HomeMy WebLinkAboutXR2024-0970 - Permits�EWPO/t� City of Newport Beach ��������� III 111111111111111111111 111111 COMB Permit : XR2024-0970
04 Community Development Department- Building Division X R 2 0 2 4 0 9 7 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2472
Permit Counter Phone: (949) 718-1888 Issued Date : 04/15/2024
newportbeachca.gov/civic Final Date:
C9C�FOR�`P Combination Type - Permit Status: Issued
Work Class - Other Inspection Area : 6
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 : 18 GENEVE Legal Desc : N TR 9862 BILK LOT 1
Description: SFR ALT (E) BLOCK WALL FOOTING AND ADD REBAR / ENG CALCS. 'INSIDE P/L MARKERS ONSITE` (XR2023-2943)
Owner: MAGGIE XU
Address : 464 WHITE CAP LN
NEWPORT BEACH, CA 92657
Phone : (408) 903-9994
Applicant: HARRY MONCK
Address : 303 CLEVELAND DR
HUNTINGTON BEACH, CA 92648
Phone
Owner/Builder: MAGGIEXU
Address: 464 WHITE CAP LN
NEWPORT BEACH, CA 92657
Phone : (408) 903-9994
Contractor: OWNER/BUILDER
Address
-Phone:
Con State Lic: OWNER/BUILDER
Lic Expire
Bus Lic :
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
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 : Front: 5, Side: 5, Side: 5, Rear: 5
Flood Zone : X
Use Zone: PC - Harbor View Hills
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone :
State Lic
Engineer:
ABARQUEZ JOSE M
Address :
18 EL CORZO
RANCHO SANTA MARGARITA, CA 92688
Phone:
(714)277-9895
Designer:
HARRY MONCK
Address :
303 CLEVELAND DR
HUNTINGTON BEACH, CA 92648
Phone :
(714) 390-6829
NO Construction Valuation :
$2,500.00
NO Added/New/TI sq. ft. Bldg:
0
1 Alteration sq. ft. Bldg :
0
0 Added/New sq. ft. Garage:
805
TOTAL sq. ft. :
805
I hereby affirm under penalty 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
the permit to file a. signed statement that he or she is liconsed 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 licensureand 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).
❑ I, as owner of the property, or my employees with wages as the€r sole compensation, will do L.) all of or (_) 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 employees' or 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),
1, 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 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).
exempt from licensure under the Contractors' Slate License Law for the following reason: _
B m 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 legal]
structure that I have built as an owner -builder if it has not been constructed in its a ty by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and
Professions Code, Is available upon request when this ppl' o Is su rttetl t pllowin -Web site:http:(/wrvwv.leginfo.ca.gov/calaw.htmi. �l
Sigrialure of Property Owner or Authorized Agent Da
t'
LICENSED CONTRACTOR'S DECLARATIOIi
I hereby affirm under penally 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
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
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 ($100,000), IN ADDITION To THE
:OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a certificateof consent to self -insure for workerscompensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
imrance 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
ranee carrier and policy number are:
Policy Number
Date
area of Agent Phone If
I artily that, in the performance of the workfor 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 agre
la if I should beco \ sub) o the workers
ccomp sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those previsions. / J,
Iynafure of Applica nll.Gir.6."—�a_ ._.._._ Dah S L('�,� ✓�G6
'ECLARATION R50A DING 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).
Seder's Name Lender's Address.
y my signature below, I certify to each of the fallowing:
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. JJJ
1 authorize representatives of this city or county a thP�abov Ifproperty for inspection purposes.
ianature of ProDei Owner or Authorized Arent l� Print Property Owner's or Authorized Arai Name / / Date
ACTION DATE S BY DECLARATION Or COMPLIANCE WITH CODE OE FEDERAL FOR OFFICE USE ONLY �r
I REGULATIONS PART 61 OFTITLE 40 AND AiRULE
i
NOTIFICATION TO
PERMITCANCELLED
PERMITEXTENDED r p
PERPNTFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE -TO-
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