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HomeMy WebLinkAboutXR2023-0060 - Permits (3)Q ��WPOaT City of Newport Beach ����(IIIII I III II IIIIIII IIII IIIIIIIIIIIIIII �� COMB Permit : XR2O23-OOsO o_ d Community Development Department- Building Division.>'4"+� "� X R 2 0 2 3 0 6 6 0 > 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Plan Check No : 1917-2021 e.Inspection Requests Phone: (949) 644-3255 Issued Date : 01/1012023 cgGI FOM1�*�P newportbeachca.gov/inspections Inspection Area : 1 Combination Type - Work Class - Other 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 r j]. AREAS Job Address: 3906 RIVER AVE Legal Desc : A TR CANAL SECTION BLK 239 LOT 4 ' Description: SFR CONSTRUCT (6' HIGH BY 70' LONG) BLOCK WALL @ P/L PER CITY STANDARD PLANS **DETAIL 3A FTG** PERMENANT 941`�l(ERS CIgSITE: (X2021-2217) Owner: RICHARD ROSEN Address : 3906 RIVER AVE NEWPORT BEACH, CA Phone : (949) 246-5215 Applicant : Esteban Martinez Address : 360 E 1st St #776 Tustin, CA 2780 Phone : (714) 290-0490 Owner/Builder : Address: Phone: Contractor: PG LANDSCAPE Address : 424 S OLIVE ST ANAHEIM, CA 92805 Phone: (714)290-0490 Con State Lie : 1055351 Lie Expire : 07/31/2023 Bus Lie: BT30080410 Bus Lie Expire : 01/31/2024 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: 4, Front: 20, Side: 3, Side: 3 Flood Zone : AE, 8 FT; X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: V SPECIAL CONDITIONS: HIGH DENSITY ZONE; AE8 FLOOD ZONE; LIQUEFACTION Architect Address Phone: State Lie Engineer Address Phone: Designer: PG LANDSCAPE Address : 424 S OLIVE ST ANAHEIM, CA 92805 Phone : (714) 290-0490 Construction Valuation : $15,000.00 Added/New[T] sq. ft. Bldg: 0 Alteration sq. ft. Bldg : 70 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 NO CONSTRUCTION NOISE ON THE WEEKEND 41111 {�il�[!V v 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 ilem(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 the 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 of the Business and Professions Code) or that he or she is exempt from licensors and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 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 all art, builds or improves the property, provided that the improvements are not Intended or offered for sale. It, 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 improved for the puwsn of sale). 0 1, as owner of t;,c property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not app:y tD on owner cf property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), EI I am exempt from licensors under the Contractors' State License Law for the following reason:___-.---- BI On; 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 ksgally soil a structure that I have built as an ownero-builder if ithas not been constructed in its entirely by licensed contractors, I understand that a copy of the applicable law, Section 7044 of the Business and Pro,Bsslons Codc, iE Lrs'table upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.gov)calaw.html. Signatrr.=, of Property Owner or Authorized Agent Date L'CEtiSED CON_1 "rTOR'S DECLARATION I herd,hy affirm unce, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) df D' vision 3 of the Business and Professions c e is In toll force and effect. License Class License No Date �2 Contractor Signature WORKERS' CM41PEI.SATION DECLARATION WARNING: FAILURE Tv d£CUAE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE Clair OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under oal,alty of perjury one of the following declarations: !D 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 peerformance of the work for which this permit is issued, Policy No. Of 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' compensatiol insurance carrier and policy number are: to of Agent certify that, in the performance if I should become subject 11L of Policy Number Date 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 agre 77 ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. / 3 Ireby 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). 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 properly owner's behalf. I have read this application and the information I have provided is corre I agree to comply with all applicable city and county ordinances a J5 ate laws relating to building construction. I authorize representatives of this city or county to ante led pro for inspection purposes. �j�� nature of ProDelty Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nama /� 51-�%a p r "r ` ACTION DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 3i REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1401 PERMIT CANCELLED PERMIT FINAL �Z 'T CERTffICATEATf Of W OCCUPANCYISSUED NOTIFICATION 15 NOJAPYeICnRIF TO