HomeMy WebLinkAboutXR2023-1784 - Permitss�E PORT
City of Newport Beach
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
COMB Permit : XR2023-1784
Plan Check No : P02023-0577
Issued Date : 06/29/2023
Inspection Area :8
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 : 1418 SANTIAGO DR
Legal Desc : N TR 3702 BILK LOT 14
Description: SFR R/R CMU WALL & GATE RETURN AT SIDE YARD INSIDE P/L (U MAX HIGH BY 6' LONG) PER CITY
STANDARD PLAN. **S2023-0053**
sA ►n
Owner: ARMOND MEHRABIAN TRUST
Contractor: DREAMSCAPES BY M G R INC
Architect
Address : 141B SANTIAGO DR
Address : 1901 NEWPORT BLVD #350
Address
NEWPORT BEACH, CA 92660
COSTA MESA, CA 92627
Phone : (714) 626-5910
Phone: (949) 480-3420
Phone
Con State Lic : 694588
State Lic
Lic Expire : 10/31/2023
Applicant: Don Rightmyer
Bus Lic: BT30052223
Engineer
Address : 1901 Newport Blvd
Bus Lic Expire : 08/31/2023
Address
Costa Mesa, CA 92627
Phone:
Workers' Compensation Insurance
Phone:
Carrier: TECHNOLOGY INSURANCE COMPANY INC
Owner/Builder :
Policy No : TWC4181074
Designer:
Address :
W. C. Expire : 12/2812023
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$600.00
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: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY :
SPECIAL CONDITIONS:
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 liceneureand 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).
11 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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 properly, 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 bulit or
improved for the purpose of sale).
rl I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
a ply 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 am exempt from licensure 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 most have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legally
sell a structure that I have built as 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, is available upon request when this application is submitted or at the following Web siteihttp:/lwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _ Date
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 �Oj�viSion 3 of the Business and Profassion , and mY as is In full force
and effect. License Class License No Date 2R 1 Q 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 DOLLARS (s100,0001,114 AODrrION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following dectarations:
0 1 have and will maintain a certificate of consent to self- insure for Workers' compensation, Issuedby the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN
performance 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'
ranee carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California., and agre
, if I should become subject to the o pens IDn rovcsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iature of Applicant Date 4 15/OZ
+3 wr,nu ac enu, n. nna, vnr,nu , mre wn_eunv
?reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section3097, Civil Code).
ider's Name Lenders Address
my signature below, 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 ccmrily with all applicable city and county ordinances and state laws relating to building construction.
I authorize reoresematives of this city or county to erJtei'll a }ve-idsuUliud property for inspection purposes.
Date
DATE. f BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
P€RMtT EXPiREC
PFRVIT EXTENDED
PER'/ —FINAL It A_ /1.1 /Mli� `aL185aESTOS NOTIFICATION 15 NOTAPPLICABLE 'tO
CERTf9':,LTE OF -i/lI FOA I //PROPOSED DEMOLITION
GCCJPAPCV(SSUCD I 5fGNATURE: !�C