HomeMy WebLinkAboutXR2023-0319 - Permits��EWPORr City of Newport Beach
C d Community Development Department -Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
a Inspection Requests Phone: (949) 644-3255
CgG1F00.N`P newportbeachca.gov/inspections
Combination Type - SFP ELEC PLUM
Work Class - Other
COMB Permit : XR2023-0319
Plan Check No : PC2023-0247
Issued Date : 02/23/2023
Inspection Area : 4
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 : 1957 PORT DUNLEIGH CIR Legal Desc :
Description: SFR - 66" X 12' BLOCK WALL (INSIDE P/L) & 12" X 70' (AT FRONT P/L)
Owner: BELCHER KURT TR BELCHER FAMILYTR Contractor: CALIMINGO
Address: 1957 PORT DUNLEIGH CIR Address : 23 CORPORATE PLAZA, 150
NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92660
Phone
Applicant: CALIMINGO
Address: 23 CORPORATE PLAZA, 150
NEWPORT BEACH, CA 92660
Phone: (714)235-8644
Owner/Builder :
Address :
Phone
Phone: (714)235-8644
Con State Lic :
919876
Lic Expire :
02/29/2024
Bus Lic:
BT30067678
Bus Lic Expire :
06130/2023
Workers' Compensation Insurance
Carrier: SIRIUS AMERICA INS CO
Policy No : WC8693400
W. C. Expire : 12/21/2023
Architect
Address
Phone:
State Lic
Engineer: RYAN MCPHERSON
Address: 9240 LIMONITE AV
JURUPA VALLEY, CA 92509
Phone:
(909)569-2244
Designer:
CALIMINGO
Address :
23 CORPORATE PLAZA, 150
NEWPORT BEACH, CA 92660
Phone:
(714)235-8644
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation : $5,000.00
Type of Construction :
V-B
Fire Hazard Zone : NO
Added/Newts sq. ft. Bldg: 0
Occupancy Groups :
U
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 0
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks :
Front: 21, Side: 5, Side: 5, Rear: 10
Flood Zone :
X
. •'
Use Zone :
PC - Harbor View Hills
Sq5
PROCESSED BY:
SPECIAL CONDITIONS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(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' Stato 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 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professians 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. 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 of
improved 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
Eyly to an owner of property who builds or Improves thereon, and who contracts for the projectswith a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure 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, 1 cannot Iegall
sell a structure that I have builtas 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 the Business and
Professions Code, isavailable upon request when this application is submitted orat the following Web site:htipJlwww.leginfo.ca..govicalaw.html.
Signature of Property Owner or Authorized Agent ate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D' fsion 3 of the Business and Professions Cade, and m.i ce111b< 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 CR[MINAL PENALTIES AMID CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
COST OF COMPENSATION. OAMAGESAS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to self- insure for workers' compensation, issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for in
performance 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'
carder and policy number a�s<
`-1uS :Mr',n Lea.. (C' Policy Number._..1,/.(. �. Expiration Date
Name of Agent Phone ik
nI certify that. In the perform,16e of the work for whit his permit is issued, I shall not employ any parson in any manner so as to become subject to fhe workers' comp satioD laws of California, and agree
that, if I should become subj t to the workers' c mp alion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ??
Signature of Applicant� -- / Dale J�Z:2
DECLARATION REGARDING ONSTRUCTION L NOING AC+I=NCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil Code).
Lenders Name Lenders Address
By my signature below, I certify to each of the following:
I am the properly owneror authorized to act on the prop rty owner's behalf.
I have rao ln,s application and the Information I have vlded is correct. L r
I agree to wr ,ply with all applicable city and county oRl arias and stale aws r a0ng to building construction.
I authorise re,rasentatives of this city or county to e e the abov�f .pr r inspection purposes. I e
Signature of Fro a Owner or Authorized Agent Print Property Owner's or Authorized A aril's Name Date
ACTION DATE BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
j REGULATIONS PART BI OF TITLE 40AND AQMD RULE „" E
1403
PERMIT EXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT LA.NC`01D EPA
'ERMiT EXT.7NOE0 QMD �_---
PERMIT FINAL UASBESTOS NOTIFICAT N IS NOT APPL 0
CERTIFIC6.75 OF, PROPOSED DEMOUTI
OCCUP^,NCY f55UE0 SIGNATURE: