HomeMy WebLinkAboutXR2022-1957 - PermitsaEWPpRT City of Newport Beach II IIII I I II I II I III IIIII II II
Community Development Department- Building Division COMB Permit : XRZO22-1957
F n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 644-3288 Issued Date: 07/19/2022
ea Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections Inspection Area:3
Combination Type - SFP
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 : 20332 RIVERSIDE DR Legal Desc : N TR 2581 BILK LOT 9
Description: BLOCK WALL 6' HIGH X 95 LF (INSIDE P/L) *DETAIL 3B
Owner: VIVIANNAFABRIZIO
Contractor: THUNDER MASONRY
Architect:
Address : 20332 RIVERSIDE DR NEWPORT BEACH, CA
Address: 19072 E RYALS ORANGE, CA 92869
Address
Phone :
Phone: (714) 329-2593
Phone :
Con State Lic : 872342
State Lic
Applicant: THUNDER MASONRY
Lic Expire : 06/30/2023
Address : 19072 E RYALS ORANGE, CA 92869
Bus Lic: BT30079290
Engineer:
Phone: (714) 329-2593
Bus Lic Expire: 07/0112023
Address:
°, o
Workers' Compensation Insurance
Phone:
,
Carrier:
,
Policy No:
Designer:
W. C. Expire:
Address
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation :
°
$8,560.00�
Type of Construction : V-B
Fire Hazard Zone : Y
Occupancy Groups: U,R-3
No of Units : 1
Added/New/Ti sq. ft. Bldg :
0 °.
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage:
0
Building Setbacks: Front: 20, Side: 5, Side: 5, Rear: 25
Flood Zone: X
Use Zone: SP-7 - Santa Ana Heights Specific Plan
PROCESSED BY:
SPECIAL CONDITIONS: q ; f-q� � �� a
� 1 �� 1 0i
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 item(s)
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
to 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
'rofessions 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).
11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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 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
nproved for the purpose of sale).
11, 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
pply 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 licensure under the Contractors' State License Law for the following reason:
ry my signature below I 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 legall)
ell a structure that 1 have built as an owner -builder if it has not been constructed in its entirety 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://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prpfe Si e, an my license is in full force
nd effect. License Class C Zq License No e72T �/7 Daly/ 7 9� 1Contractor SignaturA/ - s/
PORKERS' COMPENSATION DECLARATION JG r
COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
ECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'3 FEES.
affirm r,inderI)enatty of perjury one of the following declarations:
,e and4All maintain a certificate of consent to self -insure for workers' compensation,
Ince of the -work for which this permit is issued. Policy No,
issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
and vfili ovirl:ain 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'
carrier and policy number are:
Policy Number Expiration Date
JiV that, in the peiformance 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 agre
I Mould bAom�e /sstubjeeccJc rkers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �/f
e' of ApplarantY.\ ,F/ Date 7V �—/ P — Z 'L
MT31. �, cTOurTr n.r C.mmr wI`ckl `v T'
!reby 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)
ider's Name Lenders Address
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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or county t et tit above -identified property for inspection purposes.
nature of Prooertv Owner or Authorized Anent lc _ _ _ Print Property Owner's or Authorized Agent's Nam
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY r r
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTI FICATION TO
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.
PERMITCANCELLED
EPA
PERMIT EXTENDED
1EQMD
PERMIT FINAL
pp 22 g� %9
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOF
OZJ-µ+
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURE: