HomeMy WebLinkAboutXR2023-2917 - Permits�gWPOQT City of Newport Beach ��������� 1111111111111111111111111111111111111111111111 jjCOMB Permit : XR2O23-2917
4 e Community Development Department - Building Division x R 2 0 2 3 2 9 1 7
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3147
Permit Counter Phone: (949) 718-1888 Issued Date : 10/16/2023
U > newportbeachca.gov/civic Final Date:
°"ciFcaN`' Combination Type - SFP PLUM Permit Status: Issued
Work Class - Demolition Inspection Area: 5
PERMITS EXPIRE 180 AFTER
NCE OR LAST VALID
UT
E DATE
NO CONSTRUCTION RELATED NOISE ON SAATURDAY OR SUNDAY IN HIGH DIES SIITTY AROEAS fFp®f2Pf' tlTV17AY° OLi YS'IN ALL AREAS
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Job Address : 3208 OCEAN BLVD Legal Desc : A TR CORONA DEL MAR BLK 13B LOT ON SA R U RDAYS
Description : DEMO SFR & GARAGE - 3720 SF. 4 BEDROOMS. SEWER CAP INCLUDED
Owner: RONALD BEARD
Contractor: PATTERSON CUSTOM HOMES
Architect
Address : 3208 OCEAN BLVD
Address : 15 CORPORATE PLAZA, STE 150
Address
CORONA DEL MAR, CA 92625
NEWPORT BEACH, CA 92660
Phone :
Phone: (949) 723-1800
Phone
Con State Lie : 802367
State Lie
Lie Expire : 07/31/2024
Applicant : PATTERSON CUSTOM HOMES
Bus Lie : BT02110534
Engineer
Address : 15 CORPORATE PLAZA, STE 150
Bus Lie Expire : 09/30/2024
Address
NEWPORT BEACH, CA 92660
Phone: (949) 723-1800
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Owner/Builder :
Policy No: 9065406
Designer
Address :
W. C. Expire: B/1/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$15,000.00
Type of Construction : V-8
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage :
0
TOTAL sq. ft.
0
Building Setbacks : Front: 24, Side: 3, Side: 3, Rear: 5
Flood Zone: X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: JD DEMO TO HAUL DEBRIS
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 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 licensors 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).
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 Contrar.mrs' State License Law does not apply to an owner of property who, through employees' or personal effort, huTds or improves the property, provided that the
improvements are not intended or offered for sale. jr, 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).
❑ 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
ra''p-rpiy to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
LI I ant exempt from licensore under the Contractors' 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 permitI Gannet legalll
sell a structure that I have built as an ownar-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and
Professions Code, is available upon request when this application Is submitted or at the following Web site:http:/Jwww.leginfo.ca.gov/calaw,html,
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) pppf Division 3_9Dfte Business and Profess io .ode, a m I apse is In full force
n
and effect. License Class License No _ Date \ Contractor Sig
COMPENSATION DECLARATION
ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO ORIMINA
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:
L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED DUSAI DOLLARS IBt D0,0001, IN ADDITION TO THE
I 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
Ice 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' compensa
carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work for wh h 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 agre
t, d I should became subject trNST-_
rkers c ensahonons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant v�D to 2�CLARATION F R ING TION LENDING AGENCY
Ineby affirm under penalty perju that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
my signature balaw, I certify to each of the 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 city and county ordmwOs and state laws relating to building construction.
I authorize representatives of INS city or county to ent G! gp den' roperty for inspectlon purposes, ^ - )v
nature of Property Owner or Authorized Anent � / r✓��� Print Prooertv Owner's or Authorized Aaent's Namef V �/ /y"l 'c'�G(.z Data l (�
ACTION i DATE BY V )INiGUIeRTION5 PARTCOMPLIANCE
61 OF TITLE 40WITH
AND AQNID RU EFEDERAL FOR OFF ICE USE ONLY
PERMIT EXPIRED
PERMIT CAM1'CE1tED
_.__..
PERMIT EXTENDED
PERUHT FINAL
CERTIF;CATE OF
OCCUPANCY ISSUED
-(3 7,k J1z
PROPOSED
NO
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TO