HomeMy WebLinkAboutXR2023-0874 - PermitsaEWPORr
City of Newport Beach
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COMB Permit : XR2023-0874
Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No : 0729-2021
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Permit Counter Phone: (949) 718-1888
Issued Date : 0511612023
newportbeachca.gov/civic
Inspection Area : 1
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Combination Type -
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CTC R
Work Class - Other
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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: 908 W OCEAN FRONT Legal Desc : N TR 234 BILK 9 LOT 3
Description: SFR (N) 70'6" LONG BY 6' MAX HIGH CMU WITH VINYL FENCING ALONG P/L (CITY STANDARD PLAN 3A DETAIL) *X2021-0789*
Owner: 908 NB PROPERTY MANAGEMENT LLC
Contractor: PATTERSON CUSTOM HOMES
Architect
Address : 3717 EUCLID AVE
Address :. 15 CORPORATE PLAZA, STE 150
Address
DALLAS, TX 75205
NEWPORT BEACH, CA 92660
Phone : (949) 375-0759
Phone: (949) 723-1800
Phone
Con State Lie : 802367
State Lie
Lie Expire : 07/31/2024
Applicant: Gene Novella
Bus Lie: BT02110534
Engineer
Address : 15 Corporate Plaza Dr, 150
Bus Lie Expire : 09/30/2023
Address
Newport Beach, CA 92660
Phone: (949) 723-1800
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Owner/Builder :
Policy No: 9065406
Designer
Address :
W. C. Expire: 8/1/2023
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg
Occupancy Groups : U
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 0
Added/New sq. ft. Garage:
TOTAL sq. ft.
Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 0
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY: 13
SPECIAL CONDITIONS: HIGH DENSITY ZONE & LIQUEFACTION
$5,000.00
0
NO CONSTRUCTION NO)BE
ON THE WEEKEND
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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
m permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do O all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
uslness and Professions Code: The Contractors' Slate 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 withinone year of completion, the Owner -Builder will have the burden Of proving that it was not built or
n roved for the purpose of sale).
I, as owner of the property, am exclusively Gontracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Lew does not
E�ply to an owner of properly whc builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
�f I am exempt from licensure under the Contractors' Slate License Law for the following reason:__-- ----- ..__.._......_..._...�__.......__..�__._...... .------
y 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
sit 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
rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi,
Ignalum of Property Owner or Authorized Agent ___ Date _
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Div sion 3 of the Business and Profe ons CoderaAtl my i is in full force
nd effect. License Class License No Date s i Contractor Signature i
VORKERS' COMPENSATION DECLARATION I.
'ARNINOa FAILURE TO SECURE WORKERS• COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1000,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES 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:
7 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 tht
?a manse of the work far which this permit is issued. Policy No.
I have and will maintain workers' compensation insurance, as required by Section 3700 or the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
Isurance carrier and policy number are:
Policy Number
of Agent
Date
7t certify that, in the performance 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 agm
IaL if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. r
ignalure of Applicant �_�__....!4�� _ Date
DEJ •,��fi �L�
CLARATION REGARDING CONSTRUCTION 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, Civil Code).
Enders Name Lender's Address
y my signature below I certify to each of the following:
I am the proper!,woer or authorized to act on the property owner's behalf.
I naoe read Ill application and the information I have provided is correct.
I agree to comply wito all applicable city and county ordinances and state laws relating to building construction.
I autt.orize representatives of this city or county tt mer tt}o-�bove-i ad property for inspection purposes.
ionature of Property Owner or Authorized AGent e.= �� Print Properly Owner's or Authorized Ag ent's Name l�>•N �`�11 ___
DATE BY DECREGULATIONS PART 6I OF TLARATION OF IITLE 40AND AQMD RULE CE WIT14 CODE OF RAL FOR OFFICE USE ONLY1403
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rFR61'I1 FINAL f (, 7 ASBESTOS NOTIFI[ATION IS N07 APPLICABLE TO
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OCCUPANCY ISSUED SIGNATURE: �Lf/
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BY: P. D. C.
PROJECT SURVEYOR:
LOCATION
APEX LAND SURVEYING, INC.
908 W. OCEAN FRONT
DATE: 5/16/2023
17853 SANNA00 BLVD, SM 107-285
VIDA PARK. CA 92861
NEWPORT BEACH, CA
SCALE: JOB B
PHONE
LINE 8 GRADE SHEET N0.
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1' 8' 20098
(714)488-5ODS
FAX: (714)333-4440
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