HomeMy WebLinkAboutXR2023-3051 - PermitsU4-�",
City of Newport Beach 11111111111111111111111111p11111111111111111111111111 III 11COMB Permit:XR2023-3051
Community Development Department - Building Division X R 2 0 2 3 3 0 5 110o Civic Center Drive, Newport Beach, CA 92660Plan Check No : PC2023-2641
Permit Counter Phone: (949) 718-1888 Issued Date : 10/30/2023
newportbeachca.gov/civic - Final Date:
Combination Type - SFP Permit Status: Issued
Work Class - Other -- Inspection Area : 3
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: 2312 FAIRHILL DR Legal Desc : N TR2516 BLK LOT 6
Description: SFR -RETAINING BLOCK WALL 35 LF X 3.5' HEIGHT. INSIDE P/L
Owner: HAYES DAVID J TR
Address : 2312 FAIRHILL DR
NEWPORT BEACH, CA 92660
Phone : (949) 40D-7460
Applicant: VANDER-BUILT CONSTRUCTION
Address : 26750 EASTVALE RD
PALOS VERDES PENINSULA, CA 90274
Phone: (714)269-0495
Owner/Builder :
Address :
Phone :
Contractor:
VANDER -BUILT CONSTRUCTION
Address :
26750 EASTVALE RD
PALOS VERDES PENINSULA, CA 90274
Phone :
(714) 269-0495
Con State Lic
: 777008
Lic Expire :
04/30/2024
Bus Lic:
BT30082418
Bus Lic Expire : 06/30/2024
Workers' Compensation Insurance
Carrier: EXEMPT- NO EMPLOYEES
Policy No : EXEMPT
W. C. Expire :
Architect
Address
Phone :
State Lic
Engineer :
SHERAFATI ARDALAN
Address :
17901 VON KARMAN AVE #600
IRVINE, CA 92614
Phone :
(949) 522-5001
Designer: VANDER- BUILT CONSTRUCTION
Address : 26750 EASTVALE RD
PALOS VERDES PENINSULA, CA 90274
Phone : (714) 269-0495
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation : $8,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
U
No of Units :
1
Alteration sq. ft. Bldg :
0
Bldg Height :
No of Stories :
1
Added/New sq. ft. Garage:
;
TOTAL sq. ft. 0
Building Setbacks :
Front: 20, Side: 5, Side: 5, Rear: 20
,
Flood Zone :
Use Zone :
X
R-1-7200 - Single -Unit Residential (7200 indicates minimum
lot area)
PROCESSED BY:
SPECIAL CONDITIONS: ;
OWNER -BUILDER DECLARATION
€ hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(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
To 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 Busmas and
'rofessions 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
of more than five hundred dollars ($500).
11, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the properly, provided that the
rlprovemenls are not intended or offered for sale. If,however, the building or Improvement is sold within oneyear of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for thepurposeof sale).
D 1, as owner of the property, am exclusively Contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License taw),
J I am exempt from licensure under the Contractors' State License Law for the following reason
Iy my signature below I acknowledge that. except for my personal residence in which i must have resided for at least one year prior to completion of the improvements covered by this permit I cannot legally
ell a structure that I have built as an owner -builder ff it has not been constructed in its. entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liw, W,heginfaca.govlcalaw.html.
signature of Properly Owner or Authorized Agent Date
.ICENSED CONTRAC.TOR'$ DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70006 of 'vision 3 of the Business and Prof ITS C a, my license is in full force
nd effect. License Class License No Date K7 l�lo %%i Contractor Signature
VORKERS' COMPENSATION. DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS R100,0014, IN AD OnION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIOEO Fee IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hera'by affirm under penalty of perjuryone of the following declarations:
7 I 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 IN
erformance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, asrequiredby Section 3700 of the Labor Code, for the performance of the work for whichthis permit Is Issued. My workers'
ranee carrier and policy numbarare:
Policy Number
Date
certify that, in the performance of the 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 agra(
if I should become sub eel to th orker' compensation provisions of Section 3700 of the Labor Code, I shalt forthwith comply Will those provisions. \ 1
1ature of Appiican1 �` --- Date- 1 O e' iI)
`I ACATIl1AI OCCA CIl1 Air` /`fIAiCYbI1C11rl1 AiC. dRCAV`V
=.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 (Section 3097, Civil Code).
Ider's Name _ Lender's Address
my signature below, 1 certify to each Of Theofollowing:
I am the property *nvner 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 ordinances and state laws relating to building construction.
I .,uthoriz,, repres.mtatives of this city or coo ter thj�taoa e-identified property, for inspection purposes. , 1
nature of Property Owner or Authorized Agen�<_:. V .... Print Property Owner's or Authorized Aoent`5 Named LIL- JU t G�IZPF
ACTION DATE f BY iDECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
i REQULATIONS PART 51 OF TITLE 40 AND AQMD RULE
^E4"41i CANCELLED
EPA
_ .
E,4l.'T EXTENDED
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PLRr157 FINAL,
ASR@SJOS NOTINO
ARPIdC,ABLE to
"ERTl4CATE Of
j PROPOSED ITI Altit
RFCbPANCYfo5b'FD
1 SIGNATURE:. -