HomeMy WebLinkAboutXR2023-0564 - PermitsCity of Newport Beach
��EWPp?T
@
Community Development Department- Building Division
a y y
100 Civic Center Drive, Newport Beach, CA 92660
?
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
cggFoaN`P.
newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Demolition
I��III��III ��III�IIII��III�IIIIIIIII111111111111111I�IJJ COMB Permit : XR2023-0564
Plan Check No : PC2023-0452
Issued Date : 03/01/2023
Inspection Area : 4
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 : 14 OAK CREST LN Legal Desc :
Description: DEMO SFR/GARAGE 7300 SF, 5 BEDROOMS, SEWER CAP INCLUDED
Owner: HAGESTAD JOHN S TR
FAMILY TR
Address : 14 OAK CREST LN
NEWPORT BEACH, CA 9266C
Phone:
THE HAGESTAD Contractor: LONGMAN CONSTRUCTION CO INC Architect :
Applicant: LONGMAN CONSTRUCTION CO INC
Address : 2782 CIRCLE DR
NEWPORT BEACH, CA 92663
Phone: (949) 722-7711
Owner/Builder :
Address :
Phone
Address :
2782 CIRCLE DR
NEWPORT BEACH, CA 92663
Phone :
(949) 722-7711
Con State Lie
: 393881
Lie Expire :
08/31/2023
Bus Lie:
BT00001921
Bus Lie Expire : 03/31/2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No: 9062475
W. C. Expire : 7/1/2023
Address: „o
Phone:
State Lie
Engineer: VIKTORMEUM
Address: 139 AVENIDA NAVARRO
SAN CLEMENTE, CA 92672
Phone: (949)492-8588
Designer: DAVID MARTIN
Address : 105 ZION DR.
LAKE FOREST, CA L
Phone : (949) 842-7972
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation : $28,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/NeWITI sq. ft. Bldg : 0
Occupancy Groups :
U,R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks :
Front: 10, Side: 5, Side: 5, Rear: 15
Flood Zone:
X
Use Zone
PROCESSED BY:
SPECIAL CONDITIONS:
JD Pcno e %:adrn'
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
he 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
Irafessions 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
tat more than five hundred dollars ($500),
11, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
tusiness 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
inprovod for the purpose of sale).
3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
Ipply to an owner of property who holds or improvesthereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
1 am exempt from Itcensum under the Contractors' State License Law for the following reason:
3y 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 legally
,oli a structure that I have built as an owner -builder if It has not been constructed in its entirety by licensed contractors. I understand that 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:llwww.leginfo.ca.gov/calaw.html.
agnature 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 7 00) �( D' Isiof the Business and Professions Code, and ice 'r; In fur rce
and effect. License Class License. No Date .� / Contractor Signature t
VORKERS' COL1?ENSATION DECLARATION
IARNING: FAILURE TC CEC'JRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTRe'S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE
:LST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LASOR CODE, INTEREST, AND ATTORNEYS FEES,
hereby a;Flrm under penalty of perjury one of the following declarations:
l 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 of the Labor Code, for tra
�ey5rnrance of the work for which this permit is issued. Policy Na.
E'I have and will twain 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' compensatior
lsurance carrier aid poliy number are:
:arrier Policy Number Expiration Date
lame of Agent Phone M
,i certify that, in tine nornormence of the Wo which this permit is ed, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
tat, if I should became subject to the w ers' lion p sinus 'Section 3 r Code, I shall forthwith comply with those provisions.
S� 3
Iigr^.icr. of AppY.ar't Date,_,,,_,_,
IECLARATiON k4GAkO NG ST C O ENDING AGEN Y
hereby affirm underpenalty 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).
tinder's Name Lender's Address
�y 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 ordinanc s to I ling to building construction.
I authorize representatives of this city or county to"ter ; .. ena tihed p pertv for inspection purposes.
of PfoDertv Owner br Aulhorized ADenl .1� Print Property Owner's or
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
PERMITEXPIHED ( 'L'IISUBMITTED ASBESTOS NOTIFICATION TO
PERM1TCANCE1tED FDA
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
NOTIFICATION I5_ OT-0VPUCA9t& TO
FOR OFFICE USE ONLY
9992
s
5652 UT9 T000 UZ9T 220L
i2 LLT9 T000 W.9T 220E