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HomeMy WebLinkAboutXR2023-0724 - Permits��gWPD� City of. Newport Beach Community Development Department- Building Division t}- n 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U a Inspection Requests Phone: (949) 644-3255 cgC�FppN�� newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 1111111111111111111111111111111111111111111111111111111111111 COMB Permit : XR2023-0724 Plan Check No : 2143-2019 Issued Date : 03117/2023 Inspection Area : 3 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 : 1718 GALAXY DR Legal:Desc : -_ Description: SFR ADD HALLWAY TO CONNECT 1712 & 1718 GALAXY DR:182 SF AS B� Owner: JOHN MATTHEWS Contractor : FERGUSON JF Address : 1718 GALAXY DR Address : 20731 CHAUCI NEWPORT BEACH, CA 92660 HUNTINGTON Phone: - Phone: (949) 412-5518 Applicant: FERGUSON JAY B Bus ui Address : 20731 CHAUCER LANE Bus Lip HUNTINGTON BEACH, CA 92646 Phone: (949)412-5518 Worke Carriei Owner/Builder : Policy Address : " W. C. I Phone: Code Edition : 2016 Fire SI Type of Construction : V-B Fire Hi Occupancy Groups : R-3 No of I Bldg Height: No of PERMIT* Architect: BEAUCHAMPDANIEL Address: 470 WALD IRVINE, CA 92618 � 9"Lb4b Phone: (949)727-3840 State Lic Engineer: YAGHI SHUCRI I ... Address : 112 E. CHAPMAN #D ORANGE, CA 92866 Phone: (714)997-9120 Designer Address Phone: Construction Valuation Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg s :: 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single-Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: EXEMPT ire: M • .w.ao•• 0 0 . .. ooao. than wements are not intended or offered for sale. It, however, the building or improvement is sold within one yaar of Complet n,'the sued for the purpose of sale), as owner of the. property, am exclusivaiy Contracting with licensed contractors to: construct the Pr oiect (Section 70aa, burs€nas3 I to an owner of property who builds or improves thereon, and Who contracts for the projects with a licensed Contractor pursuant am exempt from llcensure under the Contractors` State: License Law for the folfotving reason; 1_ - .____..,.._.__. __..... +r...,y .:..moo rose .u5W4++'✓*'�m,eyun� Signature of Property Owner orA€rthorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9:(Commencing with Section 0): f and effect License Class License No Date WORKERS' COMPENSATION DECLARATION WARNING, FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL. SUBJECT AN EMPLOYER TO CRIMINAL PENALTI COST OF COMPENSATION, DAMAO" AS PROVIDED FOR IN SECTION 3M OF THE LABOR:CODE, INTEREST, AND ATTORN&$ FEES. I hereby affirm under penalty of perjury one of the following. declarations: I have and will maintain a certificate of Consent t0 self -insure for Workers` compensation, Issued by the Director Of performance, of the work for which this permit is issued. Policy No, ©I have and will maintain workers' compensation insurance, as required by Section 3700 of theLaborCode:: for the per nsurance carder and policy numb/r are; - - - artier ..... _ Policy Number off gent: ....' ce K, that, it ttya p(ilformance of the k for whi th permit is Issued, I shall not employ any person in any mannerSt , €f I,should batome s ject to the r Ts' coin as an Provisions of: Section 3700 of the Labor Code. I shalt. forthwith, . . . , 3fgn9titre of Applicant nt / DECLARATION. F44 DING C 5 ft L G AGENCY IS aiRrm under pilhafty of pe ` t tthere I nstruction lending agency for the performance of the work for which I Lendar_'s Name• ... . EXTENDED 3•�'v�6lJ �PRDYS£CDOItlpfit'7IS/ ARPLIfABt£tp CIVIL ds or Improves the property, provided that the a the burden of proving. that it was not built or The Contractors' State License Law does not. x License: Law), is provided for by Section 3700 of the Labor Code, ,for c for which this permit is issued. MY workers`.compensa Date those provisions.. ^T Dat, [ 7J issued (Section.3097, Civil Code), sName JdT"1 b (i�+ =l °N/iEata_�/t7