HomeMy WebLinkAboutXR2023-0411 - Permits (3)��EwroRr City of Newport Beach
@ Community Development Department- Building Division
> 100 Civic Center Drive, Newport Beach, CA 92660
„ Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
°quFoae`P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
11111111111111�111111111111111111111111111111111111111111 jjCOMB 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 l05 LF X 6' HIGH MAX
Owner: MATHEWSON ROBERT A TR
Address : 29 HARBOR IS
NEWPORT BEACH, CA 92660
Phone
Applicant: Michael John Cote
Address : 26000 Avenida Aeropuerto #51
San Juan Capistrano, CA 92675
Phone : (949) 519-5949
Owner/Builder:
Address :
Phone
Contractor :
Michael John Cote
Address :
26000 Avenida Aeropuerto #51
San Juan Capistrano, CA 92675
Phone:
(949)519-5949
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; REV DELTA #1 - 30LF TO 105LF
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. :
$30,000.60 '
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 [he 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
rofessions Code) or that he or she is exempt from licensors 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
iot 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,
Business 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
mprovements are not intended or offered for sale. If, however, file 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
mproved for the purpose of sale),
1, 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
Ippty to an owner of property who builds or improves: thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
I am exempt from licensure under the Contractors' State License Law for the following reason:
ty, 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 legail}
poll 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 orat the following Web site:httpJlwww.leginfo.ca.gov/calaw.html,
signature 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 700 of Division 3 of the Business and Profs s;jpCode, af� 1 ' Is In full force
ind effect. License Class License No Date Contractor Si naturavl.1�,�Y ram!/,. /e
VORKERS' COMPENSATION DECLARATION
EARNING: FAILURE TO 8ECPRE 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 ADDITION TO THE
COST OF COMPENSAf'J"F DAMAGES AS PROVIDED FOR IN SECTION 3109OF THE LABOR COOP, INTEREST, AND ATTORNEY'S FEES,
ne,eoy affirm uaderpenaity of perjury one of the following declarations:
2 1 h-wo and wIl maintain a certificate of consent to seiNnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
erlo,mance of the work for which this permit is Issued. Policy No.
and AT. ma' rain 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'
carrier and policy number are:
Policy Number
iJ of Agent
Date
certdy that. in the oerformance 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 Caiffomia, and
, If t should'aecc.,nE subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
e of Appfican'
Date��%�Z ?
IECLARATION RcG4RDING'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).
ender'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 1 have provided is correct.
I agree to comply with all applicable city and county ordinances and state caws relating to building construction.
I authorize representatives of this city or county topmer the aboV-iqj;lapfie ty for inspection purposes.
of Property Owner or Authorzed Agee.
1 DATE I By
PERMFf CANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION IS NOT APPLICABLE TO
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