HomeMy WebLinkAboutXR2023-1551 - PermitsE`>uP0 City oNewporteach BIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII IIIII IIIII
p b Community Development Department- Building Division COMB Permit : XR2O23-1551
X R 2 0 2 3 1 5 5 1
r 2 100 Civic Center Drive, Newport Beach, CA 92660 u S Permit Counter Phone: (949) 718-1868 Plan Check No:
newportbeachca.gov/civic Issued Date : 06/0712023
c"�icoRN�" Combination Type - Inspection Area : e
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 : 1307 SANTIAGO DR
Description : SFR YARD DRAINAGE
Legal Desc : N TR 3851 BLK LOT 47
Owner: HEHIR CHRISTINE TR THE C HEHIR LIVING Contractor:
TR
Address : 1307 SANTIAGO DR Address
NEWPORT BEACH, CA 92660
Phone
Applicant: ODELL CONCRETE
Address: 12731 WILDGOOSE ST
GARDEN GROVE, CA 92845
Phone: (714) 717-1771
Owner/Builder :
Address :
Phone:
Phone:
Con State Lie
Lie Expire
Bus Lie:
Bus Lie Expir
ODELL CONCRETE
e
12731 WILDGOOSE ST
GARDEN GROVE, CA 92845
(714)717-1771
1065525
04/30/2024
BT30081809
: 06/30/2024
Workers' Compensation Insurance
Carrier: MAPFRE INSURANCE CO
Policy No: MWC017159403
W. C. Expire: 7/18/2023
Code Edition :
2022
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups:
U
No of Units :
0
Bldg Height:
No of Stories :
0
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:
SPECIAL CONDITIONS: STANDARD PLAN
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
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the , improve indicated below repair
She checcture, prior
I have placed next to the applicable items)
Section 7031.5, Business and Professions Code: Arry 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
,a permit to Ole 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
trofessiona 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
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_,) all of or U portions of the work; and the structure Is not intended or offered for sale {Section 7044,
3usiness and Professions Code: The Contactors 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
mprovemenLN 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
mproved 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 improvesahareon, 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:
3y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at leastoneyearpriorto completion the
the Improvements action by this permit, ass and
legal)
sell a structure that I nave built as an owner -builder if it has not been Constructed in its entirety by licensed contractors. j understand that a copy of the applicable law, Section 7044 of the Business and
crofessiona Code., is available upon request When this application is submitted or at the toUOWing Web site:http:/ www,leginfo.ca.gw/calaw.html. Date
S:S�Y.u:C of Proper:y Gwner or Authorized Agent -
LICENSED CCNTI".SCTOR'S DECLARATION
I herby nfOnn unde• penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Se Da 000)of Division tContractor Signatu - sslor sf ode &; iced is in full force
a,id eiiect. UcensP Cinss Lleanse.No
WORKERS' CUyPFNSATION DECLARATION
NARKING: FAILURE TO 9FC`JRE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND, SHALL SUBJECT
T EMPLOYERORNEYS F CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED NOVSANO DOLLARS (9t00pe33, M ADDITION TO THE
Cn T Cam' OMPENW TICN: DAMAGES AS PROVIDED, FOR IN SECTION 373e OF THE LASOR CODE, INTEREST,
I fereny affirm under penalty of perjury one of the following declara0ons:
(3 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, tot th
ormai.ce of it .e work Ior which this permit is issued. Policy No.
I have and wit' mSin,Sin 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' compensatiol
I Sr,r a�I,oe Carder anu on icy number are: Expiration Dale
Cartier Policy Number Phone 0 _
no of Agent
certify that. M the performance or the work for which this permit is issued. I shall not employ any person in I any manner so as to become subject the workers' Compensation laws of California, a ogre
if I should becomes jecl to ODmmffns provisions or Section 3700 of the Latter Coda; I shall forthwith wmpty wllh those provisions.6�J�CO �)
Cy G cr/��J Dat¢� 74y_E
nature of Applicant `IC�
DLARATION REGA 1 O STRUCTION LENDING AGENCY
freby affirm under pe ally of pe m'y that there is a construction lending agency for the performance of the work for which this permit is Issued (Section3097, iv Code).
Lender's Address
irl Name
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 coon rdinances and State laws relating to building construction.
I authorize representatives of this city or count} ente� ve-dentifl party for inspection purposes. i y r s '^`• d
f i✓ �r A,nhnrizad Acent's Nam �' )� ��� ate
DATE. BY DE tATION OF COMPLIANCE WITH CODE OF FEDERAL I FOROFPICE USE ONLY
REGULATIONS PART 51. OF TITLE 40 AND AQVID RULE
1403
I I ITeubkAi ntn,ecaccrns NOTIFICATION TO 1
PERMIT FINAL / �j,3 A53E5T05 NOTIFICATION IS NOT APPLICASLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: