HomeMy WebLinkAboutXR2023-1981 - PermitsaEwPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-1981
D� @ Community Development Department- Building Division X R 2 0 2 3 1 9 8 1
�y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1742
Permit Counter Phone: (949) 718-1888 Issued Date : 07/19/2023
ua.newportbeachca.gov/civic Final Date:
c9CIFp0.N�P Combination Type - PLUM Permit Status: Issued
Work Class - Other Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 _Y IGINAL ISSUANCE D Ti
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY ARE, K ON SUNDAY AND HOLIDAYS IN ALL R
If applicable'.
Z 3 D r 100D/D refund
Job Address : 1507 KATHLEEN LN Legal DeI
6 80 /o ODescription : SFR 15 LF 6'H BLOCK WALL' TY S 3N(�tnvTHE-P7DRAINAGE, GAS -TO BBC AND FIREPIT '
§ �p�
Owner: DAVID PAGLIA ontractor : RYAN BURRESS - '- AY0il4ct : hom'
Address : 1507 KATHLEEN LN address: 934 CONGRESS ST. Address
NEWPORT BEACH, CA 92660 COSTA MESA, CA 92627 "
Phone: one : - (�N) 975-1434 q,r- - Thone :
State Lic
on State Lic: 946479
Applicant: RYAN BURRESS
Address : 934 CONGRESS ST.
COSTA MESA, CA 92627
Phone: (714)975-1434
Owner/Builder :
Address :
Phone
Lic Expire : " '12/31/2024
Buh Lic : BT30053605 Engineer
�,,'Bus Lic Expire: 01/31/2024 . Address, '
Workers' Compensation Insurance.
Carrier: PACIFIC COMPENSATION
COMPANY
a"9
oIC�24/2t) 7 6
��, ,6, �,t�,teC��
Code Edition :
20221
Fire Sprinklers :
N
Type of Construction :
V-B
6 yOgl[ene :
NO
Occupancy Groups :
U
No of Units :
0
Bldg Height :
No> of
Building Setbacks :
Front: 20, Side: 6, Side:
6, Rear.�fr°�`"
Flood Zone :
X
Use Zone :
R-1-6000 - Single -Unit Residential (6 00 indicates minimum
lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
IN RA, E��`[
+kRY1\N BUURRESS
ddress : 934 CONGRESS ST._
pgS 16'V1dt
C� tr , .i:r,n'VafuatiorA
Added/NNew1T S .fits Bldg : 0
'X"iferation sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
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 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, alsorequires 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.E by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($50D).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or 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' or personal effort, huilds 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).
El I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and ,gfis``-bode: The Contractors' State License Law does not
apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor a Contractors' State License Law).
0 1 am exempt from licensors under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I .rdad for at least one year !!qqy� n of the improvements covered by this permit, I cannot legal
sell a structure that I have built as an owner -builder if It has not been con S 't emir by licensed contractors. I ur(Lle� t at a copy of the pgg(r0cab +(orb Suction 7044 of the Business and
Professions Code., Is available upon request when this a rattled or at I fo I Web site:htt ' .leginfo.ca.gov/c¢§law.htmttl t Qi1_/
Signature of Property Owner or Authorized 4r1D/o O V Date _
LICENSED CONTRACTOR'S D RATIONev,
I hereby affirm uoaer penalty of pe0u that On used und- s of Chapter 9 {commencing wl t{f i S3" 1170 ) f Diisian 3 of the ,Businor IS polo€e n nd my license is In full force
and effect License Class License o a u Of
1hC RAERS' COMPENSATION D CLARATION - — `�
WARNING FAILURE', O 9ECVRE IN
C MPEN tQAGE 19 LA PUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 7WOU5AND DOL R
COST OF C9MPENSATICN, DAMAGE$ AS PRO EDF N6ECTI 9]O6 H£L+��OR rgOUf INTEREST AND ATTORNEY SFEES
.
I hereby affirm undnr per ally of perjury no oahe follo decl `. �.
- Issued by the DtPrAOF of d tria. Relations as provided for b Section 37
�� l have and wilt Inamram �a cattitsda of r��lf-mauve for workers rompansalttm. lNs < he � us I I p y
EaDcgof the e.er, for w4tie}e this p mil is ued. POLey No }r a and`l miamtain workers' co apse a a ggqused �iy 5edion 3700 of thg Laba ,Code. fnr ti*e performance of the work for which this permit is Issue
e carrier ant; policy number are: - I Num
�rNaame of Agent
bl errt,'y that, in Ih6 per:ormar ce of the rk for which this permit is issued. shall not mploy any pereotrin a y ma er -come su R .�t��vorkers' compensation
Ilthat, if I should become sufpj Tr*-14�, k s' compensation provisions of Sedlion ZQ o orCode; I sh llh gom�ly v('j�tt�t�$s s'fons._
of
hereby affirm under penalty of perjuryktpet'tlre is
Finder's Name
y my signature below, I certify to each of Ilia
fowling
I am the property owner Or authorized to a
on the
I have read this application and the inform
10t�h
I agree to comply with all applicable city an
C4t�El
I authorize representatives of thiavcjty or cc
_ q
of Property Owner or
PERMIT EXTENDED
PERMIT FINAL
CERTf9CATE OF
OCCUPANCY ISSUED
of the work for which this
j N101 N „`W.. Lender's Address _
property owner's behalf.
a ��Qrovided is rase .
7dIn and state laws relatin to � cons)
e er he she -ide_nlified-pro arty for Ins�R&etiGrt' - ttrj
.ar,=•s°°'�'�'���Print Pro ertl
F COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61'OF TITLE. 40 AND AQMD RULE
1403
LJ LI SuamiTTED ASBESTOS NOTIFICATION TO
611i
tt��T`_gMO __ _
iJASBESTOSNOTIFICAHONISNOI"APPLICABLE rO
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY
16100,0001, IN ADDITION TO THE
of the Labor Code, for th,
My workers' compensatior
s of California, and agre
t" =,
A7 N—y