HomeMy WebLinkAboutXR2023-2731 - PermitsaEWnO�T City of Newport Beach IIIIIIIIIIII�II�IIIII��II�IIIIIIIIIIIIIIIIIIIIIII��IIIIIIIIIIIII
pr` ',i A•.. Community Development Department- Building Division COMB Permit: XR2O23-2731
100 Civic Center Drive, Newport Beach, CA 92660 X R 2 0 2 3 2 7 3 1
u i Permit Counter Phone: (949) 718-1888 Plan Check No : PC2023-2390
newportbeachca.gov/civic Issued Date: 09/2812023
Combination Type - SFP Final Date:
Work Class - Other Permit Status: Issued
Inspection Area : Gj
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 : 125 BAY FRONT E
Description : DEMO GARAGE
Owner: BLAND GARRETT Q TR BLAND FAMILY TR
Address: 14975 CORONA DEL MAR
PACIFIC PALISADES, CA 90272
Phone:
Applicant:
DERRICK DEJAYNES
Address:
245 FISCHER AVE, Al
COSTA MESA, CA 92626
Phone:
(949)306-4823
Owner/Builder :
Address :
Phone
Legal Desc :
Contractor
Address :
CORBIN REEVES CONSTRUCTION
245 FISHER AVE
COSTA MESA, CA 92626
Phone :
Con State Lie
Lie Expire
Bus Lie:
Bus Lie Expire
721515
04/30/2024
BT30057133
01/31/2024
Workers' Compensation Insurance
Carrier: OAK RIVER INS.
Policy No: MAWC441551
W. C. Expire: 2/23/2024
Code Edition : 2022
Fire Sprinklers :
Type of Construction : V-B
Fire Hazard Zone
Occupancy Groups : U
No of Units :
Bldg Height:
No of Stories
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY :
SPECIAL CONDITIONS:
Architect
Address
I Phone:
State Lie
Engineer:
Address
Phone:
Designer:
Address
Phone:
WILLIAM HEFNER
5820 WILSHIRE BLVD, 500 LA, CA 90036
(323) 931-1365
C017013
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg
1 Alteration sq. ft. Bldg :
1 Added/New sq. ft. Garage:
TOTAL sq. ft. :
$1,000.00
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of pe€jury that I am exempt Croom nteShai ra uoes atpaemit to cal xa uck.ratierthe f em indicated
nororep irthe
any structure' prior to its nssuance, also requires applicable
the applicant for
Saciian 7031.5, Business arld Professions Cade: Any city or c y q
ao permit to file a signed stalemani that he ar shy is liconsed pursuant to the provisions of the Contractors' State n of Section
Low (Chapter 9 (commencing with permit
s 7000) of Division 3 of the civil
inesspenal an
?rofassions Code) or that he or she is exempt from lidensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a parmit subjects the applicant to a civil penally of
tot more than flue hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sale compensation, will do L) all of or L) portions of the work, and the structure is not intended r offered for sale (Section TOSS,
3usiness and Professions Code: The Contractors' State License Law does not apply to an ov:ner of progeny who, though employees' or personal effort, builds e improves the prophrat provided
not built ore
mprovemens are not Intended or offered for sale. 1 f however, the Duflding or impravemant is sold witnln one year of completion, the Owner -Builder will have the bujen '..- \
mproved for the purpose of sale).
I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 70", Business and Professions Code: The Coectors' State-Icense Law does no[
spply 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 LicenLaw).__.�I am exempt from licenure under the Contractors' State License Law for the fallowing reason--— - "
3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completlon of the improvements, cov
sell a structure that I have built as an owror-builder if it has not boon constructed in its entirety by liconsed contractors. I understand that a copy of the applicable law, S eti�
Professions Code„ is available upon request when this application is submitted or at the following rNeb site:http:11www.leginfo.ca,900calaeehtml. O
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION i of the Business and Pro. ^Col
I hereby affirm under penalty' of perjury that. I am licensed under provisions of Chapter 9 (commencing with Secti ;Xoatractor,Signa
and effect. License Class License No
WORMERS' COMPENSATION DECLARATION PLOYER TO
COST WARNING: COMPENSATION, FAILURE
TSECURE
WORKERS'
AS COMPENSATION
I SECTION COVERAGE IS THE WFUL, AMD CODE, SHALL
SUBJECT N EM RNEY'S FEES.
iMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DED
iI hereby affirm under penalty of perjury one of the following declarations:
❑ i have and will maintain a certifi. e of Donsenl td salt -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Sectic
performance of the work for which is pe it Is issued. Policy No.
have and will maintain whic rs' comper�satfon insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
insurance carrier and policy num er are: 1 Expiration Date
4*1ov Number
le of Agent
certify that, in the performance
if I should become subject te)
!reby affirm under penalty of pe K't a
Ider's Name
nay signature below, I certify to each of 1f
I am the property owner or authorized t
I have read this application and life info
I agree to comply with all applicable city
I authorize represemativee of this city or
ACTION t DATE.
PERMIT EXPIRED
PERMIT CANCELED _--
PERiv117 EXTENJEF _
PERM( FINA1.
CERTIFICATE OF
OCCUPANCYISSUED
which this permit is issued (shall not employ any person in any manner so as to become subject to the workers'
npensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ..r
I
are is a donstn
3 folawitt
act on he p
411hlle�
RFGL
1403
for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
laws relating to building construction.
ad property for inspection purposes.
31�_ UANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
TO
❑ASBESTOS NOTIFICATION 15 NOT APPUCABLE TO
PROPOSED DEMOLMON
FOR OFFICE USE ONLY
rof a Business and
�nd M
licenseiforce6111,1111, iN AODT€ION TO THE
3700 of the Labor Code, for He
sued, My workers' compensatioi
aflon laws of California, and agre
J�