HomeMy WebLinkAboutXR2024-0462 - Permits�EvuaoR� City of Newport Beach IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII II COMB Permit: XRZO24-0462
C� @ Community Development Department -Building Division X R 2 0 2 4 0 4 6 2
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2028
Permit Counter Phone: (949) 718-1888 Issued Date : 0212612024
U newportbeachca.gov/civic Final Date:
ct/F00.��P Combination Type - SFP Permit Status: Issued
Work Class - Other Inspection Area : 1
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 : 1763 OCEAN BLVD Legal Desc : N TR 518 BLK C LOT 16
Description: SFR - (N) BLOCK WALL 33 LF X 6' HIGH. INSIDE P/L. PER CITY STANDARD (TYPE 3B)
Owner: CONTESSA II LC
Contractor: LONGMAN CONSTRUCTION CO INC
Architect
Address : 19262 MESA DR
Address : 2782 CIRCLE DR
Address
VILLA PARK, CA 92861
NEWPORT BEACH, CA 92663
Phone: (714)227-6891
Phone: (949)722-7711
Phone:
Con State Lic : 393881
State Lic
Lic Expire : 08/31/2025
Applicant: JEFF LONGMAN
Bus Lic : BT00001921
Engineer
Address : 833 DOVER DR, STE 5
Bus Lic Expire : 03/31/2024
Address
NEWPORT BEACH, CA 92660
Phone: (949) 722-7711
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Owner/Builder :
Policy No : 9062475
Designer
Address :
W. C. Expire : 7/1/2024
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,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 0
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: LIQUIFACTION
w
$6,000.00
0
0
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 checkmarkal I have placed next to the applicable nem(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
la permit to file a signed statement that he or she is Iiconsad pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Bus! noss and
'rofessions Code) or that he or she is exempt from It censure and the basis for the alleged exemption. Any viola tic IT 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).
1 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,
usiness 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 have the burden of proving that it was riot built or
1n roved 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
poly 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 I am exempt from licensure under the Contractors` State License Law for the following reason
y 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
all a structure that I have built as an owner -builder if it has not been constructed in its entirely 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:httpaiwww.ieginfo.ca,gov/colaw.btml.
'dgnature of Property Owner or Authorized
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S ton 70 01
1 n 3 of the Business and Prof, Ion ,and y license is In lull farce
nd effect. License Class License No Contractor Signature
VORKERS' COMPENSATION DECLARATION gy
WINING: 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 t5100,000I, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
] 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 Iht
e5orma.nce of the work for which this permit Is issued. Policy No.
W"Iffave 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' compensatiol
isurance carrier and policy number are:
;arrler Policy Number Expiration Date
Jame of Agent Phone H
:1I certify that, in the performance of the t Tor i �thls permit is issued, shall not employ any person in any manner so as to become subject to the workers' compsns on law of California, and ogre.
hat, if I should become subject to the rkers'm rtsaho provisions of Section 3700 of the Labor Code, shall forthwith comply w4lh those provisions. n i
dgnature of Applicant T,_ h _ Date _ G�
)ECLARATION REGAROIN . CONSTR. TION 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).
ender's Name _ Lender's Address
3y my signature below, I certify to each of the fallowing:
I am the property owner or authori2ed to act on theproperty owners behalf,
I have read this application and the information I have provide ' o act.
I agree to comply with all applicable city and county Drain as slate la relating to building construction. i
i. authorize representatives of this city or county to e r the a -(dent' property for inspection purposes. /� /
it nature of PropertypOwner or Authorized Agent . I Print Property Owner's or Authorized A aril's Name/ LO
ACTION ( DATE BY E DFCWkATION.OF COMPLIANCE WITH CODE Or FEDERAL FOR OFFICE USE ONLY
I I REGULATIONS PART 61 OFTITt.E 40 AND ACPAD RULE
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PERMIT EXPIRED S'JBMITTEQ ASBESTOS NOTI fICATION TO
PERMITCAMCELtEO L -PA
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PERMIT EXTENDED .._.1 1 QMD
PCRMI7 FINAL -3��d1-- uASBE5705 NOT] FICA TON IS NOTA;EptiCABtE To
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED S;GKATUREr