HomeMy WebLinkAboutXR2023-0436 - Permits�aEWPpa� City of Newport Beach
p n Community Development Department - Building Division
F { q 100 Civic Center Drive, Newport Beach, CA 92660
- ? Permit Counter Phone: (949) 644-3288
o- Inspection Requests Phone: (949) 644-3255
°g4coa"�P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
11111111111111111111111111111111111111111111111111111111111COMB Permit : XR2023-0436
Plan Check No : 1413-2022
Issued Date : 02/24/2023
Inspection Area : 1
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: 48 BALBOA COVES Legal Desc : N TR 1011 BILK LOT 48
Description: DELTA 1 REVISION & ADD'L SCOPE: ADDED GRADING PLAN AND ALT HARDSCAPE AROUND PROPERTY (REV2023-0295)
Owner: CRISELDA M SIEGEL REVOCABLE TRUST
Address : 4B BALBOA CVS
NEWPORT BEACH, CA 92663
Phone
Applicant:
PACIFIC PAVERS
Address :
1261 N LAKEVIEW AVE UNIT J717
ANAHEIM, CA 92807
Phone:
(714)718-3970
Owner/Builder
:
Address :
Phone
Contractor :
PACIFIC PAVERS
Address :
1261 N LAKEVIEW AVE UNIT J717
ANAHEIM, CA 92807
Phone:
(714)718-3970
Con State Lie
: 1005154
Lie Expire :
07/31/2023
Bus Lie :
BT30078865
Bus Lie Expire : 05/31/2023
Workers' Compensation Insurance
Carrier: CLEAR SPRING PROPERTY AND CASUALTY
COMPANY
Policy No : CWC00088400
W. C. Expire : 8/6/2023
Code Edition : 2019
Fire Sprinklers :
Type of Construction : V-B
Fire Hazard Zone
Occupancy Groups : U
No of Units :
Bldg Height :
No of Stories
Building Setbacks : Front: 5, Front: 15, Side: 4, Side: 4
Flood Zone : AE, 8 FT; X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: LIQUEFACTION; HIGH -DENSITY
Architect
Address:
Phone:
State Lie:
Engineer: PUTNAM CARL MATTHEW
Address: 3441 IVYLINK PL
LYNCHBURG VA 9192b, CA 91926
Phone: (434)384-2514
Designer:
Address :
Phone :
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg
1 Alteration sq. ft. Bldg :
0 Added/New sq. ft. Garage
TOTAL sq. ft. :
NO CONSTRUCTION NOISE
$35,000.00
0
ON THE WEEKEND
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 checkrnark(s) I have placed next to the applicableitem(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
in permit to file a signed statement that lie or she is licensed pursuant to theprovisions of the Contraclors' 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 fora permit subjects the applicant to a civil penalty, of
of more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
lusiness 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).
Z h 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
am exempt from licensors under the Contractors' State License Law for the following reason
ly 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 legal
ell a structure that I have built as an owner -builder if it has not been constmctod 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:liwv,w.leginfo.ca.govlcalaw.html.
Ignature of Property Owner or Authorized Agent Date
LICENSED 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 Profession de, end full fo
nd effect. License Class License. No 1)ate.....L-244-Zi'25 Contractor -Signature,
VORKERS' CCMPEN3ATION DECLARATION
'AdNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS uNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR"1[00.0001, IN ADDITION TO THE
CST OF COMPENSATION DA GES 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:
hxe 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
Army nce of th'3 we•k for which this permit is issued. Policy No,
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' compensa
;Lr.aa Carrier and ;.elicy number are,
Policy Number
of Agent _ _ _
Date
certify that, in thF perormance 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 Califomla, and
, 4, should become subject lope workers' comps n provisions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions.
Of
DalB
3reby affirm under penalty of perjury that there is struction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
ider's Name Lender's 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 to ter the a e-ide roperty f cuon purposes,
nutting of Property Owner.a Authorzed Agent - Print PropertypOwner's or Authorized Agent's Name 6GLEO IA )Mo
Pt>' DATE BY i DECLARATION OFCWFnIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 6t OFTITLE40 AND AOI RULE
EXPIRED
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