HomeMy WebLinkAboutXR2023-0456 - Permits�EWPOQT City of Newport Beach
D� Community Development Department- Building Division
F 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
cgcrFon�`'. newportbeachca.gov/inspections
Combination Type - SFP
Wnrk lilacs - Other
111111111111111111111111111111111111111111111111111111111JillCOMB Permit : XR2023-0456
Plan Check No : 1470-2021
Issued Date : 02/23/2023
Inspection Area :2
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: 400 BAY FRONT S Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 7 LOT 1 BALBOA ISLAND RES UB SEC 1 LOT 1 BLK
AND LOT 2
Description: SFR - 80' LF X 6'H BLOCK WALL & 84'LF X 3'H RETAINING WALL INSIDE P/L (REV2023-0310)
Owner:
GLEN SALISBURY
Address :
400 BAY FRONT S
NEWPORT BEACH, CA
Phone:
(949)294-5545
Applicant:
VALLEY MASONRY
Address :
264 NORTH SHAFFER
ORANGE, CA 92866
Phone:
(714)488-6393
Owner/Builder :
Address :
Contractor: VALLEY MASONRY
Address : 264 NORTH SHAFFER
ORANGE, CA 92866
Phone:
(714)488-6393
Con State Lie
: 390882
Lie Expire:
01/31/2025
Bus Lie:
BT30052400
Bus Lie Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: EMPLOYERS COMPENSATION INSURANCE
COMPANY
Policy No: EIG157791610
W. C. Expire: 10/1/2023
Architect
Address
Phone:
State Lie :
Engineer:
MANSHADI FARHAD
Address :
1800 E 16TH ST UNIT B„
SANTA ANA, CA 92701,
Phone:
(714)835-2800
Designer:
Address :
Phone:
Phone :
Code Edition :
2022
Fire Sprinklers :
YES
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
U
No of Units :
1
2
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
Bldg Height:
No of Stories :
TOTAL sq. ft. :
Building Setbacks :
Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone :
X; AO 1
Use Zone:
R-BI- Two -Unit Residential, Balboa
Island
NO CONSTRUCTION NOISE
PROCESSED BY:
SPECIAL CONDITIONS: HIGH -DENSITY; LIQUEFACTION
$11,486.00
0
0
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 checkmark(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, dernolish, 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 liconsad pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofess ons Code) or that he or she is exempt from licensore 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
tot more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wegas 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,
3usiness 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
mprovements 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
mproved for thepurpose of sale).
1 1, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The ContractorsStale License Law does not
ipply 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 licensors under the Contractors' State License Law for the following reason:
3y my signature below I acknowledge that, except for my personal residence in which I must have resided feral least one year prior to completion of the improvements covered by this permit, I.Cannot legal]
till a structure that I have built as an owner -builder if it has not been constructed in Its Chicory 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:(lwww.leginfo.ca.gov/calaw.html.
>ignature of Property Owner or Authorized Agent -__,___ _ _ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7,4 of vis" n 3 of the Business and Professi is
Date
In full force
and effect. License Class License No �3 Contractor Signature
PORKERS' COMPENSATION DECLARATION
rARNING. FAILURE Tb bECJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NAL MI A" CIVIL FINES UP TOONE HUNDRED THOUS f6100,0001, IN ADDITION TO THE
:CST OF COMPENSAT'CN DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
h,O:cty €fflrm under penalty of perjury one of the following declarations:
.I have and wit ,na;n;aEn a certifatate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 37W of the Labor Code, for th
cdcrma,.co of the t7ork for which this permit is issued. Policy No.
havei and will T 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'
ante carrier a,TJ poi:cy number are:
Policy Number
of Agent
Date
LC 4cnif r 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' compensati n laws f California, and agre
that, if I rhouid become ,object to the w r •ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
S�gnatur? of Applicant
DECLARATION l7EGA .{7' ' ON � UCTION LE_..__a___ ENCY. Date ri 'Z -
I hereby affirm under penalty of perju ere is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code)
Lenders Name Lenders Address
By my signature below, I certify to each of the following:
I am the property owner or authorized 10 act on the property owner's behalf.
i have read this application andthe information I have provided is correct.
I agree to comply with all applicable city and county c; 'iit��tlrg to building construction.
I authorize representatives of this city or county t - for inspection purposes.
Signature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized A ent's Name ^' i]i- /r'^o Date
ACTION DATE BY j DECLA NIPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
l 33j REGULATIONS PART 61 OF TITLE AD AND AQMD RULE
1403
PERMITEXPIRED ;I.All..
1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EP� A
PERhR1T EXTENDED a __ _.� CERTIIT FICATE LE TO
CERTIF7CAFE Of OYpSFD OCCUPANCYISSUED I ! l/