HomeMy WebLinkAboutXR2022-2388 - Permits�aFWPo�er City of Newport Beach
p Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
U ' Permit Counter Phone: (949) 644-3236
.r� Inspection Requests Phone: (949) 644-3255
cgL.l F(Jp��h newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
11�1 111111111111111111111111111111111111111111111111111 11111COMB Permit: XR2022-2388
Plan Check No : PC2022-2238
Issued Date : 10/1712022
Inspection Area : 5
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 : 210 LARKSPUR AVE
Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 138 LOT 7 RESUB OF CORONA D EL MAR LOT 7 BILK 138
NELY 65 FT
Description: SFR -DRAINAGE AND 28' L x 2'H RETAINING WALL IN P/L
Owner: ALBER KENNETH L TR KLA CALIFORNIA
Contractor: DUANE MCDONALD
Architect : JEANNETTE BRION S' ,
RESIDENCE TR
'
Address : 402 TRANQUIL PEAK CT
Address : 3334 COAST HWY E, 163
Address : 470 OLD NEWPORT Bl:dO 14FWPOR t
HENDERSON, NV 89012
NEWPORT BEACH, CA 92625
BEACH, CA 92663
Phone: (702)591-7807
Phone: (949)466-9980
Phone: (949)645-5854 ;
Con State Lic : 814418
State Lie: ,
Lie Expire : 11/30/2022
-
Applicant: DUANE MCDONALD
Bus Lie : BT30051296
Engineer : , ....
Address : 3334 COAST HWY E, 163
Bus Lie Expire : 06/30/2023
Address:
NEWPORT BEACH, CA 92625
- -
Phone: (949) 466-9980
Workers' Compensation Insurance
Phone: ,
Carrier: ACCREDITED SIRETU AND
CASUALTY „
COMPANY INC.
Owner/Builder :
Policy No: 1 ATCA1 6000726
Designer
Address :
W. C. Expire : 12/9/2022
Address:
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $48,600.00
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 :
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage : 0
TOTAL sq. ft. Bldg : 0
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10
Flood Zone: X
` NO CONSTR1. Cj-q',r`le
�1c
Use Zone : R-1 - Single -Unit Residential
>
-
PROCESSED BY:
'�
ON TH L
SPECIAL CONDITIONS:'PERMANENT MARKERS ON -SITE` �%
,
OWNER -BUILDER DECLARATION
€ 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 items)
coon 7031,5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolis , or repair any structure, prior toils issuance, also requires the applicant for
permit to Pilo a signed statement that Rio or she is licensed pursuant to the previsions of the Contractors' State License Law Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from ficensure and the basis forthe alleged exemption. Any violation of Section 0311.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500y,
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (.) portions of the work, and the structure is notintended or offered for sale (Section 7044,
iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
rovements are not intended or offered (or sale. If, however, the building or improvement is sold within one year of completion. the Owner -Builder will have the burden of proving that it was not built or
iovad for the purpose of sale). I�
1, as owner of the property, am exclusively contracting with licensed Contractors to construct. the project (Section 7044, Business and Professions Code: The Contractors' State License Law doss not
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pu uant to the Contractors' State License Law),
J I am exempt from licensure under the Contractors` State License Law for the following reaserc
�y my signature below I acknowledge that, except for my personal residence in which I must have resided far at least one
all a structure that I have built as an owner-buildor if It has not boon constructed in Its entirety by licensed contractors. I u
'rofessions Code, is available upon request when this application is submitted or at the fallowing Web stte:http:ltwww.legi
.ignature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7,Qq_0)
rideffect. Licenses Clas> License No I
VORKER5' COMPENSATION DECLARATION
rAHNINW FAILURE TI SeQURF WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
:OST OF COMPEN&ATI7.'";'].WAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR. COnE, INTEREST, AND ATTORNEY'$ FEES,
hirehy arrirm under penalty of perjury one of the following declarations:
I I have and will rweri rl a cerliiicate of consent to self -insure for workers' compensation, Issued by the Director of In(
,Aa
"pJoll.nan�e of the work f.)r which this pennit is issued. Policy No.
NI re and will mPtntain workers compensation insurance, as required by Section 3700 of the Labor Code,. for the parlor
agCrancR carrier wdl policy number are:
Policy Number
_I_r Ify that, in the performance of the wqr kfr� this
I' I should be-omr s•blect to the wo e
of Applicant
is issued. I shall not employ any person in any manner so
ions of Section 3700 of the Labor Code. I shall forthwith c
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which
ender s Name Lender's Address
ly my signature below, I certify to each of tite following:
I am the property owner or authorized to acton the property owner's behalf,
I have read this application and the information I have provided is correct.
I agree to comply with all s of applicable city and county enter
a laws,r6t to building n purposes.
I authorize representatives of this racy or coon tenter )e a� e ]�' fif p rty or inspection purposes.
iienature of Pronanv Owner or Aulh n7ed Anent Print P'l. d" n3 ,`,. 'e ar Aad
ACTION
PERM?T EXPIRED
PEI IYtiT C.ANG'E-LLEl
PERMtT EXTENRED
RATE I BY
PART 61 OF TITLE 40 AND AQM) RULE.
PLI hV £f Uf FINAL
L o - [1- 1 J' ` I POAOiBESIOS PRRO PROPOSED DEMOLITION
ON l5 NOT AAPC 69Jt.f TO
OCCUPANCY ISSUED i SIINNATIIRF, Jc�
to completion of the improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044- of the Business and
Date
��
3 of the Business and Profs $to d $ty Ifoense is In full force
Contractor Signature
Onai. FINES UP TO ONE HUNDRED THOUSAND DOLLARS P1100,000). IN ADDITION TO
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which INS permit is issued. My workers'
Date
to become subject to the workers' compensation laws of California, and
)ly with those provisions.
permitis issued (Section 3097, Civil Code).
FOR OFriCE USE ONLY