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Home My WebLink AboutXR2023-0920 - Permits�gW PpR� City of Newport Beach III�II�IIII IIIIIIIIIIIIIIIIII�I IIII II COMB Permit XRZO23-O920 c� p Community Development Department - Building Division X R 2 0 2 3 0 9 2 0 F s I 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-3084 J Permit Counter Phone: (949) 718-1888 _ - issued Date : 05/0412D23 newportbeachca.gov/civic n ,o Inspection Area : 2 Combination Type - Work Class - Other- - - 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 : 748 VIA LIDO NORD Legal Desc : N TR 907 BLK LOT 40 Description: SFR FOUNTAIN WALL 1.5' HIGH X 11' 6" LF INSIDE P/L Owner: GATES TRUST Address : 1144 N EASLEY CANYON RD GLENDORA, CA 91741 Phone: (626)696-2556 Applicant: CHRIS BRANDON Address : 151 KALMUS DR, G-1 COSTA MESA, CA 92626 Phone: (714)754-4040 Owner/Builder : Address : Contractor: LONGMAN CONSTRUCTION CO INC Address : 2782 CIRCLE DR NEWPORT BEACH, CA 92663 Phone: (949)722-7711 Con State Lic : 393881 Lic Expire : 08/31/2023 Bus Lic: BT00001921 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9062475 W. C. Expire : 7/1/2023 Architect: CHRIS BRANDON Address : 151 KALMUS DR, G-1 COSTA MESA, CA 92626 Phone: (714)754-4040 State Lic Engineer: WILLIAM DAVID ROLPH Address: 375-C MONTE VISTA AVE COSTA MESA, CA 92627 Phone: (949)642-9309 Designer: Address : Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Added/New/TI sq. ft. Bldg Type of Construction : V-B Fire Hazard Zone : NO 0 Alteration sq. ft. Bldg : Occupancy Groups : U No of Units : No of Stories : 0 Added/New sq. ft. Garage Bldg Height: TOTAL sq. ft. : Building Setbacks Flood Zone: Use Zone : PROCESSED BY: Front: 4, Front: 10, Side: 3, Side: 3 AE, 8 FT; X R-1 - Single -Unit Residential SPECIAL CONDITIONS: 35 $250.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm order penally of perjury that I am exempt from the Contractors' Slate License Law for the mason(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 county that requires a permit to construct. alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for the pormil to fife a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Backed 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 7C31.5 by any applicant fora 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 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 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). ❑ L 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 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' Stale License Law). ❑ I am exempt from licensors under the Contractos' Slate 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, I 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://www.legfnfo.ca.gov/00low.html. Signature of Property Owner or Authorized Agent,_ Dat LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 11 (commencing with Section 7O ) �f 1 3 of the Business and Proles ' s Rd m r icen i II force and effect License Class License No Date k Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FARURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN 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 rmance of the work for which this permit is issued. Policy No. hRve antl will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cotle, for the performance of the work for which this permit is issued. My workers' compensatio insurance carrier and policy number are: Cartier Policy Number Expiration Dale Name of Agent Phone # ❑I certify that. in the a Rub a 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 that, if I shoWd become subje D lh A' r ompe to provlsio of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant .,Ga, _ Dale_ 3 DECLARATION REGARDI CO TRUCTIQN LENDING AGENCY A� / I hereby affirm under nenalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit Is issued (Section 3097, Civil Code). Lenders Name _ Lender's Address By my ;Ignature below, I certify to Each of the following: i I am the pnpvrly owner or authorized to act on the property owner's behalf. I have reap this application and the Information I have provided is correct. I agree to comply with all applicable city and county , ces and state laws relating to building construction. I authorize ruprusentalives of this city or coun enl ov'e-i�nlified for inspection purposes. i Si nature of Pro ur, Owoar or Authorized A Print Prope Owners or Authorized Agent's Nam�/r- "-✓ r ' Date`s `7 �� A171Ir1N DATE aY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 31 OF TITLE 40 AND AQM D RULE 1403 P_RMITEXPiRED _ _ _L LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELL EpFIEPA PERM:?EXr NOED __ _ __ I�pQMD PER MITFINAL / 1� ASBESTOS NOTIFI OTAPPLICABLE TO CERTIFICATE OF 1�!'2'7�i �C.I�--E PROPOSED DE 1 , OCCUPANCYISSUED I SIGNANR