HomeMy WebLinkAboutXR2023-1599 - Permits (2)a`'�wroRr City of Newport Beach
p- Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Combination Type -
Work Class - Other
IIIIIII�III�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit : XR2023-1599
Plan Check No : 1672-2021
Issued Date : 08/13/2023
Inspection Area : 2
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 : 225 VIA LIDO NORD Legal Desc : N TR 907 BILK LOT 1059 TR 907 LOT 1059(AND NELY 10 FT LOT 105 B
Description: SFR CONSTRUCT 6' MAX HIGH BY 98' LONG BLOCK WALL WITH STUCCO FINISH ALONG P/L (X2022-1620)
Owner: STEPHEN VALDER
Address : 5702 MOUNTAIN VIEW AVE
YORBA LINDA, CA 92886
Phone : (714) 348-5450
Applicant: NIC WALLING
Address: 567 SAN NICOLAS DR, 130
NEWPORT BEACH, CA 92660
Phone: (949) 723-6449
Owner/Builder :
Address :
Contractor: TONY VALENTINE CONST INC
Address : 567 SAN NICOLAS DR
NEWPORT BEACH, CA 92660
Phone:
(949)723-6449
Con State Lie
: 467553
Lie Expire :
04/30/2024
Bus Lie:
BT30071132
Bus Lie Expire : 02/2B/2024
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No : 1794693
W. C. Expire : 7/1/2023
Architect: JEANNETTE BRION S
Address: 470 OLD NEWPORT BLVD NEWPC
BEACH, CA 92663
Phone :
(949) 645-5854
State Lie :
Engineer :
DEIHIMI AMIR HOSSEIN
Address:
23172 PLAZA POINTE DR STE 145
LAGUNA HILLS, CA 92653
Phone:
(949) 954-7244
Designer:
Address:
Phone:
Phone:
Code Edition:
2022
Fire Sprinklers ;
NO
Construction Valuation : $22,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI 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:
1.5, Front: 4, Front: 10, Side: 4
Flood Zone:
X
Use Zone:
R-1 -
SingleResidential
e
e--Unit
PROCESSED BY:
NO CONSTRUCTION NOISE
SPECIAL CONDITIONS:
HIGH
DENSITY & LIQUEFACTION
ZONE
ON THE WEEKEND'
f7 d i1Z--11L67il
I hereby affirm under penally 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)
3eclion 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
re 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
rafessions 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 pen it subjects the applicant to a civil penalty Of
at 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 1044,
iusiness and Professions Cade: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, provided that the
mprovements 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 B was not built or
n roved 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' Stale License Law does not
ly to an owner of property who builds or Improves thereon. and who contracts for the pmjects With a licensed Contractor pursuant to the Contractors' Stale License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy 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 legal
ell a structure that I have built as an owner-bultder 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
'rofessions Code, is available upon request when this application Is submitted or at the following Web she:http:l/Www.loginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing With Section 70 0) o pittisi the Business and P fes to s Cod , y II is In full force
nd effect. License Class License NO Date ! Contractor Signatu
VORKERS' COMPENSATION DECLARATION
IARRINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SRALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (St00,000), ION TO TX�.
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
] I have and will maintain a certificate of consent to selfAnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 Of the Labor Code, for II
e�r;formance of the work for which this permit Is issued. Policy No.
�' have and will maintain workers' compensation (Rsumnce, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensetic
n
carrier %+-& I1mp -T411- Farr Policy Number � % ! � 1 J Expiration Date
Jame of Agent r Phone If
-1I certify that, in the performane lithe work for which this permit Is issued, I shalt not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agre,
het, if I should become subjeel ! th workers' a mpen t provisions or Section 3700 of the Labor Code, I shalt forthwith comply with those provisions.
Signature of Applicant Date Q / 3
)ECLARATION REGARDING C NSTR'•••UCTION LMDING AGENCY
hereby affirm under penalty of perjury that there is a construction I dl agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
.enders Name Lender's Address _
3y my signature below, I certify to each of the following.
I am the property owner or authorized to acton the property owner's behalf.
I have read thin -Implication and the Information I have provided is correct.
I agree to cumnlY with all applicable city and count dinances d stet Ws relating to building construction.
I ou,.hortze rerimi- tatives of this city or co ty to e r the v -I en fi property for inspection purposes.
;i narura of ProoerM Owner or Authorized Agent Print PropertyOwner's or Authorized Agent s Name a!/i Date i 3
3L?ION DATE By DECLARATION OF COMPLIANCEKVrHI CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART BS Of TITIt 46 AND AQMD RULE
_ _ 1403
:ERAS EXPIRED LJj SUBMITTED ASBESTOS NOTIFICATION TO
, LANd, rANCELVP i UEPA
LERTIFICATE OF
DEMOLITION
TO