HomeMy WebLinkAboutXR2023-1220 - PermitsAEwaoRr City of Newport Beach II IIIIIIII II IIIII IIIIIIIII IIII III II IIIII II COMB Permit : XR2023-1220
Community Development Department- Building Division X R 2 8 2 3 1 2 2 9
> y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0976
G
Permit Counter Phone: 949 718-1888 r S I Issued Date : ea/'l e/2023
newportbeachca.gov/civic Inspection Area : 1
'/rFoeN Combination Type -
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: 56 BALBOA COVES Legal Desc
: N TR 1011 BILK LOT 56
Description: DELTA 1 - BLOCK WALL 4' TALL X 9.5 LF INSIDE P/L
Owner: PATRICK HAMILL Contractor:
G D M LANDSCAPE INC Architect
Address : 4908 TOWER RD Address :
31878 DEL OBISPO, STE 118 #435 Address
DENVER, CO 80249
SAN JUAN CAPISTRANO, CA 92675
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 :
Phone :
Phone : (949) 433-0057
Phone :
Con State Lie : 881282
State Lie
Lie Expire : 09/30/2023
Bus Lie: BT30048427
Engineer:
Bus Lie Expire : 09/30/2023
Address
Workers' Compensation Insurance
Phone:
Carrier: SECURITY NATIONAL
INSURANCE
COMPANY
Policy No: SWC1377170
Designer
W. C. Expire : 3/21/2024
Address
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 : 0
Building Setbacks : Front: 5, Front: 15, Side: 3, Side: 3
Flood Zone : AE, 8 FT; X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: NO NEW SHEETS, CHANGES ON STANDARD PLAN
4
Construction Valuation:
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
$2,000.00
0
0
0
a
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 of the Business and
Professions Code) or that he or she is exempt from ficensure 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),
0 1, as owner of the property, or my employees with wages as their sole compensation, will do L). all of or L) 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. Ii, 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)-
0 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 Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
0 i am exempt from licensors under the Contractors' Stale 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 legall}
sell a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca,govycalav4.html.
Signature of Property Owner or Authorized Agent 031A
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) f ivi ion &o,f the Business and Prof to , and m lirense is in full force
and effect. License Class License No Date Contractor Signature
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 HUNDRED THOUSAND 1610U.000j, IN ADDRION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOP, INTEREST, AND ATTORNEY'S FEES..
I hereby affirm under penalty of perjury one of the following declarations:
❑ 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, for th
ormance of the work for which this permit is issued. Policy No.
I have 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' compensatiol
Insurance carrier and policy number are:
(Carrier Policy Number Expiration Date
'Name of Agent Phone a
01 certify that, in the panic me a o the rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensate n laws of California and agre
,that, if I should becom s ject work ' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
Signature of Applican Dal
DECLARATION RE 01 UCTION LENDING AGENCY
Ali hereby affirm under enalty of pe 'that there is a construction lending agency for the performance of the work for which this permit Is issued (Section3097, Ivil CCde).
(Lender's Name Lender's Address
!By my signature below, I Certify to each of the following:
I 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 toUeolrect.
I agree to comply with all applicable city and conty or satelaws relating to building. construction.
I authorize representatives of this City or cou entdentified property for inspection purposes. qq��
Signature of Pro2eL Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 1 Or 1, Date (o 7/✓
AC71ON DATE. BY T. N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGU ART 51 OFTITLE 40 ANDAOM[7 RULE
1403
PERMIT EXPIRED I SUBMITTED ASBEo1`05 NO DFICATION TO
PERMITCA.NCITUED OEPA—_—_ _"---_
PERM77 EXTENDED _ L1MD ___ _ __ _
PERrvHT FINAL �Y ASBESTOS NOTOF7CATIO'N IS N01" APPLICABLE '10
CERTIFICATE OF I $.1� PROPOSED DEMOLITION
OCCUPANCY i55UED v SIGNATURE: __