HomeMy WebLinkAboutXR2023-0718 - MiscI
i
I
I
I
I
I i
i I
i
I
I
I
I
r1C f
-
JIB
I
I
!IF
III
I
:_
D��j\
I
If
I,
"�-.CJ I=—
1
ITj i l J
�Il'O�NOHi EAGFI CC I�I'i�9 'E OFM�ii� ARTfr ENT
d NS
vZG FICT�`
!
ri h i J?'. M,
P,..I -
fn
j�
I`Jh
If
�-
I �
I
- -
�—
--
1
SITE
PLAN
MAR 16 2023
11,
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 926588915
www.newportbeachca.gov 1 (949) 644-3200
SETBACKS AND TOP OF SLABYLOOR
ELEVATION CERTIFICATE
The purpose of this certificate is to insure that the structure is located properly on site per the approved
drawings. This certificate also verifies the top of slab/floor elevation noted on the approved drawings.
After the top of slab/floor elevation is verified to match the elevation specified on the approved
drawings, the contractor and inspector can measure the height of the structure to the top of slab/floor to
verify that it is equal or less than the dimension shown on building sections and elevations.
This form must be filled out by a registered surveyor or civil engineer authorized to perform surveys.
The survey must be done after the concrete forms are in place or preferable after the concrete slab is
poured or raised floor is built, but prior to starting wall framing.
Engineer/Surveyor's Name /*AAIKe MI e*►1'►A License # IL S004.0
Engineer/Surveyor's Address yA% E• �� ✓T� �—Z3Q
Job Address b :k3y ty AVL ,
Setbacks: Sketch a site plan and specify surveyed setbacks (use back page).
* Top of slab/floor elevation:
* If slab/floor elevation varies, sketch a plan or section through slab on the back page and specify the
elevations. Use same datum used in the survey of record.
I certify that the setbacks are to
from plans:
are not ❑, per City approved plans. Describe any deviations
W)ka
I certify that top of slab/floor elevation(s)
any deviations from plans:
Date
Forms/Se[backsandTopotSlabElevationCen.
is ❑, is not 8, per City approved drawings. Describe
Engineer/Surveyor's stamp and signature
8421
OF G,_•°
Zcy;r4 We,
CP
�' o
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www,newportbeachca.gov '(949) 644-3200
AGREEMENT TO BUILD A FENCE/WALL CENTERED OVER THE PROPERTY LINE
THIS AGREEMENT has been entered into by the following property owners for the construction
of a common property line fence where 50% of the wall thickness and foundation will be built
over the adjacent property.
This is a sample form intended to assist both patties through the permitting process, it is not intended to address any property rights
or legal issues. Any other forms of agreementsmaybeusedas long as it contains�tt a best informan.on�herein. Q L r.n
SUBJECT PROPERTY ADDRESS: 67' 5 \V0V1*&c' 77V� OQ Met— ecreh c4
�,.v663
PRINT ME SIGNATURE OF PRO TY OWNER DATE
ADD OF ADJOINING PROPERTY 1 (See key Ian
PRINT NAME SIGNATURE O PROP RTY OWNER DATE
ADDRESS OF ADJOINING PROPERTY 2 (See key plan):
PRINT NAME SIGNATURE OF PROPERTY OWNER
ADDRESS OF ADJOINING PROPERTY 3 (See key plan):
PRINT NAME
KEY PLAN
PROPERTY1
SIGNATURE OF PROPERTY OWNER
PROPERTY2
SUBJECT PROPERTY:
DATE
DATE
PROPERTY 3:
foons/propeny line wall agreement 2016-08-12
---------------- STREET
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
REQUEST TO WAIVE SURVEY REQUIREMENT
FOR THE PURPOSE OF MASONRY FENCE CONSTRUCTION
The Building Division requires the affected property corners located and monument by a
California licensed surveyor prior to building or rebuilding a masonry fence along the
property line to insure that the fence will be properly located according to the approved
drawing.
This requirement may be waived if property owners on each side of the fence request
waiving the survey requirement. This form may be used when filled out appropriately
for such a request and submitted to the Building Division prior to issuing a building
permit.
We, the undersigned, agree and request the Chief Building Official to waive the survey
requirement for building a masonry fence adjoining our properties.
Property Owner Requesting a Building Permit to Build a Fence:
Name
Subject Property Address: IoZ 3 X'rlr j n#, 16y'E"
Signature V��Lj,ri
Adjoining Property Owner(s):
Name p^j �c
T
Address !9J V(yt
Signaturd ( �
Name
Address
Signature
Name
Address
Signature
Fomis\surveywaiver 08/ 12116
c1q �ZL6j
Date 3 J S' ZoZ3
Date 3- /�-
Date
Date
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
OWNER -BUILDER ACKNOWLEDGEMENT AND INFORMATION VERIFICATION
(HSC 19825)
NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has beenlxnitte��ou���listing yourself as the builder of
the property improvements specified at d
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to
make you aware of your responsibilities and possible risk you may incur by having this permit issued in
your name as the Owner -Builder.
We will not issue a building permit until you have read, initialed your understanding of each
provision, signed, and returned this form to us at our official address indicated. An agent of the
owner cannot execute this notice unless you, the property owner, obtain the prior approval of the
permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
% I understand a frequent practice of unlicensed persons is to have the property owner obtain an
caner -Builder' building permit that erroneously implies that the property owner is providing his or her
own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious
financial risk for any injuries sustained by an unlicensed person and his or her employees while working
on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully
acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
f�2. 1 understand building permits are not required to be signed by property owners unless they are
responsible for the construction and are not hiring a licensed Contractor to assume this responsibility.
qSb3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I
understand that I may protect myself from potential financial risk by hiring a licensed Contractor and
having the permit filed in his or her name instead of my own.
-%�=4. 1 understand Contractors are required by law to be licensed and bonded in California and to list
their license numbers on permits and contracts.
��5. I understand if I employ or otherwise engage any persons, other than California licensed
Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor
and materials, I may be considered an "employer" under state and federal law.
%�f=L6. I understand if I am considered an "employer" under state and federal law, I must register with the
state and federal government, withhold payroll taxes, provide workers' compensation disability insurance,
and contribute to unemployment compensation for each "employee." I also understand my failure to abide
by these laws may subject me to serious financial risk.
7. I understand under California Contractors' State License Law, an Owner -Builder who builds
single-family residential structures cannot legally build them with the intent to offer them for sale, unless
all work is performed by licensed subcontractors and the number of structures does not exceed four
within any calendar year, or all of the work is performed under contract with a licensed general building
Contractor.
10-8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be
held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any
latent construction defects in the workmanship or materials.
Fomis\o ner builder verifdoe 08/12/16 1 of 2
. I understand I may obtain more information regarding my obligations as an "employer" from the
Internal Revenue Service, the United States Small Business Administration, the California Department of
Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the
California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.csib.ca.gov for
more information about licensed contractors.
N4-40. I am aware of and consent to an Owner -Builder building permit applied for in my name, and
u erstand that I am the pa legally and �jnanciaJjy responsible for r�p constr ction ac 'vity at the
��
following address: \�(`�" �!Q �.rj�t`Q p� q%�
11. I agree that, as the party legally and financially responsible for this proposed construction
acti ity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as
employers.
12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to
an of the information I have provided on this form.
Licensed contractors are regulated by laws designed to protect the public. If you contract with someone
who does not have a license, the Contractors' State License Board may be unable to assist you with any
financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed
Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor
or employee of that individual or firm is injured while working on your property, you may be held liable for
damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible
for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property
owner and returned to the City of Newport Beach, Building Division, for issuing the permit.
Note: A copy of the property owner's driver's license or form notarization is required to be
presented when the permit is issued to verify the property owner's signature.
Print name of property owner:
Property Owner's Signature: g � � Date: Z. IS' zz>? ✓
Note: The following Authorization Form is required to be completed by the property owner only
when designating an agent of the property owner to apply for a construction permit for the
Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal
responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file
the documents necessary to obtain an Owner -Builder Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
IV11067
I declare under penalty of perjury that I am the property owner for the address listed above and I
personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's
license, form notarization, or other verification acceptable to the agency is required to be presented when
the permit is issued to verify the property owner's signature.
Property Owner's Signature:
Date:
Note: A copy of the owner's driver's license or form notarization is required to be presented when the
permit is issued to verify the property owners signature.
FounAowuer builder vaifdoe 08/12/16 2 of 2
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
AGREEMENT TO BUILD A FENCEIWALL CENTERED OVER THE PROPERTY LINE
THIS AGREEMENT has been entered into by the following property owners for the construction
of a common property line fence where 50% of the wall thickness and foundation will be built
over the adjacent property.
This is a sample form intended to assist both parties through the permitting process, it is not intended to address any property rights
or legal issues. Any other forms of agreements may be used as long as it contains t e basic information herein.
SUBJECT PROPERTY ADDRESS: [7 75 kyollf,*&U 0- 00,Mvm�{J— 9ecJ
. !-1 -Zaz
PRINT ME X SIGNATURE OF PROPERTY OWNER DATE
ADJOINING PROPERTY 1
A
—t'6�2�
DATE
ADDRESS OF ADJOINING PROPERTY 2 (See key plan):
PRINT NAME SIGNATURE OF PROPERTY OWNER DATE
ADDRESS OF ADJOINING PROPERTY 3 (See key plan):
PRINT NAME
KEY PLAN
PROPERTY1
SIGNATURE OF PROPERTY OWNER DATE
PROPERTY2
SUBJECT PROPERTY:
PROPERTY 3:
V7,46 3
fonoslproperty line wail agreement 2016-08-11
----------------STREET
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachoa.gov 1 (949) 644-3200
REQUEST TO WAIVE SURVEY REQUIREMENT
FOR THE PURPOSE OF MASONRY FENCE CONSTRUCTION
The Building Division requires the affected property corners located and monument by a
California licensed surveyor prior to building or rebuilding a masonry fence along the
property line to insure that the fence will be properly located according to the approved
drawing.
This requirement may be waived if property owners on each side of the fence request
waiving the survey requirement. This form may be used when filled out appropriately
for such a request and submitted to the Building Division prior to issuing a building
permit.
We, the undersigned, agree and request the Chief Building Official to waive the survey
requirement for building a masonry fence adjoining our properties.
Property Owner Requesting a Building Permit to Build a Fence:
Name��aef,
Subject Property Address: lrtilnL MI I�h QO✓ - 5ei al C44 �12GG3
Signatureyne2I7' Date 3 • / S' 00a,?
Adjoining Property Owner(s):
Names` / :.�A�
Address S ;z- 4- 1 ,rVrif L dki/ -
Signaturd!�
Name
Address
Signature
Name
Address
Signature
Furms\surveywaiver 09/12/t6
Date
Date
Date