HomeMy WebLinkAboutXR2023-1663 - Permits�EWPp�T City of Newport Beach II IIIII III IIIII IIIIII IIIII IIIII II IIII II COMB Permit : XR2O23-1663
Community Development Department -Building Division X R 2 0 2 3 1 6 6 3
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1199-2020
" ? Permit Counter Phone: (949) 718-1888 Issued Date : 06/19/2023
newportbeachca.gov/civic
°sLiropN`P Inspection Area : 5
Combination Type - SFP
Work Class - Other
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 : 304 JASMINE AVE
Legal Desc : A TR CORONA DEL MAR BLK 237
LOT 4 CORONA DEL MAR LOT 4 BLK 2 37 NELY 20 FT(AND
SWLY
Description: DELTA 1 - ADD'L SCOPE - 3' (MAX) X 30' RETAINING WALL @ FRONT OF PROPERTY INSIDE P/L (REV2023-0994)
Owner: DANZ TAD TR THE DANZ FAMILY TR
Contractor: CORBIN REEVES CONSTR
Architect : LIGHT CHRISTIAN R
Address : 774 MAYS BLVD STE10368
Address : 245 FISCHER AVE
Address: 1401 QUAIL ST #120 NEWPORT BE/,.CH"
INCLINE VILLAGE, NV 89451
COSTA MESA, CA 92626
CA 92660
Phone : (714) 328-6666
Phone : (714) 540-3700
Phone : (949) 851-8345
Con State Lie : 721515
State Lie
Lie Expire : 04/30/2024
Applicant: Joe Velasco
Bus Lie: BT30057133
Engineer : MOKHTAR TAREK
Address: 304 Jasmine
Bus Lie Expire : 01/31/2024
Address : 31645 S COAST HWY
CDM, CA 92625
LAGUNA BEACH, CA 92651
Phone : (714) 401-6375
Workers' Compensation Insurance
Phone: (949) 499-6254
Carrier: OAK RIVER INSURANCE COMPANY
Owner/Builder:
Policy No: MAWC441551
Designer
Address :
W. C. Expire : 2/23/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $20,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : U
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories: 1
AddedlNew sq. ft. Garage: 0
TOTAL sq. ft. : 0
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone: X
Use Zone: R-2 - Two -Unit Residential
PROCESSED BY:
NO CONSTRUCTION NOISE
SPECIAL CONDITIONS:
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Egti� t`�
ON THE WEEKEND
i hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reaso(s) indicated below by the checkmark(s) I have placed next to the applicable ltem(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
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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500),
0 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,
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. IL 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
Ira 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
a ly 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).
1 am exempt from licensors under the Contractors' Stale License Law for the following reason:
By 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
sell a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and
Professions Code, is available upon request when this application is submitted or at the following Web siteihUp://www.loginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Data
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm unuer penalty, of perjury that I am licensed under provisions of Chapter g (commencing with Section 70001f ' ' i - 3_1 the Business and Professions Cod , and my license is in full force
and effect. Licen-c Vass License. No Date 7 Contractor Signalur
I URAERS' CO.4,FGNSATION DECLARATION
NARNING: FAILURE rO e:SURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED LARS (6100,000), IN ADDITION TO THE
CAST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FFFS.
nereoy affirm under penally of perjury one Of the following declarations:
0 1 hays and will mairtain 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 th
)pFformance of thn'vork for which this permit is issued. Policy No.
....11,4ve and will rnail,tsm 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' compensado.
Ksurance carder acj policy number are:
:;an:ar Policy Number Expiration Date
Vame of Agent Phone #
0' ^Pr'ity that, ih the performance o he work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
'.hat, If I should beuorue subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Dale1L l(7
DECLARATION REGAR G CON U ON DING AGENCY 77T---
hereby affirm under panel of pedu - t theta is a construction lending agency for the performance ofthe 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 following:
I am the property owner or authorized to act on the proped - owner's behalf.
I have read this application and the information I have pro f ad is correct.
I agree to comply with all applicable city and county ordinan es and state laws relating to building construction.
I authorize representatives of this city or county to r the cove -Identified property for inspection purposes.
3i nature of Property Owner or Authorized A ant Print Property Owner's or Authorized Agent s Nam - O
ACTION DATE BY ECLA 10 OF CO CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
GULA N5 PART6I OFTITLE 40ANOAQMD RULE
ACTION --7�
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