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HomeMy WebLinkAboutXR2023-0436 - Permits�aEWPpa� City of Newport Beach p n Community Development Department - Building Division F { q 100 Civic Center Drive, Newport Beach, CA 92660 - ? Permit Counter Phone: (949) 644-3288 o- Inspection Requests Phone: (949) 644-3255 °g4coa"�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 11111111111111111111111111111111111111111111111111111111111COMB Permit : XR2023-0436 Plan Check No : 1413-2022 Issued Date : 02/24/2023 Inspection Area : 1 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: 48 BALBOA COVES Legal Desc : N TR 1011 BILK LOT 48 Description: DELTA 1 REVISION & ADD'L SCOPE: ADDED GRADING PLAN AND ALT HARDSCAPE AROUND PROPERTY (REV2023-0295) Owner: CRISELDA M SIEGEL REVOCABLE TRUST Address : 4B BALBOA CVS NEWPORT BEACH, CA 92663 Phone Applicant: PACIFIC PAVERS Address : 1261 N LAKEVIEW AVE UNIT J717 ANAHEIM, CA 92807 Phone: (714)718-3970 Owner/Builder : Address : Phone Contractor : PACIFIC PAVERS Address : 1261 N LAKEVIEW AVE UNIT J717 ANAHEIM, CA 92807 Phone: (714)718-3970 Con State Lie : 1005154 Lie Expire : 07/31/2023 Bus Lie : BT30078865 Bus Lie Expire : 05/31/2023 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No : CWC00088400 W. C. Expire : 8/6/2023 Code Edition : 2019 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, Front: 15, Side: 4, Side: 4 Flood Zone : AE, 8 FT; X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: LIQUEFACTION; HIGH -DENSITY Architect Address: Phone: State Lie: Engineer: PUTNAM CARL MATTHEW Address: 3441 IVYLINK PL LYNCHBURG VA 9192b, CA 91926 Phone: (434)384-2514 Designer: Address : Phone : NO Construction Valuation : NO Added/New/TI sq. ft. Bldg 1 Alteration sq. ft. Bldg : 0 Added/New sq. ft. Garage TOTAL sq. ft. : NO CONSTRUCTION NOISE $35,000.00 0 ON THE WEEKEND 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 checkrnark(s) I have placed next to the applicableitem(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 in permit to file a signed statement that lie or she is licensed pursuant to theprovisions of the Contraclors' 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 fora permit subjects the applicant to a civil penalty, of of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, lusiness 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). Z h 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). am exempt from licensors under the Contractors' State 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 constmctod in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business .and 'rofessions Code,, is available upon request when this application is submitted or at the following Web site:http:liwv,w.leginfo.ca.govlcalaw.html. Ignature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession de, end full fo nd effect. License Class License. No 1)ate.....L-244-Zi'25 Contractor -Signature, VORKERS' CCMPEN3ATION DECLARATION 'AdNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS uNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR"1[00.0001, IN ADDITION TO THE CST OF COMPENSATION DA GES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: hxe 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 Army nce of th'3 we•k 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 ;Lr.aa Carrier and ;.elicy number are, Policy Number of Agent _ _ _ Date certify that, in thF perormance 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 Califomla, and , 4, should become subject lope workers' comps n provisions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions. Of DalB 3reby affirm under penalty of perjury that there is struction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). ider's Name Lender's Address 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 provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to ter the a e-ide roperty f cuon purposes, nutting of Property Owner.a Authorzed Agent - Print PropertypOwner's or Authorized Agent's Name 6GLEO IA )Mo Pt>' DATE BY i DECLARATION OFCWFnIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 6t OFTITLE40 AND AOI RULE EXPIRED PEMWITEXTENDED _ r LJAOMD _ __ __ __ _ _ PERvfI7 FfNAL �/ �'7 1C, sf L5tO5NOTFlCAIIONISNOTAPPLICAOLE 00 CERYIFICAYEOF ( i V,j CA� "RROYOSED DEMO Iy �N �7 OCCUPANCY ISSUED SIGNATUR 1 ul C 00 N O E U < F 00 Z 0 o `o Wco w to m Apom 0 C) mF. am ov zv�a) aQ c O Z> LL m W AmM �z/♦��+ LL V o q) Z �� I O = CL J T o` LL 0 c 0 FBI L) W k U O 0 O r= �` o c o � y� d S° U a N a N 0 In 2 C (D O y h O CL a) N 7 0. O 0 a) .'.' 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