HomeMy WebLinkAboutXR2023-2285 - Permits"�EWPOR, City of Newport Beach 11111111111111111111111111111111111111111111111111111111111COMB Permit : XR2O23-22s5
I Community Development Department- Building Division X R 2 0 2 3 2 2 8 5
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1882-2021
u 2. Permit Counter Phone: (949) 718-1888 Issued Date : 08/22/2023
newpor�.. tbeachca.gov/civic Final Date:
g4ro a��P Combination Type - Permit Status: Issued
Work Class - Other Inspection Area: 5
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 : 2216 PACIFIC DR Legal Desc : A TR CORONA DEL MAR BLK 328 LOT 4
Description: SFR'ADD'L SCOPE' SITE RETAINING WALLS (INSIDE THE P/L) 24H MAX X 73 LF
Owner: VADEN ANDREW T TR VADEN
REVOC TR
Address :
220 NEWPORT CENTER DR, #11-384
NEWPORT BEACH, CA 92660
Phone:
Applicant :
THE FALBO COMPANY
Address:
5000 BIRCH STE 3000
NEWPORT BEACH, CA 92660
Phone:
(949)794-9534
Owner/Builder :
Address :
Phone
FAMILY Contractor: THE FALBO COMPANY
Address : 5000 BIRCH STE 3000
NEWPORT BEACH, CA 92650
Phone: (949)794-9534
Con State Lie : 811059
Lie Expire : 07/31/2024
Bus Lie : BT03042976
Bus Lie Expire : 03/31/4 t2l2p2_j
Workers' Compensation Insurance
Carrier :
Policy No: EXEMPT
W. C. Expire :
Code Edition : 2022 Fire Sprinklers : NO
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : U No of Units : 0
Bldg Height: No of Stories : 0
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY: 00L,
SPECIAL CONDITIONS: REV2023-1555
I N St> �,.JTos i l
Architect: LIGHT CHRISTIAN R
Address: 1401 QUAIL ST #120 NEWPORT BEACH,
CA 92660
Phone: (949)851-8345
State Lie :
Engineer: MANSHADI-FARHAD
Address : 1800 E 16TH S 1 1 1NIT B
SANTA ANA, CA 92701
Phone: (714)835-230C
Designer:
Address :
Phone:
Construction Valuation :
Added/New/TI sq. ft. Bleg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
$6,On0.09
0
0
0
NO CONSTRUCTION WORK
ON SATURDAYS
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) 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, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
TB 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
Irofessions 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 penalty of
iof more than five hundred dollars ($500),
1 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 net 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 property, provided that the
nprovemems 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 bull( or
nproved for the purpose of sale)-
3 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
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),
1 am exempt from licensure under the Contractors' State License Law for the following reason: ._.-, _..-_ -,_ — _ ._..___
ly my signature bolow I acknowledge that, except for my personal residence in which I trust have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegalh
all a structure that I have built as an ownor-buildor if it has not been constructed in its onliroty by liconsod 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:http7l�.leginfo.ca.govlcalaw.html.
tignahue of Property Owner or Authorized Agent _ jon
,�-_,_„ Date.ICENSED CONTRACTOR'S DECLARATIONhereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with S ction 7 of Division 3 of tIncise and P Ie. and my license is to full force
and effect. License Class License No a''i Z2 - Z3 for SignatureVORKERS' COMPENSATION DECLARATIONFANNING: FAILURE TO SECURE WORKERS•COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO GR MINAL PENALTIES AND CIVIL FITO ONE HUNDRED THOUSAND DOLLARS IS100,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROvIOED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to self -insure for workers' compensalion, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Cade, for th
erforlpance of the work for which this:yrarmil 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'
carrier Eau nolicy number are:
Policy Number
Date
lie of Agent Phone #
Certify that. in Inr herfnrmanoe of the wor which this permit is issued:, I shall not employ any person in any manner so as to become subject to the workers' comp nsation laws of California, and agre
I, if I should become sv�t ors' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of App.,--. _ ._ '^_.� —.. _ __"._ _.___,._. —ilvil
' ZZ -7->CLARATION RING CONSTRUCTION LENDING AGENCY
Ireby affirm under pena,;ty ofper,'ary that there is a construction lending agency for the performance of the Work for which this permit is issued (Section 30 Code).
Ider's Name Lender's Address
my signature be'row, I Certify'D sa4of the following:
I am the grope, iy or, or au'h)lzed 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 applicab Gry an county ordinances d-etele' Ms relating to building construction.
I authorize representatives of this Of county to enter identified property for inspection purposes.
naiw'e Df Pmoerty Owner or Autho'. a Aaent `-- Print Prooertv Owner's or Authorized Ace . s ema C^ M 1 ly,7Sli D f'D Z.Z. Zi
ACTION OATS BY 1 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE. 40 AND AC1NI0 ftULF
ASBESTOS NOTIFICATION TO
PERMIT EXTENDED 1 _ LJAQMD
FfR,LfIT FlAIA!___... _.3.:.2`.._._—_-_-_-__—___.__ .....__.._.__.—._.__
"'II ,�%� MASHISTO5 NonnCAI ION IS NOl APPLICABLE 10
CERTIFICATE Of (�( PROPOSED DEMOLITION
OCCUPANCY ISSUED 151GNATURE: