HomeMy WebLinkAboutXR2023-1156 - Permits��EWPpaT City of Newport Beach II III III I IIII IIIIIIIIIIIIIII III,I IIII II COMB Permit : XR2O23-1156
0@ Community Development Department -Building Division X R 2 0 2 3 1 1 5 6
r ; ~ 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0713
Permit Counter Phone: (949) 718-1888 Issued Date : 05/0412023
� newportbeachca.gov/civic � , . , Inspection Area : 8
Cq<�FORN�P Combination Type - PLUM
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 : 2304 CLIFF DR Legal Desc : N TR 919 BLK 4 LOT 5
Description: SFR (N) 3'6" HIGH BY 14' LONG FOUNTAIN WALL (S2023-0061)
Owner: GONTERMAN CUSTOM HOMES
Address : 502 30th St
NEWPORT BEACH, CA 92663
Phone : (949) 697-0746
Applicant: ESTEBAN MARTINEZ
Address :
Phone : (909) 343-9334
Owner/Builder :
Address :
Contractor: H & H POOLS AND SPA INC
Address : 10058 MEMORY PARK AVE
MISSION HILLS, CA 91345
Phone :
(818) 579-3003
Con State Lic
: 1056975
Lic Expire :
08131/2023
Bus Lic:
BT30081473
Bus Lic Expire : 05/31/2024
Workers' Compensation Insurance
Carrier: EXEMPT -NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire:
Architect
Address
Phone:
State Lic
Engineer: BIEDENBACH CHRISTOPHER JAMES
Address : 1201 N TUSTIN AVE
ANAHEIM, CA 92807
Phone: (714)630-6100
Designer: ESTEBAN MARTINEZ
Address :
Phone :
Phone : (909) 343-9334
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$710.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups :
U
No of Units :
0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
0
Added/New sq. ft. Garage:
0 ,
TOTAL sq. ft.
0
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
!7 05
SPECIAL CONDITIONS:
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 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 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 3.of the Business and
Professions Code) or that he or she is exempt from lieensure 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
not more than five hundred dollars ($500).
El I, 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
improvements 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
improved for the purpose of sale).
0 I, as owner of Hie property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, 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 the projects with a licensed Contractor pursuant to the Contractors' State License Law).
El I am exempt from licensure under the Contractors' Slate 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 at least one year prior to completion of the improvements covered by this permit, I cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed in its entiroty 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 orat the following Web site:httpalwmv.leginfo.ca,govicalaw,fitml.
Signature of Property Owner or Authorized Agent Date Y,
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (earn Bing with Section 700 I Ian 3 of the Business and Profess' ' ense is In full force
and effect. License Class S License No 1 (J�'C S DateaZ } Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUEJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND DOLLARS 4100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES As PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES
-
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations asprovided for by Section 3700 of the Labor Code, for But
performance of the work for which this permit is issued. Polley No.
haveand 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 carrier and policy number are:
Policy Number
Date
me of Agent Phone #
certify that, in the performance of the work for which permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and Ogre(
f, if I should become subject to the workers' •o visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date
CLARATION REGARDING CONS LENDING AGENCY
?mby 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),
Tiers Name _ Lender's Address
my signature below, I c'rhfy to each of the following:
I am th7 property owner drauthor€zed to act on the propertyowner's behalf,
I have -ead thr a"plicntion and the information I have provided is correct.
t agree to comply won all applicable city and county ordinances and lating to building construction.
I authorize representatives of this city or county to enter th operty for inspection purposes.
DATE: BY € DECLARATIONS. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OFTITtE 40 AND AQMD RULE
1403
PER141T EKPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PE'+NilFCANCELLE
EIEPA
PE, ',r.7'T EY'ENDED
PER6A'T'F'TlAL
XSBESTOS NOI FICA I' ION 15 NOT __..—LE TO
CERTIFICATE OF !e
PROPOSED DEMOU"If N
OCCUPANCY15SUED l
SIGNATURE:
3