that requires a permit to construct, alter, improve, demolh
the permit to file a signed statement that lie ar she is licensed pursuant to the provisions of the Contractors' State License Lari
Professions Code) or that he or she Is exempt from licensors and the basis for the alleged exemption. Any violation of Section
no;: more than five hundred dollars ($500),
IYQ'��1, as owner of the property, or my employees with wages as their sole compensation, will do all of or L) portions of. the
Burr ass and Professions Code: The Contractors' State License Law does not apply to an scone argperiy who, through Drat
improvements are not intended or offered for sale. If, however, the building or improvement is sold within gria year of camplDU
rm�{ysroved for the purpose of sale).
Ib[.1 1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Bu.
Sly to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pu
1 am exempt from licansure 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
soli a structure that I have built as an owner -builder if it ins nstructed in its entirety by licensed contractors. I under
?rofesslons Code, is available upon request when I ap.. ca i braked or at the following Web site:hftp•/fwww.leginfo.c
Signature of Property Owner or Authorized Agant _
LICENSED CONTRACTOR'S DECLARATI _____
hereby affirm under penalty of perjury that I am lice ed under provisions of Chapter 9 (commencing with Section 7000) of Di
and effect. License Class License No Date
WORKERS' COMPENSATION DECLARATION
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES -
hereby affirm under penalty of perjury one of the following declarations:
-11 have and will maintain a certificate of consent to sel Ansure for workers' compensation, Issued by the Director of he
)erformance of the work for which this permit Is issued. Policy No.
:11 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the patter
nsurance carrier and policy number are:
Lanier policy Number
Jams of Agent
certify that, Inthe performance the A a h' this permit is issued, I shall not employ any person in any manner so
if I should becomes b' of to t a wo ation provisions of Section 3700 of the Labor Code, I shall forthwith c
refute of Applicant
neby affirm under penalty of perjury that there Is a construction lending agency for The performance of the work
ider s Name Lenders Address
my signature below, 1 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 proEtb'�
fs QQQQQQor ct.
I agree to comply with at applicable city and e nt ordins of
taws relating to building construction.
I authorize representatives of this city or county ente�e t1 n4ified property for inspection purposes.
DATE BY ' i OFRLARATION (5F COMPLIANCE WITH CODF.OF FEDERAL FOR ouia
( REGULATIONS PART Si OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
PERMI7EXTENDED _ _ _ ' �� 1 r�{LL1Ari—MD �_ _
PEReLf7Y FINAL j AyL..I STOSS f4C)T r1CAI I'ON IS NOT APPLICA8Lt TO
CERTIFICAl"t Of 1 PROPOSED DEMOLITION
2 7V7 1 OCCUPANCY ISSUED e� _mn4v se.
below by the checkmark(s) I have pieced next to the applicable items) _
or repair any structure, prior to its issuance, also requires the applicant for
Chapter 9 (commencing with Section 7000) of Division of the Beams Is and
)31.5 by any applicant for a permit subjects the applicant to a civil penalty of
k, and the structure is not intended or offered for sale (Section 7044,
ees'or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that it was not built or
and Professions Coder The Contractors' State License Law does net
to the Contractors' State License Law).
to completion Of the improvements covered by this permit, I Gar
that a copyof the applicable law, Sectio 7044 of the Business
'calaw.htmi.
Date L
3of the Business and Professions
Contractor Signature
my license is in full force
FINES UP TO ONE HUNDRED THOUSAND DOLLARS B400.000j., IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
IS
to become subject to the workers' compeAns;ation laws of California, and ogre
ply with those provisions. Dat///I ` ^ �I Z 3
� G
permit is issued (Section 3097, Civil Code).
ONLY