HomeMy WebLinkAboutXR2023-3015 - PermitsEwPORT
City of -Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Combination Type - MFP
Work Class - Other
IIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII jjCOMB Permit : XR2023-3015
Plan Check No : PC2023-2612
Issued Date : 0110912024
Final Date:
Permit Status: Issued
Inspection Area : 4
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 : 2195 VISTA ENTRADA Legal Desc : N TR 5878 ELK LOT 67 TR 5878 (1-1.84-214031) PAR 6
Description: MFR REPLACE DAMAGED CMU WALL & REWATER PROOF (E) AS NEEDED
Owner: BRENT COOPER
Address : 572 WETLANDS EDGE RD
AMERICAN CANYON, CA 94503
Phone : (707) 815-2366
Applicant: MICHAEL JOUVENANT
Address: 668 COAST HIGHWAY N, 1163
LAGUNA BEACH, CA 92651
Phone: (949)715-9661
Owner/Builder: BRENT COOPER
Address: 572 WETLANDS EDGE RD
AMERICAN CANYON, CA 94503
Phone: (707)815-2366
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
2022
V-B
U,R-2
X
R-1 - Single -Unit Residential
SPECIAL CONDITIONS:
Contractor
Address :
Phone:
Con State Lic
Lic Expire
Bus Lic:
Bus Lic Expire :
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Fire Sprinklers :
Fire Hazard Zone
No of Units :
No of Stories
Architect
Address
Phone:
State Lic
Engineer: CAL PRO ENGINEERING AND DESIGN
INC
Address : 303 BROADWAY ST, 209
LAGUNA BEACH, CA 92651
Phone : (949) 715-9990
Designer:
Address
Phone:
NO Construction Valuation :
NO Added/New/Ti sq. ft. Bldg
1 Alteration sq. ft. Bldg :
2 Added/New sq. ft. Garage
TOTAL sq. ft. :
$2,000.00
0
0
0
OWNER -BUILDER DE =ARATION '
I hereby affirm under penally 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 requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
ie 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
Irofessions 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved for the purpose of sale).
11, 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
poly 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).
7 I am exempt from licensure under the Contractors' Stale License Law for the following reason:
,y 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 Iegall',
ell a structure that I have built as an owner -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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:f/www.leginfo.ca.gov/calaw.html.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
ING: 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 t3100,0001, IN ADDITION TO
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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, for
ormance 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' compensa
rance carrier and policy number are:
Policy Number Expiration Date
of Agent Phone #
certify that, in the 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
'signature of Applicant Date_
IECLARATION REGARDING CONSTRUCTION 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, Civil Code).
ender's Name Lenders Address
y 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 representatives of this city or county to enter the above -identified property for inspection purposes.
innnhve of Prooertv Owner or Authorized Aoent Print Prooenv Owner's or Authorized ADeri Name
ACTION CODE OF
I DATE I BY DECLARATION OF COMPLIANCE WIREGULATIONS PART 61 OF TITLE 40TAND AQMD RULERAL I FOR OFFICE USE ONLY
PERMITEXPIRED I I L-II SUBMITTED ASBESTOS NOTIFICATION TO
PERMITEXTENDED LJAQMD
PERMIT FINAL U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOF rIf PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: