HomeMy WebLinkAboutXR2023-1096 - Permits04aEW=oRr City of Newport Beach
11, Community Development Department- Building Division
,M �r 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
u S Inspection Requests Phone: (949) 644-3255
CgCIFO R�`P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
111III���I1111111111111111111111111111111111111111111111 JillCOMB Permit: XR2023-1096
Plan Check No : PC2023-0976
Issued Date : 04/27/2023
Inspection Area : 1
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: 56 BALBOA COVES Legal Desc : N TR 1011 BLK LOT 56
Description: SFR BLOCK WALL 6' HI X 62 LF ON P/L W/AGREEMENT; FOOTING DETAIL 3A
Owner: PATRICK HAMILL
Address : 4908 TOWER RD
DENVER, CO 80249
Phone
Applicant: G D M LANDSCAPE INC
Address: 31878 DEL OBISPO, STE 118 #435
SAN JUAN CAPISTRANO, CA 92675
Phone: (949)433-0057
Owner/Builder :
Address :
Contractor:
G D M LANDSCAPE INC
Address :
31878 DEL OBISPO, STE 118 #435
SAN JUAN CAPISTRANO, CA 92675
Phone :
(949) 433-0057
Con State Lic
: 881282
Lic Expire :
09/30/2023
Bus Lic:
BT30048427
Bus Lic Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: SECURITY NATIONAL INSURANCE
COMPANY
Policy No: SWC1377170
W. C. Expire : 3/21/2024
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone
Designer
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation:
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg:
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage
TOTAL sq. ft. :
Building Setbacks: Front: 15, Front; 5, Side: 3, Side: 3
Flood Zone : AE, 8 FT; X
Use Zone : R-1 -Single-Unit Residential
qQ� NO CONSTRUCTION NOISE
PROCESSED BY
SPECIAL CONDITIONS: ON THE WEEKEND
$9,000.6
0
0
0
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 item(s)
often 7031.5, Business and Professions Code: Any city or county that requires a pernif to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
permit to fife a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions 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
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,
:iness 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
rovements 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
roved for thepurpose 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
sty 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),
LJ I am exempt from licensure under the CDntreclors' State 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 ownar-builder if ithas not boon constructed in its entirely by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Businoss and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwvnv.ieginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of pen¢urythat I am IlGensed under provisions ! �C ptar 9 (commencing with Section 700 i *nol e Business and Prof ssi s le, and my license is In full force
and effect. License Class L''Fi3 C7.% License No `AF}vJW,I �.G.�2 Date ontractor Signature
WORKERS' COMPENSATION DECLARATION
MARRING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND O LARS ($100,W0), IN ADDITION TO THE
COST OF COMPENSATION, 7AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'B FEES.
hereby affirm under penalty of perjury one of the following declarations:
...I I ha✓e and will rainlem 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 the
r, r nce of the work for which this permit is issued. Policy No.
ve and will ma'nfain 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`
,ee carrier and puley number are:
is of Agent _
certify that, in tie p'
If I .hould becomi
Policy Number
Date
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 agree
compensation provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions.
nature of Applicant pates= ,ai11-71-1-3
--
Ct-AF'.ATION REG "DINGG TRUC71pN LENDING AGENCY
Ireby affirm under penalty of pe ry that there is a construction lending agency for the performance ofthe work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
my signature below, I certify to each of Ilia 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 cAy and county di antes and state lases relating to building construction.
I authorize representatives of this city or county to he above -identified property for inspection purposes.
nature of Property Owner or Authorized Agent V Print ProueM Owner's or Authorized Aaent's Name $40 ICAC
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE. I BY
1403
OF COMPLIANCE WITH CODE OF FEDE.
PART 61 OF TITLE 40 AND AQMD RULE
TO
U ASBESTOS NOTIFICATION 15 NOT APPLICABLE to
IROPOSEO DEMOLITION
SIGNATURE
FOR OFFICE USE ONLY