HomeMy WebLinkAboutU2024-5011 - Permits04'n,
City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit:U2024-5011
Community Development Department- Building Division 0 2 0 2 q 5 0 1 1
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2004
Permit Counter Phone: (949) 718-1888 Issued Date : 05/20/2024
newportbeachca.gov/civic Final Date:
CCombination Type - Permit Status: Issued
`
Work Class - New Inspection Area : b
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 : 1315 OXFORD LN Legal Desc : N TR 3000 BLK LOT 20
Description: SFR - 32LF X 6'H *CTY STD*, INSIDE THE P/L, MARKERS ON SITE
Owner: CHAD AND ELIANA COPPOLA
Address : 1315 OXFORD LN
NEWPORT BEACH, CA 92660
Phone: (310)623-2485
Applicant: CHAD AND ELIANA COPPOLA
Address : 1315 OXFORD LN
NEWPORT BEACH, CA 92660
Phone: (310)623-2485
Owner/Builder :
Address :
Phone:
Contractor: OWNER/BUILDER
Address :
Phone:
Con State Lic : OWNER/BUILDER
Lie Expire
Bus Lie:
Bus Lie Expire
Workers' Compensation Insurance
Carrier: EXEMPT
Policy No: 0000
W. C. Expire:
Architect
Address
Phone:
State Lie
Engineer:
NIKJOO SHAHRAM
Address :
6011 E BRIGHTON LANE
ANAHEIM, CA 92807
Phone:
(714)777-7200
Designer:
FERNANDO COBOS „
Address :
4571 DELANCY DR
YORBA LINDA, CA 92886
Phone:
(714)932-3397
Code Edition :
2022 Fire Sprinklers : NO
Construction Valuation :
$3,360.00
Type of Construction :
Fire Hazard Zone : NO
Added/NewlTl sq. ft. Bldg:
0
Occupancy Groups :
U No of Units :
Alteration sq. ft. Bldg:
0
Bldg Height:
No of Stories :
Add/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)
PROCESSED BY: C)
-/ �
SPECIAL CONDITIONS:
REV2024-1011, O/B AUTH SCANNED
OWNER -BUILDER DECLARATION
€ hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the raason(s) indicated below by the checkmi I have placed next to the applicable rem(s)
Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct. after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
to permit to fife a signed statement that he or she is liconsad pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 703L5 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 O all of or (_) 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
jpnor is 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
prov for the purpose of sale).
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 f e,projects with a licensed Can actor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law Fort felt rfi eason:
,y my signature below I acknowledge that, except f0 ' y personal resident n no at have resided for at I at one year prior to completion of the improvements co- by this permit, I cannot legall.
all a structure that I have built as an ewner-build If it has not been cons ' tirety by tic `sod on clots, understand that a copy of the applicable law, Sacti 7 4 o€ a 1) ss and
rofessions Code, is available upon reque w n this application is su e a a Ito info.ca.gov/calaw.html,
Ignature of Property Owner or Authorized nt D
.ICENSED CONTRACTOR'S DEC. A ION
hereby affirm under penalty of perjury that I am licensed unde vi ens f a romancing with Section 7000) of Division 3 of the Business and Professions Code, and y license is to full force
nd effect. License Class en No Date Contractor Signature
COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR M SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to seff-insure for workers compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
erformance or the work for which this permit is issued. Policy No.
11 have anJ 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
.a Trance carrirr and policy number are:
of Agen'.
Policy Number
Date
Lrformance, of th r which this paint is issued. I shall not employ any person in any manner so as to become subject to the
subject tojIntl eats cgmgegs�!on p5hisiplins of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nereby atril m AnderpenaKo4erp&ytt(a his a construction lending agency for the performance of the work for which this permit Is issued (Seellon
enders t�a.c;e _ ____ ____ _ __._ Lenders Address
y my sign3fwp below, I certify to each of the following
I am the property owner or authorized to act on the
I have read this application and the information I N
I agree to comply with all applicable cfljl atI daunt)
IN!
I authorize representatives of tcity 11 ty to I
building construction.
inspection purposes.
ACTION ( DATE I 6Y l T;r ART 61 OF TITLE 40 ANDOAQMD RULE AL
PERMITEXPIRED
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I iJll.WgMITTFDA5RF.5TO5NOTIFICATION TO
PFRJPTCANCELLED
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C PA
PERNPT EXTENDED
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PCR.'NiT FINA(
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AS43E5705 Npl'9F]CAttON IS Ntl1' APPLICAaLE TO
CERTIFICATE Of
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PROPOSED DEMOLITION
OCCUPANCY ISSUED
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: SIGNATURE:
FOR OFFICE USE ONLY
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