HomeMy WebLinkAboutXR2023-1214 - Permits�EwaoRr. City of Newport Beach IIIII���III��II�IIIIIII��I�IIII� III II
Community Development Department- Building Division X R 2 8 2 3 1 2 1 4
�y 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
u newportbeachca.gov/civic
C9G/ppµN�r Combination Type -
Work Class - Other
COMB Penrit : XR2023-1214
Plan Ch�ck No : 1380-2020
Issued D to : 05/10/2023
Inspection Area : 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WOF
Job Address : 1829 PORT SHEFFIELD PL Legal Desc : N TR 6620 BLK LOT 14
Description: SFR RETAINING WALL 4' MAX H X 291F NSIDE P/L (X2020-1737)
Owner:
1829 PORT SHEFFIELD LLC
Address :
1101 QUAIL ST
NEWPORT BEACH, CA 92660
Phone:
(818)987-7766
Applicant:
1829 PORT SHEFFIELD LLC
Address :
1101 QUAIL ST
NEWPORT BEACH, CA 92660
Phone:
(818)987-7766
Owner/Builder : 1829 PORT SHEFFIELD LLC
Address : 1101 QUAIL ST
NEWPORT BEACH, CA 92660
Phone: (818)987-7766
Contractor
Address :
Phone:
Con State Lic
Lic Expire
Bus Lic:
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Code Edition :
2019
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups :
U
No of Units :
0
Bldg Height :
No of Stories :
0
Building Setbacks :
Front: 20, Side: 5, Side: 5, Rear: 10
Flood Zone :
X
Use Zone :
PC - Harbor View Hills
PROCESSED BY:
EARS FROM ORIGINAL ISSUANCE DATE
ON SUNDAY AND HOLIDAYS IN ALL AREAS
GEMIGNIANI RICHARD LOUIS
4337 WOODMAN AVE SHERMAN OAKS,
CA 91423
Phone:
„
Lic
(State
Engineer:
PIRBADIANAMIR
Address :
5435 BALBOA BLVD#21,4
SYLMAR, CA 91342
Phone
iction Valuation :
Vew/TI sq. ft. Bldg
3n sq. ft. Bldg:
Jew sq. ft. Garage
sq. ft. :
$4,000.00 "
0
0
0
SPECIAL CONDITIONS: REF REV21-0999, a#�w�
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)
;Section 7031.5, Business and Professions Code: Any city or county that Tequires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
'.ho 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
profosskns Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Any. violation of Section 7031.5 by anyappiicant for a permit subjects the applicant to a civil penalty of
iot more than five hundred dollars ($50D).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all 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
mprovements are not intended or offered for 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
mproved for thepurpose of sale).
PI, 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).
ZI 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 legall)
sell a structure that I have built as an owner -builder If ithas not been constructed in its ant ty by licensed contractors. ) 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 th hewing Web site:http:liwww.leginfo.ca.gov/calav+.html.
Signature of Property Owner or Authorized Agent __ Date s,,
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions h (commencing with Section 7000) of Division 3 of the Business and Professions Code, andmy license is In full force
and effect. License Class License No Date Contractor Signature
NORKERS' COF1P=NSATION DECLARATION
NARNING: FAILURE TO P�^+RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR BODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty, of perjury one of the following declarations:
" I havc 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, forth
performance of the work for which this permit is issued. Policy No.
I,ave and will maimpm 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'
rance carrier and policy number are:
Policy Number
of Agent
Date
certify that. in ,he 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 ,object to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Data
3reby 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 Code)
irises Name Lender's Address
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 andthe information I have provided Is tort t
I agree to comply with all applicable city and county ordinances and ate laws relating to building construction.
I authorize representatives of this city or county to enter the above ntifled property for inspection purposes. Poll
IZ I J
I'✓�
mature of PmDerty Owner or Authorized Aaant. Print Property Owner's Or Authorized Agent's Name K /
ACTION I GATE BY DECLAREGi L�n PART 6.1 OF MPLIATITLLE 40 NCE WITH O ADMIT) RULE DE OF AL FOR OFFICE USE ONLY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL I g$1 ASBESTOS NOT1FJCAI ION 15 NOT APPLICABLE TO
CERT(F1CATE OF F� PROPOSED DEMOUIP /�
OCCUPANCY ISSUED I 24 SIGNATURE: � /