HomeMy WebLinkAboutXC2023-0264 - Permits�eWPoRr City of Newport Beach II IIIIII IIIIIIIIIIIIIIIIIIlII IIII IIII IIII II COMB Permit : XC2O23-0264
Community Development Department -Building Division
100 Civic Center Drive, Newport Beach, CA 92660
' = Permit Counter Phone: (949) 718-1888 Plan Check No : 1028-2019
newportbeachca.gov/civic Issued Date : 0712612023
°g4coaN�P Combination Type- Final Date:Permit Status: Issued
Work Class - Other Inspection Area : 7
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 : 4000 HILARIA WAY Legal Desc : A TR IRVINE SUB BLK 2 LOT 169 IRVINE SUB LOT 169 B L
Description: COMM *ADD'L SCOPE* FOR 8' MAX HIGH BY 110' LONG WOOD FENCE (REV2023-1129 )
Owner:
NEWPORT BEACH PROPCO LP
Address :
PO BOX 71970
PHOENIX, AZ 85050
Phone:
(916)508-9801
Applicant:
Morgan Goal
Address :
19000 MacArthur Blvd., 500
Irvine, CA 92612
Phone:
(949)720-3850
Owner/Builder:
Address :
Phone
Contractor: IRVINE FENCE INC
Architect :
DOUGLAS PANCAKE
Address : P O BOX 11301
Address :
19000 MACARTHUR BLVD STE 500
SANTA ANA, CA 92711
IRVINE, CA 92612
Phone : (714) 497-5444
Phone :
(949) 720-3850
Con State Lic : 1018372
State Lic
Lic Expire : 09/30/2024
Bus Lic: BT30057639
Engineer :
YOUNG ROGER PAUL
Bus Lic Expire : 10/31/2023
Address :
18400 VON KARMAN AVE #100
IRVINE, CA 92612
Workers' Compensation Insurance
Phone:
(949) 252-1022
Carrier: PALOMAR SPECIALTY
INSURANCE
COMPANY
Policy No: PSIC1138503
Designer:
W. C. Expire : 6/5/2024
Address
Phone:
Code Edition :
2019
Fire Sprinklers :
Type of Construction :
V-B
Fire Hazard Zone
Occupancy Groups :
U
No of Units :
Bldg Height:
No of Stories
Building Setbacks
Flood Zone :
X
Use Zone:
PI - Private Institutions
PROCESSED BY:
J(
a /
SPECIAL CONDITIONS
NO Construction Valuation : $20,000:1715— .
NO Added/New/Ti sq. ft. Bldg: 0 '
0 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0 ,
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) 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' Stale 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 licensure 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 ponatty of
not more than five hundred dollars ($500).
13 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 It was not built or
Improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting wllh licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
r�pT yam exempt from property
w under the r improves
thereon, State License Law Ibr the for the projects with a licensed Contractor pursuant to the Contractors State License Law).
o an
I p llowing reason. -- --.—._..—___ -
B pm ysignatu eabelow I a knowled a tthat, xcept formysonai esiidenceeintwhich I must have resided forat least one year prior to completion of the improvements covered by this permit, I cannot legally
y 1 9 9 yp
soli 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 orat the following Web site:http:lfwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent_Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec 70 O) of Division 3 of the Business e d Profess' If In full force
,and effect. License Class License No Dat ConVacto Si lure
WORKERS' COMPENSATION DECLARATION
(WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG EU OUSA L a (Sf00 01, IN AUCTION TO THE
(COST OF COMPENSATION,: DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, Ni ANC ATTORNEY'S FEES
-
1I hereby affirm under penally 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 to
nce of the work for which this permit Is issued. Policy No.
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 c rr d policy number are:
Carter 1 Policy Number Expiration Date
Name of :Agent _ Phone #
❑1 certify that, it Ind performance of the wtlol,h this permit Is issued, I shall not employ any person in any menner so as to become subject tD tlla work compensation laws of California, and agre
tha., if I'should become su c t t w�rki n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. aSignature of A pli^ ateCECLAPATI(,�x2kG RDl STRI?CN AGENCY
I nereoy 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 3 97, Civil Code).
-: Looufrs Name Lender's Address
6y i.i,: ignature below, I certify to each of the following:
I z.r the property owner or authorized to act on the property owner's behalf.
I hwo read ^hs application and the Intel Mallon I have provid d is(c
I agree to cornply w,th all applicable city and co t�j ddiiina. s sl t I s relating to building. construction.
1 authorize Iepresomatives of this city or unf+/,�� er■d i property for inspection purposes.
Sianature of P(VDertV Owner or Authors E gent !t Print Property Owner's or Authorized Agent
ACTION DATE. BY ECLARATION OF COMPLIANCE W17H CODE OF FEDERAL I FOR OFFICE USE ONLY
I REGULATIONS PART 61. OF TITLE A0 AND AQMD RULE
TO
PERAAIT EXTENDED LJAQMD
PCRNHTNNAL %%/AAiuASSES'TOSNOTIFICAPIONISN01'APPLICABLE '1'0
CERTIFICATE Of �/! /IV,'f PROPOSED DEMOLITION
OCCUPANCY ISSUED / i SIGNATURE;