HomeMy WebLinkAboutXR2023-2850 - PermitsaEWPoR City of Newport Beach 111111p11111111111p11111p11111111111111111111111111p1111 COMB Permit : XR2023-2s50
D� "I Community Development Department- Building Division X R 2 0 2 3 2 8 5 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2747
Permit Counter Phone: (949) 718-1888 Issued Date : 10/10/2023
u S newportbeachca.gov/civic Final Date:
cqG/Fp0.N�P Combination Type - Permit Status: Issued
Work Class - Other Inspection Area : 6
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 : 31 MONTECITO DR Legal Desc : N TR 7844 BILK LOT 70 d ''d "�.+ ice- CDT "'
Description: SFR RETAINING WALL 26 LF X 5'H, INSIDE THE P/L -
Owner: HENRY & GEORGEANN CAMISASCA
Address : 31 MONTECITO DR
CORONA DEL MAR, CA 92625
Phone : (949) 542-0195
Applicant: PAT AUSTIN
Address : 2732 E COAST HWY, Suite B
CDM, CA 92625
Phone : (949) 718-3528
Owner/Builder :
Address :
Phone
Contractor: LAND ART BY SAEMAN INC
Address : PO BOX 929
DANA POINT, CA 92629
Phone :
(949) 701-3826
Con State Lie
: 1028864
Lie Expire :
07/31/2025
Bus Lie:
BT30058441
Bus Lie Expire : 03/31/2024
Workers' Compensation Insurance
Carrier: INSURANCE CO OF THE WEST
Policy No : WVE503722706
W. C. Expire : 7/1/2024
Code Edition :
2022
Fire Sprinklers :
Type of Construction :
V-B
Fire Hazard Zone
Occupancy Groups :
U
No of Units :
Bldg Height:
No of Stories
Building Setbacks :
Front: 6, Side:
5, Side: 5, Rear: 107-100
Flood Zone :
X
Use Zone :
PC - Harbor View
Hills
PROCESSED BY:
SPECIAL CONDITIONS
Architect: CHILDSCYNTHIA ARCHITECT
Address: 2732 E COAST HWY #B CORONA
MAR, CA 92625
Phone:
(949) 718-3528
State Lie
Engineer :
ASKARIAN KYLE
Address :
17595 HARVARD AVE #C-734
IRVINE, CA 92614
Phone :
(310) 404-1834
Designer
Address
Phone:
NO Construction Valuation : $12,000.00
NO Added/New/TI sq. ft. Bldg : 0
0 Alteration sq. ft. Bldg :
0 Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION
1 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 items) '..
(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
the 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
Professions Code) or that he or she is exempt from liceesure 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
not more than five hundred. dollars ($500).
71 I, as owner of the property, or my employees with wages as their sole compensation, will do (_,) all of of U portions of the work, and the structure 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' ar 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).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ar'ply to an owner of property who builds or improvesthereon, and who contracts for the projects wRh a licensed Contractor pursuant to the Contractors State License Law).
❑ 1 am exernpt from Iicensure under the Contractors' Stale License Law for the following reason
By my signature uelow', 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
sill P atnlctura that I have built as an owner -builder if it has not been constructed in its entirety by liconsad contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Coda, is avPllable upon request when this application is submitted or at the following Web site:http:/iw m.leginfo.ca.gavlcalaw.html.
Sic,nah::-e of Property Cwr Gr Authorized Agent _._ __..__ Date
LICENSED CON 'RACTOR'S DECLARATION
I h�reh , affirm um;er pe.tally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7, 00) F Di 'side 3 of the Business and Praf�e ad'e, and y license is In full force
Pnd effe6t. License ClPss License No at b Contractor ignature�_ _- - - J�
11V^PKERS' CCGP'_N.SATION DECLARATION X
✓T PN'NS: FAI IJI 1 C CE:URE WORKERS' COMPENSATION COVERAGES UNLAWFUL, AND SHALL SVEJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO. ONE HUNDRED THOUSAND DOLLARS (5100,U00), IN ADDITION To THE
COST Or COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 5106 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES_
hcrehy affirm underpenalty of perjury one of the following declarations:
I I have and v:il' me ntain 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, forth(
performance of. the Work for which this permit is issued. Policy No.
lave and will n.¢-intain warners' 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` compensatior
Face carrier and policy number are: _
ar Policy Number Expiration Date
E of Agent Phone B
ertify that in the perle of th ork 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 agree
if I sh coo I _ a Y orkers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. h t
rlure of ^`�licaGt �: .,...,.,. .., to
— —
hereby affirm undlarpenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade).
ender's Name Lenders Address
y 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 co r a. s and state laws relating to building. construction.
I authorize representatives of this city onvCo ly t e e= ntified p. erty for inspection purposes. _ / fm
imiaiurr� of Prooartv Owner or Authorized A ® Print Procertv Owner's or Authorized o is �j Name V
ACTION DATE ✓RY 'I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE
14033
PERMtT EXORED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCF-IfED T®�CPA
PERMIT EXTENDED _ r... IJAQM D
PEAM7T fINAL �� 1(I+ ASBESTOS NOT I HCAI10N 15 NOTAPPLICABL.E 1.0
CERTIFICATE OFOCCUPANCYISSUED (��I' rr j SIGNATURE: EMOLITfON