HomeMy WebLinkAboutXR2023-1763 - Permitso��gwvok @ City nit Development
Department
Beach
t- Building Division IIIIIIIIIII II IIIII IIIIIIIII IIIII II IIII II II COMB Permit : XR2023-1763
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No:
Permit Counter Phone: (949) 718-1888 Issued Date : 06/27/2023
u S newportbeachca.gov/civic Inspection Area : 1
C9�rF00.N�P Combination Type -
Work Class - Other
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 : 810 OCEAN FRONT W
Legal Desc : A TR EAST NEWPORT BILK 7 LOT 25
Description: SFR REDUCE EXISTING 40" H CMU WALL
@ FRONT YARD BY 12" H ARCHITECTURAL FEATURE
WOOD PICKET FENCE ABOVE IT, NOT TO EXC
EED
EXISTING HEIGHT
Owner: GLENN VERDULT
Contractor :
Architect
Address : 100 W COAST HWY, 101A
Address :
Address
NEWPORT BEACH, CA 92663
Phone: (714) 809-1888
Phone:
Phone
Con State Lic :
Lic Expire:
State Lic"
NO CONSTRUCTION WORK'
Applicant: GLENN VERDULT
Bus Lic:
Engineer:
Address : 100 W COAST HWY, 101A
Bus Lic Expire :
Address
NEWPORT BEACH, CA 92663
"q"
Phone: (714) 809-1888
Workers' Compensation Insurance
v.
Phone: ON 5,4TU RDt1T c
Carrier :
, ..
,
Owner/Builder : GLENN VERDULT
Policy No:
Designer
Address : 100 W COAST HWY, 101A
W. C. Expire:
Address
NEWPORT BEACH, CA 92663
Phone: (714) 809-1888
Phone:
,
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $500.00
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: 7, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY: 1114.—
SPECIAL CONDITIONS: O/B AUTH AND GRANT DEED SCANNED, OK TO ISSUE W/O PLANS PER KH R AF
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
is permit to file a signed statement that he or she is licensed pursuant to the provisions or the Contractors' State License Lew (Chapter 9 (commencing with Section 7000) of Division 3 or the Business and
'rMe sions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031:6 by any applicant for a permit subjects the applicant to a Civil penalty of
ftF9lofath n five hundred property,
or
($500).
Ir�6� u4 r of the property, or my employees with wages as their sole compensation, will do (_)all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
1. mess 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 he" the burden of proving that it was not built or
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Coder The Contractors' State License Law does not
Pply to an owner of property who builds at Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
J I am exempt from licensure under the Contractors' State Lice9goew for the following reason:
ly my signature below I acknowledge that, except for my per al sidence In which I must have resided for at least one year prior Io completion of the Improvements covered by this permit, I cannot legailt
ell a structure that I have built as an owner -builder if It h een constructed in its ' aly-byficemeed contractors. I understand that a copy of the. applicable law, Section 7044 of the Business and
'rofessions Code,. is available upon request an th1- cation is a the following Web site:httpllwww.leginfo.ca.govlcalaw.htmi.
4gnature of Property Owner or Authorized A t to (,1
.ICENSED CONTRACTOR'S DECLA AT
hereby affirm under penalty_of perjury that I cerised under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION
rARNING: 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 (P00.000), IN ADDITION TO THE
OST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 Relations as provided for by Section 3700 of the Labor Code, for the
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'
Fence carder ant, policy number are:
in the
of
Policy Number Expiration Date
Phone #
work for which 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
mpensation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions.
penalty of perjury that there is a construction lending agency for the
Lent
--
work for which this permit is issued (Section 3097, Civil Code).
By my signature below, I certify to each of the following:
I am Dte propsny carer or authorized to mot on the property owner's behalf.
I have read this application and the €nformation I have provided Is correct.
I agree to coh,ply wdh all applicable city and county Decline ate laws relating to building construction.
I authorize rePrasLr,iatives of this city or county to enter idontifie property for Inspection purposes. ` 7
Signature of Property Owner or Authorized A - Print Property Owner's or Authorized A ent's N rL R✓ tab
ACTION DATE. B DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS. PART 51 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I I I Ir I suaMITTED ASBESTOS NOTIFICATION TO
ESTO
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