HomeMy WebLinkAboutXR2023-1364 - Permits�Ea-aaRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-1364
0< d Community Development Department- Building Division X R 2 m 2 3 3 6 a
F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2202
Permit Counter Phone: (949) 718-1888 Issued Date : 05/2412023
newportbeachca.gov/civic Inspection Area : 2
C9��F00.N�P Combination Type -
Work Class - Other
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 : 129 VIA JUCAR Legal Desc : N TR 907 BLK LOT 709 TR 907 LOT 709 NELY 15 FT THEREOF(AND A LL -EX
Description: SFR - BLOCK WALL30"' H X 59 LF; BLOCK WALL AT SIDE YARD 6' X 9 LF INSIDE P/L *CITY STD
Owner: ROBERT PIGNERI
Contractor :
Architect
Address : 129 VIA JUCAR 129 VIA JUCAR
Address :
Address
NEWPORT BEACH, CA 92663
Phone: (714)402-7005
Phone:
Phone:
Con State Lic :
State Lic
Lic Expire
Applicant: ROBERT PIGNERI
Bus Lic :
Engineer
Address : 129 VIA JUCAR 129 VIA JUCAR
Bus Lic Expire :
Address
NEWPORT BEACH, CA 92663
Phone : (714) 402-7005
Workers' Compensation Insurance Phone:
Carrier :
Owner/Builder : ROBERT PIGNERI
Policy No :
Designer
Address : 129 VIA JUCAR 129 VIA JUCAR
W. C. Expire:
Address
NEWPORT BEACH, CA 92663
Phone: (714)402-7005
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 4, Front: 10, Side: 3, Side: 3
Flood Zone : X
Use Zone: RR--1-Single-Unit Residential
NO CONSTRUCTION NOISE
` ►/E
PROCESSED BY: `
SPECIAL CONDITIONS: LIQUEFACTION; HIGH -DENSITY ZONE
ON THE WEEKEND
O/B FORM ATTACHED
F^�
in
$5,000.00
0
0
0
TION
t 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 ftem(s)
Section 7031.5. Business end 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
io 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
irofessions 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).
4 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,
luslness 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 Wilding or mprovement 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).
1 1, 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
poly 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).
I I am exempt from licensure under the Contractors' State License Law for the following reason:
,y my signature below I acknowledge that, except for my personal resid a in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
ctl i structure that I have built as an owner -builder if Ithas not been clod in R Dtirety, 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 applicalio sub. ed o. the following Web site:http:/Aw w.teginfo.ca,govlcalaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under Ions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Professions Code, and my license is in full force
I effect. License Class U nse No Date Contractor Signature
VORKERS' COM'.PENSATION DECLARATION
ARMING rAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($n"ITT 001, IN ADDITION TO THE
DST OF VOMPENSA, IUN, DAMAGES AS PROVIDED FOR IN SECTION 3TOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
rr .rep, affirm older panalty of perjury one of the following declarations:
I :ILve 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 th
G-forr'ance of Pie work for which this permit is issued. Policy No.
]I 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' compensatio:
r,Le,,LCe carrier air policy number are:
Policy Number Expiration Date
-4dnme a.- Agent Phone #
JI 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 Stirs
hat, If I. should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
3ignalure of App:ica^: Date_ _
3ECLARATiON 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
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the properly owner's behalf.
I have read this application and the information I have provided is Ct.
agree to comply with all applicable city and county ordinance rid late relating to building. construction. n
I authorize representatives of this city Or county to enter t abov -Id Ified property for inspection purposes. - -
signature of Property Owner or Authorized Agent Pont Property Owner's or Authorized Agent's Name (J' Date
ACTION DATE BY E DECLA N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REG TIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMN'EXPIRED_ ! _ I SUBMITTED ASBESTOS NOTI FICATION TO
PERMr7 CANCELLED— —�j—EPA
PERUrIT EXTFNDED � QN,— q ply
PERIMYTFINAL I S ASBESTOS NO11FiCATION IS NOT APPLICABLE TO
CERTIFICATE OF lv Mf PROPOSED DEMOLITION
OCCUPANCYISSUED _ IIVI� SIGNATURE:
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