HomeMy WebLinkAboutXR2023-0331 - Permits�tiWPORT City of Newport Beach
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COMB Permit:XR2023-0331
O� @ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
X R 2 0 2 3 0 3 3 1
PC Plan Check NO :
PC 2022-2171
1 s Permit Counter Phone: (949) 644-3288
Issued Date: 02/0 023
Inspection Requests Phone: (949) 644-3255
C9GIF00.N�P
Inspection Area :6
newportbeachca.govfnspections
Combination Type - SFP PLUM
Work Class - Demolition
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 : 2515 BLUE WATER DR
Legal. Desc : '
Description: DEMO SFR - 2548 SF - 4 BEDROOMS. SEWER CAP INCLUDED
Owner: SAMAAN KISHEK
Contractor : PATTERSON CUSTOM HOMES
Architect: BRANDON LINSDAY
Address : 2515 BLUE WATER DR
Address-: 15 CORPORATE PLAZA, STE 150
'-Address : 151 KALMUS DR, G-1 COSTA MESA, CA
CORONA DEL MAR, CA 92625
NEWPORT BEACH, CA 92660
92626
Phone:
Phone :' (949) 723-1800
Phone: (714) 754-4040
Con State Lie : 802367
State Lie
Lic Expire: 0713112024
Applicant: ANDREW SAAD
Bus Lie: BT02110534
Engineer : HAKIM FADY
Address : 151 KALMUS DR, G-1
Bus Lie Expire : `09130/2023 ':
Address : 124 PEONY
COSTA MESA, CA 92626
IRVINE, CA 92618
Phone: (714) 754-4040
Workers' Compensation
Insurance
Phone: (310) 422-1536
Carrier: STATE FUND
Owner/Builder :
Policy No: 9065406
Designer
Address :
W. C. Expire: 8/l/2023
Address
Phone: -
Phone:
Code Edition : 2022
Fire Sprinklers.; NO
Construction Valuation : $14,000.00
Type of Construction : V-B
Fire Hazard Zone NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
1
Added/New sq. ft. Garage: 0
:
TOTAL sq. ft. 0
Building Setbacks :
-
Flood Zone: X
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS: TT'GHT.bUARTERf3 alHl4%'L=BRIS-
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I hereby s
RKERS' COMPENSATION DECLARATION w
NING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND:SKALL: SUMCT AN EMPLOYER TO CRIMINAL PENALI
r OF COMPENSATION, DAMAGES AS PROVIDED MR IN SECTION:V06 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
retry affirm under penalty of perjury one of the following declarations:
('have and Will maintain a certificate of consent to self insure for workers' compensation, issued by the Director of
omiance, of the work for wfI)ols this permit is issued. policy No;
�+ave and will maintain workers compensation insurance, as required by Section 3700 of ure Labor Code, for the pe
nce carrier anti policy number are:
r Policy Number.
ieof Agent:
certify that, in the performance of the work for which this permit�'solssueq, I shall not employany person in any manner;
if I should becoma subjectto the wor mpensaticn sions of Se ' 3700-of the Labor Code, I shall forthwitt
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I am the prope
I have read ihn
i agree tocom
I authorize repi
OF
ISSUED If
Is not built or
Law does not
IN ADDITION TO THE
as provided for by Section 3700 of
is for which this permit is issued, M)
to become subject to the workers' compensation taws of California, and agre
ply with those provisions. I
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permit is, issued (Section 3D97, �Ivn C.Gde)..
DERAL .
FOR OFFICE USE ONLY
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