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HomeMy WebLinkAboutXR2023-2692 - Permits0,* W RT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB P rrnit : XR2O23-2692 D�fr J Community Development Department- Building Division X R 2 0 2 3 2 6 9 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2060-2021 ' Permit Counter Phone: (949) 718-1888 Issued Date 09/26/2023 newportbeachca.gov/civic Final Date: <oae`" Combination Type - ELEC PLUM Permit Statu : Issued Work Class - Other Inspection A ea : 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 `-ti Job Address : 114 E OCEAN FRONT Legal Desc : A TR EAST NEWPORT BILK 11 LOT 20 f ,F y"' cz Description : SFR 3.5' H X 36.5 LF BLOCK WALL @ THE FRONT YARD *INSIDE THE P/L*, GAS TO FIREPIT AND BBQ Owner: HEATHER BLAND Contractor : ATP BUILDERS INC Architect : AMY BAGLEY Address : 14975 CORONAL DEL MAR Address : 201 SHIPYARD WAY #1 A dress : 17800 MITCHELL NORTH I?MAE, CA PACIFIC PALISADES, CA 90272 NEWPORT BEACH, CA 92663 92614 Phone: (310)869-7805 Phone: (949)863-9099 Phone: (714)299-5957 Con State Lie : 1013886 St to Lie Lie Expire : 05/31/2024 ' Applicant: AMY BAGLEY Bus Lie : BT30056365 Engineer : MANSHADI FARHAD Address : 17800 MITCHELL NORTH Bus Lie Expire : 08131/2024 A dress : 1800 E 16TH ST UNIT B IRVINE, CA 92614 SANTAANA,CA92701'.,.''-'° Phone : (714) 299-5957 Workers' Compensation Insurance P one: (714) 835-2800 Carrier Owner/Builder : Policy No : EXEMPT D signer: ' Address : W. C. Expire : A dress Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Cc instruction Valuation : $12,000.00 Type of Construction : V-B Fire Hazard Zone : NO Acded/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 AI eration sq. ft. Bldg : Bldg Height: No of Stories ; 0 A ded/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED B SPECIAL CONDITIONS: REV2023-184 OWNER-BUILDERDECLARATION 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 applicableitem(s) (Secllon 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 ;he 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 Profossions Code) or that he or she is exempt from.Ilcensure 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 not more than five hundred dollars 1$500). I,,as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) patensofthe work, and thestructure 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). ❑ h as c%nei of The property, am exclusively contracting with licensed Contractors to construct the project. (Section 7044, Business and: Professions Code:. The Contractors' Stale License Lawdoes 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). © I am exempt from ucensure under the Contractors' State License Law (or The following reason:. By my signature below: I acknowledge that, except for my personal residence ht which I must have resided forest least one year prior to completion of the Im rovements Covered b this permit, I cannot le Y P� P P Y P golly sell a structure that I have built as an ownor-buildor it it has not been constructed in its entirety by licensed contractors. -I understand that a copy of the applicable law. Section 7044 of the Businessand Professions Code, is available upon request when this application is submitted or at the following Web sits;Blip:livnww'aeginfo.ga.govlcelaw.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 7000) f DI Siipp if the Busines ' nd Profes an cerise. is in full force and effect License r'lass License No D e 2 L Contractor. nature NORKERS' LrYPeNSATION DECLARATION N4Rwpc- rAILURE Tn SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP' TO' ONE HUMOR / HouSAi DOLLARS I6100,000), IN ADDITION TG THE ^.OS f Or 'UMPEN IAT.. i, r A'AAGES As pRovIDED FOR IN SECTION 37bE OF'rHE LAsdR CODE, INTEREST, MID ATTORNEY'S FEES, herohy affirm and Tr Fc natty of perjury one of the following declarations: I I.A a and v+ill inn ntam a cerUfrcate 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 the x�irr�o�c�lince of :he writ:: ter which this permit is issued. Policy No. �`"j and will malntn. in 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 Ine,ra ;a cancer amf pulley number are: Policy Number -Agent Dale LI certify that i:rF p rformane of t k for which this perm t I issued, I shall not employ any person in any manner so as to become subject to the workers' compensatio laws of California, and agre let, II ,,hould I cram l.u6lect b o rs' pan tlon vi .s-of�eclion 3700 of the Lahor Code, shall forthwith comply with those provisions. _ 821oZ3 5ignalure of HpI I'�rr I 1._ _ (e DECLARATION'fREGARDING-CO S UC ON LB ING AGENCY I hereby affirm under panjury lhatthere Is a construction lending agency for the performance of the work for which this permit Is issued. (Sectlon 097, Civil Code). Lender's Name (" � Lender's' Address By any signature below, I certify to each of the following: I am the property owner or ouuaorized to act on the properly owner's behalf. I have read this application and the information I have a Ided is correct. I agree to comply with all applicable c: and c. unit o din as rol 15rr y p y Ildi l,�onsiructlon. I authorize representatives of this city e c my to b. e ve Ilfle for nspeotlon purposes. q� Signature of Property Owner or Authoriz Sint Print Property Owner's or Auth Ize A eat's Name - IA �-�1 Dai Z K.7 ACTION DATE. RY ( D CLARATION OF CONIPLIANCF WITH CODE OF FEDERAL FOR OFFICE USE ONLY i EGt1[ ACCNs PART 510E TITLE AO AND AONID RULE 1403 PERMIT EXPMED _ SUBMITTED ASBESTOS NOTIFICATION TO PF,R6rtiT CAA CFLf ED EPA P€R IITEXTENDED I�nannnn PERMITFINAC %I �n UASNt5T05NOT1FICATION 15 NO] APPLICABLE TO CEPT0CATE OF `'Y �J�� PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNA CU R ET