HomeMy WebLinkAboutXR2023-3340 - Permits�EWPO?T City of Newport Beach IIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII II COMB Permit XRZO23-3340
Community Development Department- Building Division X R 2 0 2 3 3 3 4 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 718-1888 Issued Date : 11/22/2023
�a. newportbeachca.gov/civic Final Date:
C4�)FO0.N`P Combination Type - Permit Status: Issued
Work Class - Other 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 : 1618 HIGHLAND DR Legal Desc : N TR 3800 BLK LOT 7
Description : SFR BLOCK WALL 9 LF X 69" H, (2) PILASTERS 6'H, 37 LF X 2'H AND 50 LF X 2'H WALLS @ THE FRONT YARD `INSIDE THE P/L'
Owner: JUSTIN MOREHEAD
Address : 1618 HIGHLAND DR
NEWPORT BEACH, CA 92660
Phone : (949) 394-4515
Applicant: PAUL ELLISON
Address : 24642 VIA RAZA
LAKE FOREST, CA 92630
Phone: (949)683-9861
Owner/Builder :
Address :
Contractor :
CALIMINGO
Architect
Address :
23 CORPORATE PLAZA, 150
Address
NEWPORT BEACH, CA 92660
Phone :
(714) 235-8644
Phone
Con State Lic
: 919876
State Lic
Lic Expire :
02/29/2024
Bus Lic :
BT30067678
Engineer
Bus Lic Expire : 06/30/2024
Address
Workers' Compensation Insurance
Phone:
Carrier: SIRIUS
AMERICA INS CO
Policy No:
WC8693400
Designer
W. C. Expire :
12/21/2023
Address
Phone: Phone
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
U
No of Units :
0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
0
Added/New sq. ft. Garage
TOTAL sq. ft.
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: REV2023-2335
$4,500.00
0
0
0
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 licansure 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 sole 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 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 itwas not built or
improved for the purpose of sale).
❑ I, 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
apply 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),
13 1 am exempt from iicensuae under the Contractors' State License Law for the fallowing reason:
By my signature below I acknowledge that, except for my personal residence In which I must have resided forat 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 ithas 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 requestwhen this application is submitted or at the following''Neb site:http:liwwvv.leginfo.ce,govlcalaw.ntml.
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 Sectl 70 �Divlon f the Buslnd ProfaeslD G i;, a 0 my If isIn full force
and effect. '_:ca, we Class Lieense.No DatContractor nature
WORKERS' COMCIENSATION DECLARATION
tenRNING: FAILJI,E 10 S=CURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO NE H NOR"
THOUSAND DOLLARS Ie100,DQC)., IN ADDITION TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR 1N SECTION 3706. OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
harehy affirm under penalty of perjury one of the following declarations:
and wit, 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
:a of the work for which this permit Is issued. Policy No.
,vill 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'
er and policy number are:
Policy Number
Date
tai,Ie cy Agent _ , I Phone #
,Ft if should beromN subject t eof the t e"!i'o wor om hid .anon prov)sis issued, I ions of SBctiorai11not 3700aof employ
Laborerson Code,Code,ln any manner l shall forthwith oomplybecome
wllh hose provisions.
to th- or ere' compensation laws of California, and agree
iignature of Applies a 1 2-11
)ECLARATION REG O UC N LENDING AGENCY
hereby affirm and at rju t there is a construction lending agency for the performance of the work for which this permit is issued (Section 097, Civil Code).
.enders Name Lender's Address
3y 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.
1 have read this application and the Info r have provide orrect.
i agree to Damply with all applicable end cou in B nd s zws ralating to building.. construction.
I authorize representatives of y or county, ent h. Cove-' nlifie property for inspection purposes.
iignature of Property Owner or. th zed Age Print Prc erty Owner's cr Authorized Ag , Name
ACTION j DATE BY p ATICNOF COMPLIANCE WITit CODE OF FEDERAL FOR OFFICE USE ONL
REGULATIONS PART 61 DF TITLE 40 AND AQNID RULE
PERMIT EXPIRED
! LJI SUBMITTF) ASBESTOS NOTIFICATION TO
PERMITCANCEidED
; UT—tE—PA
PERMIT El
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PCR1vIIT FINAL
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0 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
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CERT7FICATEOf
D/Zy �Y
PROPOSED DEMOLITION
OCCUPANCY 155UED
I s SIGNATURE: