HomeMy WebLinkAboutXR2023-2949 - Permits��WPoCity of Newport Beach 11111111111111111111111111111111111111111111111111111111111COMB Permit : XR2023-2949
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0� @ Community Development Department- Building Division X R 2 0 2 3 2 9 4 9
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
i Permit Counter Phone: (949) 718-1888 Issued Date : 1011812023
newportbeachca.gov/civic Final Date:
Cq//FORN�P Combination Type - SFP Permit Status: Issued
Work Class - Other 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 : 1943 PORT RAMSGATE PL
Legal Desc : N TR 6624 BLK LOT 106
Description: SFR - BLOCK WALL 108 LF X 6' HIGH ON P/L,
' . PER CITY STANDARD
Owner: CHRISTINA FENMORE
Contractor: GONTERMAN CONSTRUCTION
Architect
Address: 1943 PORT RAMSGATE PL
Address : 502 30TH ST, UNIT A
Address
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92663
Phone:
Phone: (949)697-0746
Phone:
Con State Lie : 858073
State Lie:
Lie Expire : 04/30/2025
Applicant: ISABELLA JACKSON
Bus Lie : BT30048414
Engineer
Address : 502 30TH STREET, A
Bus Lie Expire : 09/30/2024
Address
NEWPORT BEACH, CA 92663
Phone: (714) 393-0204
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Owner/Builder :
Policy No: 9259518
Designer
Address :
W. C. Expire: 8/22/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$15,000.00
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: 20, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone : PC - Harbor View Hills
lei' 1//,t//►�
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the feasom(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
the 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
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
not more than five hundred dollars ($500),
11 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeesor personal effort, builds or improves the property, provided that the
improvements 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
Improved for the purpose of sale).
D I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
apply 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).
11 1 am exempt from lirensure under the Contractors' Strife License Law for the following reason
By 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, 1 cannot legal)
sell 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
Professions Code., is available upon request when this application is submitted or at the following Web site:http:AWww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of MYisi n 3 of the Business and Proffessi Tod nd my license is In full force
and effect. License Class License No .Date 'G3 Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED T SAND DOLLARS 15100,0001. tN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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 th
performance 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' compensatio
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone ff
01 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 Calffornia, and agre
that, if I should became subject t ZuriCTION
ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / I
Signature of Applicant Date_' 1 Li (� I Z
REGARDINDECLARATION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permits issued (Section 3097, Civil Code).
Lender's 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 slate laws relating to building construction.
I authorize representatives of this city or county to enter t ove-identified property for inspection purposes. j 1Q
Signature of Pro a Owner or Authorized A eat Print Property Owner's or Authorized Agent's Name SeIYTI. t`u aiii
ACTION DATE V I DELL = T OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
R F.GII ATIONS PART 61 OF TITLE AO AND AQMD RULE
i 14Di
PER10T EXPIREil L1 I SUBMITTED ASBESTOS NOTIFICATION TO
PERNI7T CANCFLf rD L�EPA
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P€RMIT EXTFND(D 13AQMD
P[R,WTNNAL 0 ASBESTOS NOT I FICA I ION 15 NO I APPLICABLE 10
CER RFICATE OF L^le, PROPOSED DEMOLITtON
OCCUPANCY ISSUED SIGNATURE:
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