HomeMy WebLinkAboutXR2023-2571 - Permits�EWPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III i 0iL1t3 P�rrttlt XR2U23-2571
D4. Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 P;an Chech No : PC2023-2958
= Permit Counter Phone: (949) 718-1888 Issues Date : 12,15i2623
.ry newportbeachce.gov/civic Final Date:
cgCIpO M1N�P Combination Type - SFP Permit Status: Issued
Work Class - Other Insnectien Area : 8- ,
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NU LA"i ER THAN 3 YEARS FR'OM'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 : 116 KINGS PL
Description: SFR - DRAINAGE/ R/R DRIVEWAY
Owner:
PAUL JULIAN
Address :
116 KINGS PL
NEWPORT BEACH, CA 92663
Phone:
(949)645-5854
Applicant!
PAULJULIAN
Address :
116 KINGS PL
NEWPORT BEACH, CA 92663
Phone :
(949) 645-5854
owner/Builder: PAULJULIAN
Address : 116 KINGS PL
NEWPORT BEACH, CA 92663
Phone: (949)645-5854
Legal Desc : N TR 1219 BLK E LOT 2 TR 1219 LOT 2 BLK E ALL -EX
Contractor
Address :
Phone:
Con State Lie
Lie Expire
Bus Lie:
Bus Lie Expire
Workers' Compensation Insurance
Carrier:
Policy No
W. C. Expire:
Architect
Address
Phone:
State Lie
Engineer
Address
Phone
Designer: CHRIS BROWN
Address: 1741 SCHOONER WAY
CARLSBAD, CA 92008
Phone: (858)633-3550
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks :
Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION , _ , I ,
I hereby affirm under penalty of perjury that I. art• erempl'ror`n the Contractors' State License Lawlor the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
Section 7031.5, Business and Professions Cade: hny city o, commy filet Teuulres a permit to construct, alter. improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for
10 permit to file a signed statement that he or she is li.:gl.e. of Cu. suant to the proriri�ns 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 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
at more than five hundred dollars ($500).
3 I, as owner of the property, or my employees'vith wngss as their sole ompensatlon will do L) all of or U 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 dogs net Apply to .,n 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, ti.e Luild ng or Innomverrent is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nprovod for the purpose of sale).
owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
tppN to ap owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
11 i exempt from licensors under the Contractors' State License Law for the following reason
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 legall7
all a structure that I have built as an owner -builder it it has not been constructed in its entirety by licensed contractors, I understand that a copy of the applicable taw, Section 7044 of the Business and
'rofessions Code, is available upon request when this applieatIo mltted or at the following Web site:http:(lwww.leginfo.ca.gov/calaw.html.
lgnahue of Property Owner or Authorized Agent .� _ Date _
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed Dder provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Professions Code, and my license is in full force
.rid effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706. OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES_
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a cerlilicate 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 carrier and policy number are:
Policy Number Expiration Date
of Agent Phone a _
certify that, it the performance of the work for which this permit is issued.. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and ogre
, If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. )
lature of Applicant.!✓T?�� DateY
IECLARATION REGARDING CCTION LENDING AGENCY
nder hereby affirm upenalty o/ er" at there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
tinders Name Lenders Address
Iy 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 lases relating to building construction.
I authorize representatives of this city or county to enter thetApve-identified property for inspection purposes. i—
i stature of Prooedv Owner or Authorized Aaenl. r /C - Print Property Owner's or Authorized Agent's Name
ACTION `. DATE. BY I DE RAT N. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
R NS PART 61. OFTITLE 40 AND AOMID RULE
1403
PERMIT EXPIRED 1 SUBMITTED AS9FSTO5 NOTIFICATION TO
PERMITCANCELLED LJEPA_ ----
PERV177FXTErYDEDAO'.MD
PERiUMTFINAL r. ASaE5705NOTIFICA'rlONISNOTAPPLICABU 10
CERTfFiCATEOF 7r�� SI POSED DEMOLITION
OCCUPANCY I55UEO i7
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