HomeMy WebLinkAboutXR2023-2476 - Permits�EWPpRT City of Newport Beach II IIIIII II IIIII I IIII IIIII II II IIIIII II COMB Permit : XR2O23-2476
- Community Development Department -Building Division X R 2 0 2 3 2 4 7 6
- ' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 1493-2022
' ? Permit Counter Phone: (949) 718-1888 Issued Date : 09/06/2023
.y. newportbeachca.gov/civic Final Date:
CqC/F00.N`P Combination Type - SFP Permit Status: Issued
Work Class - Other 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 : 1946 WINDWARD LN Legal Desc : N TR 4463 BLK LOT 12 d' Q/L
Description: DELTA 6 - *ADDTL SCOPE* NEW CMU BLOCK WALL 16LF, PILASTER, & ALTER DRAIN. (o Yi'�tb. ' n5' —
Owner: CHRISTY CARRIE TR
Address : 1946 WINDWARD LN
NEWPORT BEACH, CA 92660
Phone :
Applicant: JEFF J BENSON
Address: 234 BROADWAY
COSTA MESA, CA 92627
Phone: (949)534-2724
Owner/Builder :
Address :
Contractor: C JONES & COMPANY
Address : P.O. Box 2946
COSTA MESA, CA 92628
Phone: (626)840-4247
Con State Lic : 1064530
Lic Expire : 03/31/2024
Bus Lic : BT30073234
Bus Lic Expire : 10/31/2023
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9306288
W. C. Expire : 9/29/2023
Architect: JEFF J BENSON
Address: 234 BROADWAY COSTA MESA, CA 92627
Phone:
(949)534-2724
State Lic:
Engineer :
DEIHIMI AMIR HOSSEIN
Address :
23172 PLAZA POINTE DR STE 145
LAGUNA HILLS, CA 92653
Phone:
(949)954-7244
Designer:
Address :
Phone: Phone
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg
Occupancy Groups :
U,R-3
No of Units:
1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories:
2
Added/New sq. ft. Garage:
TOTAL sq. ft.
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)
,
a
PROCESSED BY: _
SPECIAL CONDITIONS:
iSPECTOR
$15,000.00
0
0
0
OWNER -BUILDER DECLARATION
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 items)
II(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 Blithe Business and
Professions Code) or that he or she is exempt from licensure 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).
El 1, as owner of the property, or my employees with wages as their sole compensation, will do t_} all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions bode: 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 safe. if, however, the building or improvement is sold within one year of completion, the Owner -guilder will have the burden of proving that it was not built or
Improved for the purpose of sale).
71 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 am exempt from licensure under the Contraclors' Slate License Law for the following Hansorc
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
soil a structure that I have built as an cunar-builder if it has not been 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 sitethttpJlWy .leginfo.ca.gov/celaw.html.
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 7000 of ivision 3 of the Business and Professions Cod r�R�y license is In full force
and effect. License Class License No Dale //g j � i Contractor Signature
WORKERS' COMPENSATION DECLARATION
'WARNING: 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 f$100,000), IN ADDITION TO THE
COST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST', AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
0 I 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 1he Labor Code, for IN
poforma.nce 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:
ne of Agent
certify that, in the performance of the
., if I should become subject to t�e
nature of Applicanl ____
Policy Number
Date
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, Bad
aleensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Data 9/&/ 3
3ECi_ARATION REGARDING COTISTRUCTION 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
.lender's Name _ Lender's Address
3y my signature below, I 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 provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize repro-enta.ioes of tnls ciry or cnunty IF, Brier the/at�Ov e led property for inspection purposes.
3ionature of PrODertv Owns, or Awhonzed Aaenr / Print Property Owner's or Authorized Acent's Name Ci1iii
BY DECLARATIOVOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
' REGULATIONS PART 61'OF TITLE. 40 AND AQMD RULE
L1U3
PERMIT EXPIRED
PERMIT EXTENDED I _ L IAQMD
rERrIFIrarE of 11/b3 t23 .. PROPOSED DEMOLITION
s aoi
PCRMIT FHNAL ❑ASBESTOS OIIFICAI
NIUN J "ARPLICABE TO
CCCUPANCV ISSUED SIGNATURE:
Civil Code).
Date