HomeMy WebLinkAboutXR2023-3195 - PermitsaEWpoR, City of Newport Beach 111IIIpIIIIII IIIII IIIIIIIIIIIIII IIIIIIIIIII IIIII IIIII111 jjCOMB Permit : XR2O23-3195
`� p Community Development Department - Building Division
p X R 2 e 2 3 3 1 9 5
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC ZO'ZZ- 222 9
i) Y S Permit Counter Phone: (949) 718-1888 Issued Date : 1110912023
.� newportbeachca.gov/civic , , ... _. _ Final Date:
C9</F00.l��Y Combination Type - ELEC _ Permit Status: Issued
Work Class - Other - Inspection Area : 2
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 : 223 CORAL AVE Legal Desc : A TR BALBOA ISLAND SEC 3 BLK 8 LOT 26
Description: SFR ADD BLOCK WALL 36' LONG BY 32" MAX HIGH AT FRONT YARD.(XR2022-2374) "INSIDE P/L-
Owner: SHAWN WALTERS
Address : 716 WILKES ST
ALEXANDRIA, VA 22314
Phone
Applicant:
PATAUSTIN
Address :
2732 E COAST HWY, Suite B
CDM, CA 92625
Phone:
(949)718-3528
Owner/Builder
:
Address :
Contractor: RECENDEZ CONSTRUCTION
Address: 14626 Behrens Ave
Norwalk, CA 90650
Phone: (562)387-7774
Con State Lic : 1056558
Lic Expire : 07/31/2024
Bus Lic : BT30082779
Bus Lic Expire : 10/31/2024
Workers' Compensation Insurance
Carrier: EXEMPT
Policy No : EXEMPT
W. C. Expire:
Architect :
CHILDS CYNTHIA ARCHITECT
Address :
2732 E COAST HWY #B CORONA DEL
MAR, CA 92625
Phone:
(949)718-3528
State Lic
Engineer: ASKARIAN KYLE
Address: 17595 HARVARD AVE #C-734
IRVINE, CA 92614
Phone: (310)404-1834
Designer:
Address :
Phone:
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/NewITI sq. ft. Bldg
Occupancy Groups :
U,R-3
No of Units :
0
Alteration sq. ft. Bldg :
Bldg Height :
No of St�iries :
0
Added/New sq. ft. Garage:
TOTAL sq. ft.
Building Setbacks :
Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone:
X; AO 1
Use Zone :
R-BI - Two -Unit Residential, Balboa Island
PROCESSED BY
SPECIAL CONDITIONS:
$3,000.00
0
0
0
OWNER -BUILDER DECLARATION.
I hereby affirm under penalty of perjury that E am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) I have placed'. next to the applicable item(s)
'section 7031.5, Business and Professions Code: Any city or count), that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for
re permit to file a signed'. statement that he or she is licensed pursuant to the provisions of the Contractors' Stale. License Law (Chapter 9 (commencing with Section 7000) of Division of the Business and
'rofessions 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 applicantfora permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
7 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 not intended or offered for sale (Section 7044,
Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through empioyeas' or personal effort, builds or improves the properly, provided that the
nprovements are not untended or offered for sale. If,however, the building or Improvement is sold within oneyear of completion, the Owner -Builder will have the burden of proving that it Was not built or
n roved for the purpose of sale).
I, 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
P,ply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law),
J I am exempt from licensure under the Contractors' Slate License Law for the following reason __,_,.____,__,
Iy 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 legally
all 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
'rofassions Code, is available upon request when this application is submitted or at the following Web site:http:f/www,18ginfo.n.gov/niaw.htmi..
signature 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) Dpision3 of the Business and Professions Code, and my license is in full force
nd effect. License Class. License No Date L Contractor Signature
WORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN. ADDRION TO THE
DST OF COMPENSAT*N., DAMAGES AS PRONGED 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 I have and will maintain a certifioate 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 IN
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 canter and policy number are;
Policy Number Expiration Dale
Phone d
certify that, m the performancp�f the 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 egret
if I should become sub the workers cor .nation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / q
iature of Applicant
I hereby affirm undercpenalty 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)
Lenders Name Lender's Address
By 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 stale laws -re Eating to building construction.
I r^presenlatives of this city or county to e the above-identif d property for inspection purposes.
ji nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
,, ',, /- /
e / F �Ce`� `�-�� _ Date r
ACTION'
DATE
BY DECLARAP16N OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD ROLE
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PERMIT txr,?�D
I SUBMITTED ASSFSTOS NOTIFICATION TO
PERMIT LRNCcLLED
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P£RMI-UMI—MED
DACLMD_
PERMIT FINAL
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C£RTIFICA OF Of
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OCCUPANCY:S:UEO
SIGNATURE: