HomeMy WebLinkAboutXR2023-1644 - Permits�EWPO.p�, City of Newport Beach 111111111111111111111111111111111111111111111111111111 III 11
C� @ Community Development Department- Building Division x R 2 0 2 3 1 6 4 a COMB Permit : XR2023-1644
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0372
Permit Counter Phone: 949 718-1888
( ) Issued Date : 2023
c -s. newportbeachca.gov/civic Inspection Area ea : 3 3
9�/F00.N\P Combination Type - SFP
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: 2415 FRANCISCO DR Legal Desc : N TR 3282 BLK LOT 12
Description: SFR BLOCK WALL 5' X 8' INSIDE P/L; MARKERS ON SITE (S2023-0034)
Owner: SUN DONALD TR D SUN 2003 IRREVOC TR
Address : 2415 FRANCISCO DR
NEWPORT BEACH, CA 92660
Phone: (714)626-5819
Applicant :
Eureka Landscape Services Inc.
Address :
1436 N Manzanita St
ORANGE, CA 92867
Phone :
(714) 501-8754
Owner/Builder
:
Address :
Phone
Contractor : Eureka Landscape Services Inc
Address : 1436 N Manzanita St
ORANGE, CA 92867
Phone:
(714)501-8754
Con State Lic
: 387617
Lic Expire :
12/3112023
Bus Lic :
BT30068821
Bus Lic Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: PALOMAR SPECIALTY INSURANCE CO
Policy No: PSIC08/87305
W. C. Expire : 4/1/2024
Code Edition: 2022
Fire Sprinklers :
NO
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : U,R-3
No of Units:
1
Bldg Height:
No of Stories :
1
Building Setbacks : Front: 15, Side: 10, Side: 10, Rear: 10
Flood Zone: X
Use Zone: R-1-10000 - Single -Unit Residential (10000 indicates minimum lot area)
PROCESSED BY:
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone
Designer : Eureka Landscape Services Inc.
Address : 1436 N Manzanita St
ORANGE, CA 92867
Phone: (714)501-8754
Construction Valuation : $640.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
SPECIAL CONDITIONS:.e s'�'
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 checkmark(s) I have placed next to the applicablettem(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 toits issuance; also requires the applicant for
is 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
Irofessions 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
lot more than five hundred dollars ($500).
L as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the 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
Tlprovemenls 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
nproved 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
ly 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' Slate License Law for the following reason: _
ly 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 owner -builder if It has not been constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7W of the Business and
'rofessions Coda, is available upon request when this application is submitted prat the following Web siteihttp:llwww.leginfo.ca.gov/celaw.html.
Signature of Property Owner or Authorized Agent Date
-ICENSEO CONTRACTOR'S DECLARATION
hereby affirm under penalty of peq'ury that. I am licensed under provisions of Chapter 9 (commencing with Section 7 ) o ivisi n3 of the Business and P essiol Co and my license is In full force
Ind effect. License Class License No Date Contractor Signature
PORKERS' COMPENSATION DECLARATION
DARNING: FAILURE lO SECUS<E WORNERV COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND. LLARS ($100,000), IN ADDITION TO THE
:SST OF CRMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE; INTEREST, AND ATTORNRY S FEES.
hereby Pffirm under penalty of perjury one of the following declarations:
yaye 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
prim-Hice of the work for which this permit Is issued. Policy No.
hade. and wil, ,na.nietn 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' compansa
ia.l,e caller and policy number are:
Policy Number
o; Agent ^ _
Date
canif;- that, in the ps formance 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 California, and agre
if I snould become SUbject to the workers' compen atlop provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature of Appoicani �L l Date �t I �� 127, _____
-I AYf I.TfM1\I A^.M1AOI> 3%1 ,-f] /+/Y11QTO11/+TIY�\I I CAITI\IA Af�C\Ifs I
hereby affirm under penalty of perjury that there is a construction lebOhg agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
_enders Name Lenders Address
3y 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 slate laws relating to building construction. ivkscvyAi� J;✓[,2f.Yj IGli1
1 authorize representatives of this city or coun to ant r the= property for Inspection purposes. it
3i nature of Propertyy Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date
ACTION DATE BY f I DEC ATI N FCO P NICE WITH CODE OF FEDERAL FDR OFFICE USE ONLY
REGU1A110. PART F TITLE 40 AND AOMD RULE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
CERTIFICATE OCCUPANCYISSUED
SUBMITTED
)S NOTIFICATION IS NOT APPLICABLE TO
DEMOLITION