HomeMy WebLinkAboutXR2023-2964 - Permits�EWPoRr City of Newport Beach jji11111111111111111111111111111111111111111111111111111111 COMB Permit : XR2O23-2964
pm Community Development Department- Building Division x R 2 0 2 3 2 9 6 4
0 9. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1742
Permit Counter Phone: (949) 718-1888 Issued Date : 10/19/2023
newportbeachca.govlcivic Final Date:
ogt�coaN�P Combination Type - SFP Permit Status: Issued
Work Class - Other Inspection Area : 3
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 : 1507 KATHLEEN LN Legal Case: N TR 1806 BILK LOT 6
Description : SFR 15 LF 6'H BLOCK WALL *CTY STD, INSIDE THE P/L* GAS TO BBO AND FIREPIT ` -& YARD DRAINAGE - change of contractor & scope of work* -SEE
ADDITIONAL INFO
Owner: DAVID PAGLIA
Address : 1507 KATHLEEN LN
NEWPORT BEACH, CA 92660
Phone : (646) 319-1978
Applicant: HATFIELDHARDSCAPE
Address :
1572 RAINBOW DR
SANTA ANA, CA 92705 '
Phone :
(714) 600-9388
Owner/Builder
Address
:
Phone
Contractor: HATFIELD HARDSCAPE
Address : 1572 RAINBOW DR
SANTA ANA, CA 92705
Phone:
(714)600-9388
Con State Lie
: 899809
Lie Expire:
07/31/2025
Bus Lie :
BT30057128
Bus Lie Expire : 11/30/2023
Workers' Compensation Insurance
Carrier: NORGUARD INSURANCE CO
Policy No: SEWC474386
W. C. Expire : 9/29/2024
Code Edition :
2022
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups :
U
No of Units :
1
Bldg Height :
No of Stories :
1
Building Setbacks :
Front: 20,
Side: 6, Side: 6, Rear: 6
Flood Zone :
X
Use Zone :
R-1-6000/
Single -Unit Residential (6000 indicates minimum
lot area)
PROCESSED BY
Architect
Address
Phone:
State Lie
Engineer
Address
Phone:
Designer:
Address
Phone :
Construction Valuation :
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
SPECIAL CONDITIONS: t LT 1 - RMV BLOCK WALL/SHOWER ENCLOSURE, RMV FIREPIT & BBO FROM SCOPE OF WORK GAS LINE FOR FUTURE TO
REMAIN.
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 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
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 ofthe Business and
Professions Code) or that he or she is exempt from Ilcensure 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)..
71 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 effort, 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 purpose of sale).
❑ 1, as ewner 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 lhareon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ I Am exempt from Ifcensure under the Contracturs' State License Law for the following reason _._______
By my signature befow 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 legalll
soli 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 7044 of tho Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ce.govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Division 3 of the Business and Pvofe sio s, and my to In full force
and effect. License Class License No D 9-1f ?j Contractor Signat i¢,„
WORKERS' COMPENSATION DECLARATION `� NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t51D0,000), IN ADDITION To THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
iCA of the work for which this permit is issued. Policy No.
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' compensa
carrier and policy number are:
is of Agent _—
certify that, in the p
. if I should become
of
Policy Number
Date
of the work for which this-;Termit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and Agra
HE workers' compensat duns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ////�������'
.�._ ._.___... _—... "v fI
162
I�TFt.UCTi LEN_DING AGENN CY
areby affirm under penalty oT�perjury that there is a construction lending agency for the performance of the work for which this permit is issued(Section 3097, Civil Code).
xfer'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 ounty, ci d" oances and sla vs relating to building construction.
I authorize representatives of this city or co4y t terthe above -id . 'ad property for inspection purposes.
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
..............................................................
PERMIT EXTENDED
PERMIT FfNA1
CERTIFICATE OF
OCCUPANCY ISSUED
DATE. BY OF. CLARATrON of COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RF GULA'TIONS PART 61 OF T1TLE AD AND ACTIVE) RULE
FICATICC _O
IASBES'TOS NOT 151CATION IS NOT APPLICABLE 'TO
PROPOSEO DEMOLITION