HomeMy WebLinkAboutU2024-5249 - Permits��EWPo� City of Newport Beach
p @ Community Development Department - Building Division
y v 100 Civic Center Drive, Newport Beach, CA 92660
U Y Permit Counter Phone: (949) 718-1888
newportbeachca.govlcivic
C"L,FORN`" Combination Type -
Work Class - New
1p illII�IIIIIIIIIIIiIIIIIIIIIIIII�IHIEIII��� �� COMB Permit : U2024-5249
Plan Check No: PC2024-0345
Issued Date: 08/23/2024
Final Date:
Permit Status: Issued
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 SATURD.AY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address: 509 AVENIDA IADERA
Legal Desc : N TR 5692 BLK LOT 16 TR 5692 (L.L.84-214027) PAR 1
Description: SFR BLOCK WALL 36" HIGH X 36 LF INSIDE P/L
Owner: BRADBURNE RICHARD H TR Contractor
Address: 509 AVENIDA LADERA Address
NEWPORT BEACH, CA 92660
Phone: (714)749-7284 Phone:
Applicant: KERRY SMITH
Address : 251 E 22ND ST.
COSTA MESA, CA 92627
Phone : (949) 322-1210
Ownen(Builder :
Address :
Phone
Code Edition: 2022
Type of Construction :
Occupancy Groups: U
Bldg Height:
Building Setbacks
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
HOMEKEEP BUILDERS
5206 SAN JOAQUIN PLZ
NEWPORT BEACH, CA 92660
(949)945-4621
Con State tic : 1053406
Lic Expire: 05/31/2025
Bus Lic: BT30072162
Bus Lic Expire : 06130/2025
Workers' Compensation Insurance
Carder: STATE COMPENSATION INSURANCE FUND
Policy No : 9312388
W. C. Expire : 2/31202-5
Fire Sprinklers :
Fire Hazard Zone
No of Units:
No of Stories
Architect:
EDWARD NOVAK
Address:
849 E STANLEY BLVD, 406 LIVERMORE,
CA 94550
Phone:
(714)323-8396
State Lic :
Engineer: VOLPE ROBERT M
Address: 20321 LAKE FOREST DR STE D-6
LAKE FOREST, CA 92630
Phone : (949) 305-4700 x1
Designer:
Address :
Phone :
NO Construction Valuation : $15,000.00
NO Added/New/TI sq. ft- Bldg : 0
Alteration sq. ft. Bldg : 0
Add/Now sq. ft. Garage: 0
TOTAL sq. ft.: 0
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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) 1 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).
❑ 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 safe).
I❑ 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
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).
❑ 1 am exempt from licensure under the Contractors' State 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 legally
sell a structure that 1 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,.Ii w.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 iKitti p,yf the Business and Profe n otl a y license is in full force
and effect. License Class License No Dale 65 Gj— Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO ORRARUL PENALTIES AND CML FINES UP TO ONE HUNDRED OUSAND DOLLARS ISIDD,[IDDI, RJ ADOmON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37N 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 workersCompensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tht
liperformance of the work for which this permit is issued. Policy No.
ANpave 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 compensatoor
nsurance carrier and policy number are:
timer Policy Number 6cpiration Date
Jame of Agent Phone #
:1I certify that, in the performance f the wo r 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,
hat, if I should becDrat!��s(,ubjec t e work mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant I / \ _ _
Date
)ECLARATION REG]NbDWS`TRUCTION 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, Civ Code) -
.ender s Name Lender s Address
3y 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 pded is correct.
I agree to comply with all applicable city an countynd' es and otte laws relating to building construction.
I authorize representatives of this city or co, to an th abo ntified property for inspection purposes.
s'�`I� t "[-' .(-� 2312
Signature of Property Owner or Authorized A en Print Prop" Owner's or Authorized Agent's Name
Dateal
ACTION DATE
BY —DECLARATION OF COMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND ACIMD RULE
1403
PERMITEXPIRED
LJ�I sumit.TED ASBESTOS NOTIF"TION TO
LJEPA
PERMIT CANCELLED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
TO