HomeMy WebLinkAboutXR2023-3294 - PermitsD��EvvcoRr City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
>b S Permit Counter Phone: (949) 718-1888
a. newportbeachca.gov/civic
C•9(1F00.N�P Combination Type - SFP
Work Class - Other
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COMB Permit : XR2023-3294
Plan Check No : 1363-2022
Issued Date : 1112112023
Final Date:
Permit Status: Issued
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 : 222 CEDAR ST Legal Desc : N TR 772 BLK 3 LOT 25
Description: SFR 2' X 41' BLOCK WALL @ FRONT YARD (INSIDE P/L). DRAINAGE @ SIDE & FRONT YARD (BOTH CITY STANDARD) 'REV2023-2307'
Owner : DOS JEFES PROPERTIES LLC
Address : 222 CEDAR ST
NEWPORT BEACH, CA 92663
Phone :
(714) 883-7873
Applicant:
LUIS VILLA
Address :
14391 JESSICA ST
GARDEN GROVE, CA 92841
Phone :
(714) 679-4595
Owner/Builder : DOS JEFES PROPERTIES LLC
Address : 222 CEDAR ST
NEWPORT BEACH, CA 92663
Phone : (714) 883-7873
Contractor
Address :
Phone :
Con State Lic
Lic Expire
Bus Lic:
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Architect
Address
Phone:
State Lic
Engineer: ALI REZAEI
Address : 18021 SKYPARK CIR #E2
IRVINE, CA 92614
Phone :
(949) 466-9394
Designer:
LUIS VILLA
Address :
14391 JESSICA ST
GARDEN GROVE, CA 92841
Phone:
(714)679-4595
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation : $5,000.00
Type of Construction :
V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
U
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 0
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks :
Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY: r]J
SPECIAL CONDITIONS: REV2023-2307
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that tII 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
io permit to file a signed statement thathe 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
rofessons Code) or that he or she is exempt from Ilcensure 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
at grare than five hundred dollars ($500).
'J as owner of the property, or my employees with wages as their sole compensation,will do U 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
nprovements 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
m roved for the purpose or safe).
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
pply 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).
I I am Exempt from licensure under the Contractors' Slate License Law for the following
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, I cannot legally
ell a structure that I have built as an owner -builder if it has not been construi Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Irofessions Code, Is available upon request when this appli at' submlit rat the foNawing Web site:http.//,Aww.leginfo.ca.gov/cmtaw.htm). �/ ,� 3
ilgnalure. of Property Owner or Authorized_Date _
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, andmy license is in full force
ad effect. License Class License No Date Contractor Signature
PORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS Ib1D0,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T00 OF THE LABOR CODE, INTEREST, AND ATTORBEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 IN
erformance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
Policy Number
a of Agent
:ertify'that, in the performance of the work for which this
if I Should'. become subject to the we compens� to
store of Applicant _.._.
Date
is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
lions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Dale / (/' z i - 2
hereby affirm under penally 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).
enders Name Lender's Address
ry my signature Ltlow, I .:ertify to each of the following:
I am lae property owner or authorized to act on the property owner's behalf.
I have: read I,f., Li,pI ration and the information I have provided is correct..
I agree to comply with all applicable city and county ordinances and slate laws relating to building construction.
I ae:horize representatives of this city or county to enter t be Identifperty for inspection purposes.
Iia.Iatur a of Proc arty w. ner or Authorized Agent _ > Print PrDDai Owner's or Authorized Aaenfs Name �'h
ACTION I LATE ( BY � DECLARATION OF COMPLIANCE WITH CODESEFEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
F'=^.rvr EYpwo I I I LII SUBMITT'EDAS13MOS NOTIFICATION TO
F<RMIT CANCELLED CIEPA
PENivfrI FINAL 0 (ASBESTOS NOTIFICATION ISfNC PPLICABLE TO
CERTfFICATE OF 1 (-� 2
1 PROPOSED DEMOLITION�(
OCCUPANCY ISSUED SIGNATURE:
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