HomeMy WebLinkAboutXR2023-3255 - Permits�E`wPO,pT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII III COMB Permit:
XR2023-3255
D, d Community Development Department- Building Division
/` r.' `�' 100 Civic Center Drive, Newport Beach, CA 92660
U S Permit Counter Phone: (949) 718-1888 Plan Check No : PC2022-3079
tea. newportbeachca.gov/civic Issued Date
C4Cic-",, Combination Type - SFP Final Date:
Work Class - Demolition Permit Status: Applied
Inspection Area : 8
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: 435 EL MODENA AVE Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 26 LOT 16 t M -
Description : DEMO DETACHED GARAGE (400 SF) _
Owner: VILLA NENA LLC
Contractor:
STONE CREEK BUILDERS
Address : 216 S CITRUS ST #57
Address :
29300 MEANDERING CIR
WEST COVINA, CA 91791
MENIFEE, CA 92584
Phone :
Phone :
(951) 296-8852
Con State Lie
: 1038071
Applicant: MARK TEALE
Lie Expire :
Bus Lie :
04/30/2024
BT30066622
Address : 2900 BRISTOL ST BLDG A203
Bus Lie Expire : 03/31/2024
COSTA MESA, CA 92626
Phone: (949) 975-0123
Workers' Compensation
Insurance
Carrier:
Owner/Builder :
Policy No :
EXEMPT
Address :
W. C. Expire:
Phone:
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 :
1
Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5
Flood Zone: X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Architect : MARK TEALE
Address : 2900 BRISTOL ST BLDG A203 COSTA
MESA, CA 92626
Phone : (949) 975-0123
State Lie
Engineer: BURKETHOMAS
Address : 151 KALMUS DR #140 ,
COSTA MESA, CA 92626 ;
Phone: (949) 494-0776
Designer
Address:
Phone
Construction Valuation : $5,o00.00 '
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg:
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION
a ermit to construct, alter, improve, demolish. or repair any structure, prior to its issuance, also requires the applicant for
at he
hereby affirm under penalty o{ perjury that am exempt from the Contractors' Scto
tate License Law for the reasons) indicated below by the checWnark(s) I have placed next to the applicable items
in
Sausinass and
raiort 7031:01
5, Business and Professions Gador 5e: Uan
Any city or county that reyuiras p
nod s
'rofessiolnsoCode) o9that he or she is exempt froom licensure and the basis forth ptho Iailegedf exemption Any violation ors' State tof Section 7031,Stby any applicant town permit subjGotS the applicant to0� of Division 3 of ts Che B I penalty of
is lici so
Tot morn tof
han flue hundred dollars €$500).
I, as owne'off
of the property, or my employeection 7044,
es with wa0as a et aIr tloes onot applytlto an ownerr o)f propany wf orho, through portions of temployeesnor personal effortnot intended
or improves rtahsfpropertysp ov tl d that the
late
Business and Professions Code: The Conior sa a' State Llce
do
Improvements are not Intended or offered for sale. Ir, however, the bL-Wuilding or Improvement is sold wFthln one year of completion. the Owner -Builder will have the burden of proving that it was not bulls or
improved for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct. the project (Section 7044, Business and Professions Coda: The Contractors' Slate License Law does not
a ply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law).
I am exempt from licansure under the Contractors* State
ersooals es id ncfor
e Eh whichfollowing
I must have resided for at least one year prior tG completion of tha rm:provements covered by this permit, I cannot lagall
By my signature below I acknowledge that, excep y p
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. copy of the applicable law, Section 7044 of the Businoss and
understand that a
'�. professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leglnfO.C@.90vlcai2w.htmh ' Date
Slgnahlre 0f Property Owner air Authorized Agent - --- --- ---' w
LICENSED CONTRACTOR'S DECLARATIONs
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)Df ivi tan 3 of t�eoXserss.
Signaturefes 10 s Co G cons UII force
and effect. License Class License No
WORKERS' COMPENSATION DECLARATION
WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOR THOUSAND DOLLARS CE100,000i, IN ADOn'ION TO THE
ATTORNEY'S FEES.
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
1—hereby affirm'unuer panaity of perjury one of the following declarations:
,0 1 nRve and .vit mninlain a cerltf6Cate of consent to self -Insure for workers' compensat)o n, Issued dby the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN
erformance of the work for which this permit is issued. Policy No. _
' Ch have and wit, 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' campensatior
'nsur•ance carrier ant ?)ctcy number are: Expiration Dale
Ca-r'er Policy Number Phone #
+^se of Agent
I certify that. In the performance of the work for which this ,permit is issued, I shall not. employ any perm in any manner so as to become subject to the works 'compensation laws of California. and agree
q;rrl, ".;mould become subject 4 kh orkers; comp !+e "t+m f Section 3700 of the Labor Coda, I shall forthwith comply with Those provisions.
Signature OrA .it -
Of�ARA't"tt7fJ REGARD'.. CGNSTR.UGTIO N. NG AGENCY
, uareby affirm moer pe of perjury that there I construction lending agency fo for the apes Amance of the work for which this permit is issued QSection 3097, Civil Code).
Lendeis Name _ _
By my signature below. I certify to each of the following:
I am the property owner or authorized to out 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 lases relating to building construction. - 1
authorize representatives of this sty or county {a)ann t ve-ida ro for inspection purposes.
Print Pmnerty Owner's or Authorized Agent'§i
or AUlnOnz 0A•ge. - --
OATE RY 1 ECI.ARAT€ONO C PLIANCE WITIi CODE OF FEDERAL fOR OFFICE USE ONLY
u FGUTATIONS PART 61 OF TITLE. AO AND AQMPD RULE
PERMIT
PERrNrT
PERMITFINAi �� /;/ry7 C CASH 'T 5NofIF CATt0iV 15 NOT
CERTIFICATE OF �/ r J FROFOSE' DE 0 I0�
OCCUPANCY ISSUED SIGNAT E E
u