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HomeMy WebLinkAboutXR2023-1837 - Permits�EWPOhir City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-1837 Community Development Department - Building Division X R 2 0 2 3 1 8 3 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0465-2022 u= Permit Counter Phone: (949) 718-1888 Issued Date : 07/27/2023 c ee `r newportbeachca.gov/civic ,, t y� �., ,� „�.,,�, a^�i �-a Final Date: 9��FORN Combination Type- Permit Status: Issued Work Class - Other ae� �' :'1 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 : 1124 ESSEX LN Legal Dose : N TR 3000 BLK LOT 50 Description: DELTA REVISION 8 ADD'L SCOPE FOR (N) 64" HIGH BY 30' LONG IRON FENCE W/ PILASTERS COURTYARD AT FRONT. CONSTRUCT 6' MAX HIGH BY 78' LONG BLOCK WALL AT P/L PER CITY STANDARD PLAN (3A FTG)..*REV2023-1277- Owner : HEINKE KEITH L TR Address : 1124 ESSEX LN NEWPORT BEACH, CA 92660 Phone : (949) 233-6931 Applicant: JACK LUFKIN Address : 2304 CLIFF DR NEWPORT BEACH, CA 92663 Phone: (949) 791-8001 Owner/Builder Address : Contractor: GONTERMAN CONSTRUCTION Address : 502 30TH ST, UNIT A NEWPORT BEACH, CA 92663 Phone: (949) 697-0746 Con State Lic : 858073 Lic Expire : 04/30/2025 Bus Lic : BT30048414 Bus Lic Expire : 09/30/2023 Workers' Compensation Insurance Carrier: STATE FUND Policy No : 9259518 W. C. Expire : 8/22/2023 Architect: SANTILLAN MICHAEL Address: 30 THOMAS IRVINE, CA 92618 Phone : (949) 714-9990 State Lic: Engineer: LEE JACK C Address: 576E LAMBERT RD BREA, CA 92821 Phone : (714) 671-1050 Designer Address Phone: Phone Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $9,400.00 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) 1B PROCESSED BY: SPECIAL CONDITIONS: REV2023-1277 I hereby affirm under penalty of perjury that tam exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ltem(s) (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 signedstatement 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 tieensure 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 1$500). ❑ I, as owner of the property, or my employees with wages as their soda compensation, will do (_) 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 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 built of —ra}�roved for the purpose of sale). 1J 1, 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 eppVy to an owner of properly 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 Rcensure under the Contractors' Slate 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 permit, I cannot lega111 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 site:http://www,leginfo.ca..gov/calaw.htmi, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with. Section 7000)ofDivision 3 of the Business and Professions e, a license is in full force and effect. License Class License No Date i/77 Contractor Signature �— INORKERS' COMPENSATION DECLARATION 1 _ r (io— NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS 1f100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 th p—errfformance of the work for which Ibis permit is issued. Policy No. ,.1d1 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' compensatior insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑1 certify that, in the performance of the work for which this permi 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 [het, if I should become subject to the workers visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / 7 Signature of Applicant , _ _ Date 7( ?-1 Z DECLARATION REGARDING CON LENDING AGENCY hereby affirm under penalty 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).. Lenders Name Lender's Address By my signature below, 1 certify to each of the followig: I am the property owner or authorized to acton the property owner's behalf. I have rears this application and the information I have provided Is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize reme„entatives of this city or county to ant ov stifled property for Inspection purposes. Signature of Roperty Owner or Authorized Agent Print Property Owner's er Authorized Agent's Name dLGl� U���i Date 7��P ACTION DATE i BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 REGULATIONS PART 61 OF TITIF. 40 AND AQMD RULE _ 1403 PERA4iT EXPIRED SUBMITT ED ASBESTOS NOTIFICATION TO FERA47 CANCL:.,E0 0EPA -- -- — _ PERMIT EXTENDEE L1gQ{g0 FINAL F LRM,I FINAL SBESIUS NOTIFICATION IS NbI APPLICABLE TO CERTIFICATE OF }/ PROPOSED OEMOLITIO OCClP+ANCY ISSUED SIGNATURE: