HomeMy WebLinkAboutXR2023-0540 - Permits�EwroRr City of Newport Beach
D� .. Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
S Inspection Requests Phone: (949) 644-3255
Cq��FORN�P newporibeachca.gov/inspections
Combination Type - SFP
Work Class - Other
II XIIIRI I IIIIII�2�IIIIIIIII III�I5IIII0 II
COMB Permit : XR2023-0540
Plan Check No: PC2023-0441
Issued Date : 02128/2023
Inspection Area : 6
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 : 3927 SANDUNE LN Legal Desc : N TR 6425 BILK LOT 77
Description : SFR BLOCK WALL ON P/L ON SIDE OF HOUSE 2' HIGH X 30 LF & RETAINING WALL 6' HIGH*2' RETAINING X 21 LF INSIDE P/L *markers on site*
Owner: STEPHANIEQUESADA
Address: 3927 SANDUNE LN
CORONA DEL MAR, CA 92625
Phone: (714)721-2417
Applicant:
STEPHANIEQUESADA
Address :
3927 SANDUNE LN
CORONA DEL MAR, CA 92625
Phone :
(714)721-2417
Owner/Builder:
STEPHANIEQUESADA
Address :
3927 SANDUNE LN
CORONA DEL MAR, CA 92625
Phone:
(714)721-2417
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone:
Use Zone:
PROCESSED BY:
Contractor
Address :
Phone:
Con State Lie
Lie Expire
Bus Lie:
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
2022 Fire Sprinklers :
V-B Fire Hazard Zone
U No of Units :
No of Stories:
Architect
Address
Phone:
State Lie
Engineer:
GRGURICNENO
Address:
2880 S COAST HWY
LAGUNA BEACH, CA 92651
Phone:
(949)715-0775
Designer
Address
Phone:
NO Construction Valuation :
NO Added1New/TI sq. ft. Bldg
0 Alteration sq. ft. Bldg :
0 Added/New sq. ft. Garage:
TOTAL sq, ft. :
Front: 10, Side: 6, Side: 6, Rear: 6
X
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
R 05
SPECIAL CONDITIONS:
$2,800.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' State license Law for the Peasants) 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 to its issuance, also requires the applicant for
me permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contmclors' 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 rive hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portionsofthe 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 theproperty, provided that the '..
nprovemenis 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
roved for the purpose of sale)..
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
Ply 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 I am exempt from licensure under the Contractors' State License Law for the following reason: T
ry 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
ell a structure that I have built as an owns r-bu'Id er if't has not been cons t lad in its ontiroty 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 th SUCH is sub orthe following Web sita:httpJrwww.leginfo ca.gov/calaw:hlml. �7/�
signature of Property Owner or Authorized Agent ,jqL Date
.ICENSED CONTRACTOR'S DECLARATI l i
hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force
ndeffect. License Class License No Date Contractor Signature
PORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND cNiL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SiD0,000). IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 the
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 worker;` compensatior
Trance carrier and policy number are:
for Policy Number Expiration Date
ne of Agent Phone #
certify that, in the perform nee of the work for In h this pe mit 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
If I should become subj t tG workers' p nsati n oo�vt—sloons�of'Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /J ., �,/�1
mature of Applicant! {ry�L / Date 4 //r/� -
:f ARATICIN RF[3AR t f. NSTRtff`.TInN LFNP)INr. AaFNrV _7—�
=reby 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 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 to laws relating to building construction.
I authorize representatives of this city or county toppter, the above j en;ified iroperty for inspection purposes.
PCTION
PERWIT CANCEU R)
KHMOT FXTENOED
PEPf,1'T FINAL -----
c�nTrEr4TE DE
OCCUPANCY ISSUED
DATE 9Y DECLARATION OF COMPLIANCE WITH CODE OF R40G3 LATIONS PART 6.t OFTITLE 40 AND AQMD RUIE FEDERAL FOR OFFICE USE ONLY
4-23 I _bj&--w
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