HomeMy WebLinkAboutXR2023-0411 - PermitsCity of Newport Beach '
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
IIIII��III��111111111111111111111111111111111111111111111111COMB Permit : XR2023-0411
Plan Check No:
Issued Date : 02/13/2023
Inspection Area : 2
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: 29 HARBOR ISLAND Legal Desc : N TR 802 BLK LOT 29 TR 802 LOT 29 ALL -INC BET SAME & HIGH T IDE
Description: SFR BLOCK WALL ON P/L 105 LF X 6' HIGH MAX
Owner: MATHEWSON ROBERT A TR
Address : 29 HARBOR IS
NEWPORT BEACH. CA 9266C
Phone:
Applicant :
Michael John Cote
Address :
26000 Avenida Aeropuerto #51
San Juan Capistrano, CA 92675
Phone :
(949) 519-5949
Owner/Builder
:
Address :
Phone
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: U
Bldg Height:
Building Setbacks : Front: 15, Front: 15, Side: 4, Side: 4
Flood Zone: AE, 8 FT; X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
Contractor : Michael John Cote
Architect
Address : 26000 Avenida Aeropuerto #51
Address
San Juan Capistrano, CA 92675
Phone: (949)519-5949
Phone:
Con State Lic : 948393
State Lic
Lic Expire : 06/30/2024
Bus Lic: BT30080705
Engineer:
Bus Lic Expire : 02/29/2024
Address
Workers' Compensation Insurance
Phone:
Carrier :
Policy No : EXEMPT
Designer
W. C. Expire:
Address
Phone:
Fire Sprinklers : NO
Construction Valuation
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
No of Units : 0
Alteration sq. ft. Bldg :
No of Stories : 0
Added/New sq. ft. Garage
TOTAL sq. ft. :
SPECIAL CONDITIONS: P/L AGREEMENT ATTACHED; REV DELTA #1 - 30LF TO 105LF; DELTA #2 - PILASTER REV.
$30,000.00
0
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 items)
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 toils issuance, alsD requires the applicant for
ie permit to file a signed statement that ho 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
'rofossions 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
of more than five hundred dollars ($500).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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).
1 I, 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),
3 1 am exempt from licensure under the Contractors' Stale License Law for the following reason;
Iy 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
oil 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 acopy of the applicable law, Section 7044 of the Business and
'rofessions Code, isavailable upon request when this application is submitted or at the following Web site:http:liwwwJeginfo.ca.gov/colow.html.
Iignature 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 7000) of Division 3 of the Business and Professions Code, and my license is In full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100.000), IN ADO UPON TO SHE
DST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3TQS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 of the Labor Code, for th
erformance of the work 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'
rance carder and policy number are:
Policy Number
Date
is of Agent Phone #
certify that, in the performance 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 California, and
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions,
signature of Applicant _ Dater _
)ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty 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 Lander's Address
ly 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 slate laws relating to building construction.
I authorize representatives Of this city or county to enter the above -identified property for inspection purposes.
Iignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Adoni's Name
ACTION DATE By ( DECLARATION F REGULATIONS PARTO61 OF TTITLE 40 AND AQMD RULE IL FOR MPLIACE WITH CODE OF OFFICE USE ONLY
PERAVTEXPIRED ( ISUBMITTEDASBESTOSNOTIFICATIONTO
PERA41TEXTEIVOW j tJAQmD
PEReY17T PINAi (YLJ ASBESTOS No 15 NOT APPLICABLE TO
CERTIFICATE OF I PROPOSEO DEMOLITION
OCCUPANCY15iiUE0 �J I SIGNATURE:
�E.wPoRT
City of Newport Beach
O
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
s
Permit Counter Phone. (949) 644 3288
Inspection Requests Phone. (949) 644-3255
°94 ponN`P
newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
jjIIIIIIIIIIII 111111111111111111111111111111111111111 I �� COMB Permit : XR2023-0411
Plan Check No
Issued Date : 02/13/2023
Inspection Area : 2
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: 29 HARBOR ISLAND Legal Desc : N TR 802 BLK LOT 29 TR 802 LOT 29 ALL -INC BET SAME & HIGH T IDE
Description: SFR BLOCK WALL ON P/L 30 LF X 6' HIGH MAX
Owner: MATHEWSON ROBERT A TR
Address : 29 HARBOR IS
NEWPORT BEACH, CA 92660
Phone
Applicant: PACIFIC CONTRACTORS
Address: 26000 AVENIDA AEROPUERTO #51
CAPISTRANO BEACH, CA 92675
Phone : (949) 510-5949
Owner/Builder:
Address :
Phone
Contractor: PACIFIC CONTRACTORS
Address : 26000 AVENIDA AEROPUERTO #51
CAPISTRANO BEACH, CA 92675
Phone: (949)510-5949
Con State Lie : 948393
Lie Expire : 06/30/2024
Bus Lie: BT30080705
Bus Lie Expire : 02/29/2024
Workers' Compensation Insurance
Carrier :
Policy No: EXEMPT
W. C. Expire:
Code Edition : 2022 Fire Sprinklers : NO
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : U No of Units : 0
Bldg Height: No of Stories : 0
Building Setbacks : Front: 15, Front: 15, Side: 4, Side: 4
Flood Zone : AE, 8 FT; X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY: �-
SPECIAL CONDITIONS: P/L AGREEMENT ATTACHED
Architect
Address
Phone:
State Lie
Engineer
Address:
Phone:
Designer
Address
Phone:
Construction Valuation :
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg:
Added/New sq. ft. Garage:
TOTAL sq. ft. :
$15,050.00
0
0 t
0
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 applicable ftem(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
is 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
'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 for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
iusiness and Professions Code: The Contractors' $i me License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
npmvemems 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).
1 I, as owner of the property, am exclusively contracting with licensed Contractors tG 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),
1 I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy 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 boon constructed 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 orat the following Web site:http:/Iwww.leginfo.ca..gov/calaw.html.
Ignature 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 Soothe 00) Diyiislon 3 of the Business and Prr` SIG s Code, an y Ile nse' In full force
nd effect. License Class License No Date Contractor Signature '
WORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,0001, IN ADDITION TO IN
OST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES_
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ti
etformance of the work 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'
ranee carrier and policy number are'.
Policy Number
Date
me of Agent Phone If
hesrtify that, in therformance 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 California, and agree
t, if I should be subjec the workers' compe provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applica [ Date,��
CLARATEON RE RDl ONSTRUCTIDN TENDING AGENCY
nsby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, w Cade).
tiler'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 -I provided is correct. e
I agree to comply with all applicable city and cou ty rdinances and statersays re a g to building construction.
I authorize representatives of this city or county nter the above-denVied_pfjW^ for inspection purposes. _ —) AL
ACTION DATE By If DEL RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
{ REGULATIONS PART 61 DF TITLE 40 AND AQMD RULE
EXPIRED
PERMIT FINAL I U ASBESTOS NormCATION 15 NOT APPLICABLE TO
CERTIFICATE OF 1 PROPOSED DEMOLITION
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