HomeMy WebLinkAboutXR2022-2373 - Permits (3),EWPo� City of Newport Beach II IIII I I III II I III III IIII II
Community Development Department- Building Division COMB Permit:XR2U22-2373
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 1226-2022
Permit Counter Phone: (949) 644-3288 Issued Date : 09/14/2022
Inspection Requests Phone: (949) 644-3255
cq</coaN`P newportbeachca.gov/inspections Inspection Area : 1
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: 1125E BALBOA BLVD Legal. Desc : A TR:BALBOA.TR EAST SIDE ADD BLK 18 LOT 12
Description: DELTA 2- *ADDITIONAL SCOPE* BLOCK WALL 5' HIGH X T LONG INSIDE P/L & DRAINAGE
Owner:
Address :
Phone:
Applicant
Address :
Phone:
JOHN C NEGUS TRUST
Contractor :
Architect
235 BROADWAY
Address :
Address
COSTA MESA, CA 92627
Phone::
Phone:
Con State Lie :
State Lie
. Lie Expire:
BRUCE MANZER
Bus Lic::
Engineer
Bus Lie Expire : -
Address
714 720 4394
Owner/Builder : JOHN C NEGUS TRUST
Address: 235 BROADWAY
COSTA MESA, CA 92627
Phone:
Workers Compensation Insurance
Carrier':
Policy .No:
W.:C. Expire: -
Phone
Desigi
CHOI DAVID
1327 LOMA AVE
LONG BEACH, CA 90804
(562)961-5600
Code Edition :
2019
Fire Sprinklers: NO
Construction Valuation : $5,000.00
Type of Construction :
V-B
Fire Hazard Zone NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
U
No of Units : 0
' Alteration sq. ft. Bldg :
Bldg Height :
No of Stories:
Added/New sq. ft. Garage: 0
Building Setbacks :
Front: 8, Side: 3, Side: 3, Rear: 0
Flood Zone :
X
Use Zone:
R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
firm under penalty of perjury that tam exemptfromthe Contractors' State License Law for the reason(s) indicated Wow by the checkmark(s) I have placed next to the applicable: item(s)
5, Business and Professions Code: Any city: or countythat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to if, issuance, also requires the applicantfor
fa a signed statement that he ar she is licensed pursuant to the provisions of the Contractors` Stele License Craw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
)de) or that he or she is exempt from Iicensitrre and the basis for the alleged exemption. Any violation of Section 7031.E by any applicant for a permit subjacts the applicant to a civil penalty of
five hundred dollars ($500}
owner of the property, or my employees with wages as their sole compensation will do: L) all of or (_) portions "of:the work, and the structure is: not intended or offered for sale (Section 7044,
s and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emptoyees' :or personal effort, builds or improves theproperty, provided that the
Tents 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 otproving that it not built or
d for the purpose of sale).
-Owner of the property,am exclusively contractingwith licensed Contractors to construct the project (Section 70",.Business and Professions Code; The. Contractors' State License Law does not
an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState license Law),
exempt from licensure under the Contractors' State License Low for the following reason:
ignature 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 leg
ucture that I have built as an owner -builder if it has of b n cons ted in its".onfiroty by licensed contractors. I understand that a: copy of the applicableiaw, Section 7j�44 of the Nosiness and
ons Code, is. available upon request when p, iC u m' d drat the following Web site:httplMww.leginfo.ca.gov(calaw.htm(. ](� �i
a of Property Owner or Authorized Anent h / t7at€ l 4'5—k7 _
ICENSED CONTRACTOR'S
hereby affirm tinder penalty of pt
nd effect. License Class
9 (commencing with Section 7000) of Division 3 of the Bustness and Professions Code, and my license is In full force
Date Contractor Signature
PORKERS' COMPENSATION DECLARATION
EARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL: SUBJECT AN EMPLOYER TO CRWHAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S196,0001, IN ADDITION TO THE
:DST OF COMPENSATION; DAMAGES AS: PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEYS. FEES.
hereby affirm under penalty of perjury one of the following .declarations:
I I have 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 ofthe Labor Code, for tht
performance of the .work for which this permit: is issued, Policy No,
11 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' compensation
isurance carrier and policy number are;
;a@'ter Policy Number Expiration Date
alft
that. In the performapet
ould became suoj to
f Applicant
TION REGA G CO
hereby affirm under penalty of pe
_enders Name
3y mysignature below. ! Certify to
I aril the property owner or But
I have read. this applicationan
i agree to comply with all Appl.
I authorize representatives of
signature of Property Owner or At
ACTION DATE
PERMIT EXPiRFD
PERMIT GAIKELtfD
PERMIT EXTENDED
PERMITFINAL (Z-Za
C€RTIFICAT€OF
OCCUPANCYISSU€O
vhich this permit is Issued. I shall not employ anyperson in any manner so. as to become subject to the workers' compensation laws of California; and agree
Ben ation provisions of Section 3700 of the Labor Code;: I shall forthwith comply Win those provisions. e
ENDING AGENCY
I a construction lending agency for the performance of the work for which this permit is. issued (Section 309ivil Cade),
Lender's Address
and state
NOTAPPLICABLE TO
FOR OFFICE. USE ONLY
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