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HomeMy WebLinkAboutXR2023-1139 - PermitsaEwPogr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-1139 A Community Development Department -Building Division X R 2 0 2 3 1 1 3 9 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0213-2021 Permit Counter Phone. (949) 718-1888 Issued Date : 6 ) S newportbeachca.gov/civic Inspection Area : 1 Cq</FOA��P 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 ALL AREAS Job Address : 1748 PLAZA DEL NORTE Legal Dose : N TR.518 BLK.L LOT 12 Description: SFR BLOCK WALL 30" HIGH X 38 LF INSIDE P/L (REV2023-0821) Owner: JAMESBERGESON Address : 1748 PLAZA DEL NORTE NEWPORT BEACH, CA 92661 Phone: Applicant : DAVID BAILEY Address: 23183 LA CADENA DR, #101 LAGUNA HILLS, CA 92653 Phone: (949)573-1050 Owner/Builder: Address: Contractor: RDM GENERAL CONTRACTOR Address : 250 E BAKER ST, 300 COSTA MESA, CA 92626 Phone: (714) 546-1130 Con State Lic: 815872 Lic Expire : 12/31/2024 Bus Lic: BT30008726 Bus Lic Expire : 01/31/2024 Workers' Compensation Insurance Carrier: EVEREST PREMIER INS CO Policy No: 7600015443221 W. C. Expire : 9/1/2023 Architect : DAVID BAILEY Address : 23183 LA CADENA DR, #101 _A-1UNA HILLS, CA 92653 Phone : (949) 573-1050 State Lic Engineer: WILSONKALEN Address: 23152 VERDUGO DR #1,02 LAGUNA HILLS, CA 92653 >> Phone: (714)576-6524 Designer: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 9, Side: 3, Side: 3, Rear: 0 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: $8,000.00 0 0 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 checlarr 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, dernotish, or repair any structure print to its issuance, also requires the applicant for the permit to file a signed statement that lie or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 5 (commencing with Section 7000) of Division 3.of the Business and Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption Any violation of Section 7031.3 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) ail of or L) portions of the work, and the structure is not. intended or offered for sale (Section 7044, Business and Professions Cods: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the Improvements are not intended Or offered for sale. If, however, the building or impreverment is sold within one year of Completion, the Owner -Builder will have the burden of proving that it was not built or 15m 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' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for theprojects with a licensed Contractor pursuant to the Contractors' State License Law). © I am exempt from licensors under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structum that I have built as an owner -builder if it has not been constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:IiWwww.loginfo.ea..govlcalaw.htmi, Signature of Property Owner or Authorized Agent _____, Date LICENSED rONTFACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing. with Section 7000 i Divisibn 3 of the Business and Professions C e, and my license Is in full force and ePnct. Lr:rr se Class License No Date .5 s_ Contractor Signature Drti G`f WORKERS' COMPENSATION DECLARATION NARNINC; FAILURE TJ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND. SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (3100,00e, lri ADOtTION TO THE cos; LF COMPENS1" ir•r', DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, homt-y affirm ucds-aenatty of perjuryone of the following declarations: 'Inave and Ad,, Inoirualn B certificate of consent to seif.insure tar workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Coda, for f ni fC.To,n rnce of the v.orR, for which this permit is issued. Policy No. _ 131 14o 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' compensatior Lbinuc nc� carrier cnd po4cy number are: Policy Number Date to ofAgent . _ 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 C&Ilfornia. , if I should become Sutyect to the workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Dat J��c1 �'2,� areby affirm under penalty of perjury that there is a construction lending agency for the performance of the. workfor vrtrich this permit is issued (Section 3097, Civil Code). tder's Name Lender's Address any signature below, I certify to each of the following: I am ills property owner or authorized to act on the property owner's Denali. 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. {yF/l aryii I authorize representatives of lids city or county to loaenta the above -identified property for inspection purposes. (nature of Property Owner or Autized Ageatt\�zo___ ... Print Property Owner's or Authorized Agent's Name7-e l Oats DATE BY ( DECLARATION Or COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMO RUi.E TO NOTiFICATION.ISNOTAPPLiCAKE TO CERTIFICATE OF