HomeMy WebLinkAboutXR2024-0786 - Permits�Wp �POR City of Newport Beach IIIIII�IIIIIII� IIII �IIII III IIIIII�IIIIIII� II COMB Permit : XR2024-0786
Da`°ri�4 Community Development Department -Building Division X R 2 0 2 4 0 7 8 6
r t n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0884-2021
_ Permit Counter Phone: (949) 718-1888 Issued Date : 03/28/2024
newportbeachca.gov/civic Final Date:
clt,P, " Combination Type - Permit Status: Issued
Work Class - Other Inspection Area : 8
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: 911 KINGS RD Legal Desc : N TR 1219 BILK E LOT 26
Description: SFR BLOCK WALL 42" HIGH MAX X 60 LF INSIDE P/L *MARKERS ON SITE* STANDARD PLAN
Owner: CHASE RYAN TR THE R & B
Contractor: JENKINS CONSTRUCTION
Architect
Address : 911 KINGS RD
Address : 168 MONTE VISTA AVE
Address
NEWPORT BEACH, CA 92663
COSTA MESA, CA 92627
Phone : (949) 292-1404
Phone : (714) 351-0676
Phone:
Con State Lic : 901221
State Lic
Lic Expire: 07/31/2025
Applicant: JENKINS CONSTRUCTION
Bus Lic: BT30035239
Engineer:
Address : 168 MONTE VISTA AVE
Bus Lic Expire : 04/30/2024
Address
COSTA MESA, CA 92627
Phone: (714) 351-0676
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Owner/Builder :
Policy No: 9076367
Designer:
Address :
W. C. Expire : 10/20/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$3,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/NewITI sq. ft. Bldg :
0
Occupancy Groups : U
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 0
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone: X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY: vS
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
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 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
to 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
'rofessions 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
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, Will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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
nprovements 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
nproved for the purpose of sale).
I, 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
pply 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).
1 am exempt from licensure under the Contractors' Slate License Law for the following reason:
ly 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
ell 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 7 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Iwww.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent to
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section f iv' ' the Business and Pr Co nse is In full force
nd effect. License Class License No Date Contractor Signatu
WORKERS' COMPENSATION DECLARATION \ ( `—
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 lh
knc
ce of the work for which this permit is issued. Policy No.
nd 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' compensation
e carrier and policy number are:
Carrier Policy Nu bar Expiration Date
Name of Agent Phone If
31 certify that, in the peMbLrl
which ' ermit is issued, I shall n employ any person in any manner so as to become subject to the workers co pen anon aws of California, and agre
that, if 1 should becom pe I provisions of Sectio 0 of the Labor Code, I shell forthwith comply with those provisions.
Signature of Applicant Dale
DECLARATION REG ONS CTION LENDI G AGENC
I hereby affirm under pen . of � ry that there is a c stru ' ending agency for the performance of the work for which this permit is issued (Section 3097, Civil
Lenders Name Lenders Address
By my s'gnilure Wow, 13ertify to each of the following:
I am the prope3� o.r,,er or authorized to act on the propert ner's alf.
I nave read this application and the information I have pr id is nett.
i agree to comply with: all applicable city and county or na ce d state relating t wilding construction. p
I authorize representatives of this city or county ant r e ve-id Ifi propert inspection purposes.
Signature of Property O,vner or Authorized Agent Print Proper[ Owner's or Authorized Agent's Name
ACTION —T DATE BY ,/ DbGLARATION OF COMP NCE WIT C FEDERAL FOR OFFICE USE ONLY /\ ✓\
Y REGULATIONS PART 61 OF TITLE 40AND AQMD RULE
1403
PER,ATEXARED _ I SUBMITTED ASBESTOS NOTIFI N TO
PERMO CAM:ELLED EIEPA
PERM17EXTENDED - ^ D
PERMIT FINAL osimit pL fC BES NO FI I IS TAP LE
CERTIFICATE OF PROPOSED LI N
OCCUPANCY ISSUED BT SIGNATU