HomeMy WebLinkAboutXR2023-1947 - Permits:EWpo City of Newport Beach 111111111111111111111111111111111111111111111111COMB Permit : XR2O23-1947
04 l �m Community Development Department- Building Division X R 2 8 2 3 1 9 4 7
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-1703
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Permit Counter Phone: (949) 718-1888 Issued Date :111412a,
newportbeachca.gov/civic Final Dater
Cq<�F00.N�P Combination Type - Permit Status: Applied
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: 1521 KATHLEEN LN Legal Desc : N TR 1806 BLK LOT 4
Description: SFR BLOCK RETAINING WALL 142 SF X &H *INSIDE THE P/L' MARKERS ON SITE
Owner: JERRY/CARA WEICHMAN
Address: 1521 KATHLEEN
NEWPORT BEACH, CA 92660
Phone : a q� — 8$b — i 954
Applicant: HAVEN DEVELOPMENT GRP INC
Address: 14271JEFFREY RD #502
IRVINE, CA 92620
Phone: (949)788-9227
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Contractor: HAVEN DEVELOPMENT GRP INC
Address : 14271 JEFFREY RD #502
IRVINE, CA 92620
Phone : (949) 788-9227
Con State Lic :
827901
Lic Expire :
01 /31 /2024
Bus Lic:
BT30046360
Bus Lic Expire
: 02/28/2024
Workers' Compensation Insurance
Carrier: EXEMPT
Policy No: EXEMPT
W. C. Expire:
2022 Fire Sprinklers :
V-B Fire Hazard Zone
U No of Units:
No of Stories
Architect: NATHANIELRIVERA
Address: 470 WALD IRVINE, CA 92618
Phone:
(949)450-0093
State Lic :
Engineer:
EOSAKUL DISSAKORN
Address :
15 STUDEBAKER
IRVINE, CA 92618
Phone:
(949) 752-1612
Designer:
Address
Phone :
NO Construction Valuation : $18,000.00
NO Added/New/TI sq. ft. Bldg : 0
0 Alteration sq. ft. Bldg :
0 Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
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)
PROCESSED BY: —
SPECIAL CONDITIONS: REV2023-1360
OWNER -BUILDER
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 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 of the Business and
Professions Code) or that he or she is exempt from hoensure 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).
71 1, 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 notintended 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 -Builder 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 construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Ia�plply to an owner of property who builds or improvesthereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law),
u i am exempt from licensure under the Contractors' State License Caw 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
soli a structure that I have built as an ownor-builder if it has notbeen 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 site:http:liwr .leginfo.ca.gov/calaw.fitml.
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 0 0) of Division 3 of the Business and Pr sslon, ode, and ylkP•.oseis In full force
and effect. License Class License No Cat ConVactor Signatu
NORKERS' COMPENSATION DECLARATION
Nl
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (51e3;e30), IN ADDRION TO THE
C05T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
--.1 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 the Labor Code, forth
)erformance 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:
Policy Number Expiration Date
of Agent
WlB ify that in the performance of the work for which this permit is issued, I shall notemploy any person in any manner $o as to become subject to the works ' c mpensation laws of California. and agre
I. if I should becom ject to the orkers' co peR atop provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Dale r 1r' Z3
CLARATION REGA 3NG CO RUCTION LENDING AGENCY —`
ereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, CI I Code).
Ides s Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the Information I have provided is correct.
I agree to comply with all applicable city and c I y ordinances and slate laws relating to building construction.
I authorize representatives of this city or county enter t e above-' rttf d pp openly for inspection purposes.�I,,�r ,,�. /
nature of Property Owner or Authorized A enl Print Property Owner's or Authorized Agent's Name(. _ �`-`'' ° t m r• �—e (Leta -t t$•2Z
ACTION
DATE
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I DECLARATkON OF COMPLIANCE WITii CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
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