HomeMy WebLinkAboutXR2023-3226 - Permits�EwcoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XR2023-3226
p� 6 Community Development Department- Building Division X R 2 0 2 3 3 2 2 6
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2325
= Permit counter Phone: (949) 718-1888 Issued Date : 1111412023
.� newponbeachca.gov/civic Final Date:
C9C/FpRN�p Combination Type - SFP Permit Status: Issued
Work Class - Other Inspection Area :'�
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 : 1722 ORCHARD DR Legal Desc :
Description: SFR DRAINAGE *CITY STD* "'-' 4
Owner:
STIEVE DAVIS P TR
Address :
1731 ORCHARD DR
NEWPORT BEACH, CA 92660
Phone:
(949)278-1174
Applicant:
STIEVE DAVIS P TR
Address :
1731 ORCHARD DR
NEWPORT BEACH, CA 92660
Phone:
(949)278-1174
Owner/Builder : STIEVE DAVIS P TR
Address : 1731 ORCHARD DR
NEWPORT BEACH, CA 92660
Phone : (949) 278-1174
Contractor
Address :
Phone:
Con State Lic
Lic Expire
Bus Lic:
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire
Code Edition :
2022 Fire Sprinklers :
NO
Type of Construction :
V-B Fire Hazard Zone :
NO
Occupancy Groups :
U No of Units :
0
Bldg Height :
No of Stories :
0
Building Setbacks :
Front: 20, Side: 5, Side: 5, Rear: 25
Flood Zone :
X
Use Zone :
SP-7 - Santa Ana Heights Specific Plan
PROCESSED BY:
SPECIAL CONDITIONS: O/B A TH SCANNED
Architect
Address
Phone:
State Lic
Engineer: YAGHI SHUCRI 1
Address : 112 E. CHAPMAN #D
ORANGE, CA 92866
Phone:
(714)997-9120
Designer:
3JK DESIGN
Address :
1907 WOODSIDE ST
ORANGE, CA 92865
Phone :
(714) 709-7934
Construction Valuation :
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the cheoWnark(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 issuence, 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 l censore 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 employeesor personal effort, builds or improves the property, 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 built or
0I r ed f r the purpose of sale).
ow er of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not
apply 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)..
I am exempt from licensure under the Contractors' State License Law for the following reason _
By my signature below I acknowledge that, except form orson�Lresr nce in which I must have resided for at least one year prior to completion of the mprovem PIS covered by this permit, I cannot legal
sell a structure that I have DUN as an owmcr- Ildor if for,
a;. been o Chad in Its erltifery by licensed contractors. I understand that a copy of the applicab e , Section 7044 of the Business and
Professions Code., is available upon reques wh t s o submi �a or at t e' Mowing Web site: http1Avw'w.leginfo ca.gov,'calaw.html,
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARA O
I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with S Ion 7000) of Division 3 of the Business and.Profes ions Code, andmy license is In full force
and effect. License Class License No Contractor Signature
WORKERS' COM'.PENSATION DECLARATION
✓YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMMAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS fS100,0001,1N ADDITION TO TH
COST OF COMPENSAI ION, D;,rAAGES AS PROVIDED FOR IN SECTION 3'r05 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
Tereby affirm under pe, ially of perjury one of the following declarations:
LJ I have and .d;f rlrintaln a certificate of consent to sett -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for if
,nerforn Dance 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'
ranre carrier a ii phlicy number are:
Policy Number
Date
fify that, in the p ormance of e work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the
should beconA subject he wrk compp�rsallon �'i of Section 3700 of the Labor Code, I shall forthwith comply Alth those provisions.
Ire of A 11 ,.6nt �- ,r// r
compensation taws of California, and
//— l4-/ — Zb -Zf
RV. RATtCN$E +ARDING CONSTRUCTION LENDING AGENCY 1
hereby affirm'! fh er penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 9, Civil ode).
endar s Name Lenders Address
y 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 comply with all applicable dty ar aou ordi noes and slate;aws relating to building. construction.
I authorize representatives of t s or cunt to eT bra ebe -Ide property for inspection purposes. \
icoature of Prue env Owner or Authohz vJ' w� Print ProDertv Owner's or Authorized Aoe f s erne ' r'
ACTION DATE BY DECLARATION TONS
Of COMPLIANCE 440 A CODE OF FEDERAL FOR OFFICE USE ONLY
i REGULATIONS PART 61 DF TITI F a0 AND AQNID RULE
2403
PERMITEXPIRED I LJ I SUBMITTED ASBESTOS N OTI FICATION TO
PERMITEXTENDED '_ry IJAQMD
RERMITFINAI �I l LJ ASBt SIOS NO] If ICA'I ION IS NOI' APPLICABLE TO
CERrIRCAPE Or �� • PROPOSED DEMOLITION
OCCUPANCY ISSUED + SIGNATURE:
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