HomeMy WebLinkAboutXR2023-0708 - Permits��WPoRr City of Newport Beach
Community Development Department- Building Division
r " y 1 DO Civic Center Drive, Newport Beach, CA 92660
? Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
cgCiGoµN\P newportbeachca.gov/inspections
Combination Type - SFP
COMB Permit : XR2023-0708
Plan Check No: PC2023-0587
Issued Date : 04/13/2023
Inspection Area : 8
Work Class - Other
CTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1036 POLARIS DR Legal Desc : N TR 4224 BLK LOT 155
Description: SFR RETAINING WALL 24" HIGH X 30 LF INSIDE P/L *123-1055*
Owner: KRUGMAN MARK E TR
Contractor: MILLENNIUM CONSTR
2901 W COAST HIGHWAY
Address : 1036 POLARIS DR
Address :
NEWPORT BEACH, CA 92663
NEWPORT BEACH, CA 92660
Phone : (949) 258-4366
Phone :
Con State Lic : 804132
Lic Expire : 10/31/2023
Applicant: MILLENNIUM CONSTRAST
Bus Lic: BT30080150
Bus Lic Expire : 08/31/2023
Address : HIGHWAY
NEWPORTBEACH,BEACH, CA 92663
Workers' Compensation Insurance
Phone: (949) 258-4366
Carrier: COMPWEST INS CO
Policy NO: CWWCP100063383
Owner/Builder :
W. C. Expire : 7/1/2023
Address
Phone:
2022
Fire Sprinklers : NO
Code Edition :
Fire Hazard Zone : NO
Type of Construction : V-B
No of Units : 1
Occupancy Groups : U
No of Stories: 2
Bldg Height:
Building Setbacks : Front: 10, Side: 6, Side: 6,
Rear: 6, Rear: 6
Flood Zone: AE, 8 FT; X
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
Use Zone:
PROCESSED BY:
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone:
Designer: MILLENNIUM CONSTR -
Address: NEWPORT BEACH, CA 92663
Phone : (949) 258-4366
Construction Valuation : $3,000.00
Added/New/TI sq. ft. Bldg: 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
NOVIIECTOR
SPECIAL CONDITIONS: STOP WORK ISSUED BY JAIME M.'BUILDING NEW FOOTING/UNDERMINING FENCE NEXT TO P/L"
I 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 iteri
!(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 licensors 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)
1, as owner of the property, or my employees with wages as their sole compensation, will do U 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, Vie 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).
0 1, as droner 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
1 Rpp€y 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),
I am exempt from lcensore under the Contractors' State License Law for the following reason: -Cannot
_ 3y my signature below I acknowledge that, except for my personal residence in which I must have resided forat teas[ one year prior to completion of the imp€ovements covered by this permit, I
aell a structure that I have built as an owner-buildor if it has not boon constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Bu
�rofsssions Code., is available upon request when this application is submitted or at the following Web site:http:liwww.ieginfo.ca.gov/calaw.htmi. siness and
'signature of Property Owner or Authorized Agent _�
-ICENSED.CON TRACTOR'S DECLA.RATIDN ""—" --- / Date _
hereby affirm u, Iuer penalty of Pe ''tyi" that I am licensed under provisions of Chapjal all
(commencing with Section 0 ) of Division 3 of the Business and Pr le fis Code, and my license is in full force
and e+KE L'CUM Class / }/�. License No , Ulf t z 7 Date
VflRKERS' CGIArENSATION DECLARATION Contractor
Signature
tARNIN9: FAfLURE O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG O THOUSAND DOLLARS tE40D;000), {N ADDITION TO THE''.
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR, SECTION 370E OF THE "son CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under Fsnalty of perjury one of the following declarations:
D I navve and will n'entam a certificate of consent to self- insure for workers' compensation, issued by the Director of industrial Relations as provided for by Section 37e0 of the Labor Code, for th]
sIf Fence of the v)rk for which this permit Is issued. Policy No.
m
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work far which this permit is issued. My workers'
carrier and p,jlicY number are;
Policy Number
certify that, in the pE
if I should become
of
Date
ruvnn @
r 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 California, and agre
the Wocompensation provisions of Section 3700 of the Labor Code:, I shall forthwith comply With those provisions. _
yrp v .. NSTRUCTICN LENDING AGENCY Dat 'C l
heaffirm ams under peryaity of perjury that [hers is
enders a construction lending agency for the performance of the work for which _this permit is issued (Section 3097
ham
y my signature below, I Seri,#y to Bach of the followinLender's Addressg:
I am the property owner or authorized t0 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 or nances and state laws relating to building construction.
I authorize representatives of this city or county lo en the above -identified property for inspection purposes.
onature of PrO.rn: n,,,.,e..,, n
PERMIT EXPIRED
PERMITC-4NCE EDED
PERMIT EXTENDED _
PER�MiT FINAL 2-
CERTIFICATE Of
OCCUPANCY I5SUEA
VECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE
3403
LU ASBESTOS NO I I FICA NON 15 NOTAPPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
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RETAINING WALLS INSIDE PROPERTY LINES _q_q?,OFESS/oro��
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