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HomeMy WebLinkAboutXR2022-2701 - Permits�EwaoRT City of Newport Beach II III I I I II I II I III I II III I II Community Development Department- Building Division a,. y 100 Civic Center Drive, Newport Beach, CA 92660 1 = Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 q<rcoar'v newportbeachca.gov/inspections Combination Type - SFP Work Class - Other COMB Permit : XR2022-2701 p� Plan Check No : Z,5 3 b —2O \ Issued Date : 08/22/2022 Inspection Area : 6 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 : 609 JASMINE AVE Legal Desc : A TR CORONA DEL MAR BILK 636 LOT 9 Description: DELTA 7- (4) 42" HIGH PILASTER & BLOCK WALL 16 LF X 30 HIGH INSIDE'P/L *CITY STANDARD* (CHANGE OF CONTRACTOR) Owner: LINDA MILLER Contractor: JOHN MASTROPAOLO CONSTRUCTION Architect Address : 13741 CARLSBAD DR Address`: 16291 MAGELLAN LANE :':Address SANTA ANA, CA 92705 HUNTINGTON BEACH, CA.92647 Phone Phone: (562)'200-1024 Phone: Con State Lic : 975340 State Lic Lic Expire : 07/31/2024 Applicant: CHILDS CYNTHIA Bus Lic. BT30075965 - Engineer: Address : 2732 E COAST HWY #B Bus Lic: Expire : 07/31/2023 Address: CORONA DEL MAR, CA 92625 Phone: (949) 718-3528 Workers' Compensation Insurance Phone: ' Carrier Owner/Builder : Policy No: EXEMPT Designer: Address : W. C. Expire: - Address Phone: - Phone: o° Code Edition: 2019 Fire Sprinklers: YB6 Construction Valuation: $0.00°'°°°° Type of Construction : V-B Fire Hazard Zone NO Added/New/TI sq. ft. Bldg Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg : 0 Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5- °°°°°° Flood Zone: X ° Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: I hereby affirm under penalty of pertury. that i am exempt from the Contractors'. State License Law,for the reason(s)-indicated below by the checkmark(s) I have placed next to the appitcaole fleas Ilion 7031.5, Business and Professions Code: Any cityor county that requires a: permit to construct. alter, improve, demolish, or repair any structure, prior to its issuance, also requites the applicant for 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 ressions Code) or that he or she is exempt from iicensure and the basis for the :alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the :appiicanttoa civil penalty of more than five hundred dollars ($500), 1,,.as owner of the property, or my employees with wages as their sole compensation, will do j_} all of Or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 ovements are not intended or offered for sate. 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 buin or oved for the purpose of safe). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project. jSecflon 7044, Business and Professions Code: The Contractors' State License Lawdoes not. y to an owner of property who builds or Improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors''State License taw). I am exempt from licensure under the Contractors' State License Law for the following reason: -- ny signature below Iacknowledge that, except forma personal residence in which I most have resided forest laaet nr,a vaar nrinr In c. ,:i;. ii nature of Pro - .. g pertyOvmerarAuthorizedAgent. - [late. ACENSEO CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of visi n 3;of the Business and Profe Code, nd se.is In full force: and effect. License Class License No Date ,O :Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERW COMPENSATION COVERAGE IS UNLAWFUL, AND .SHALL : SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOOKE RUNDRED USAND OOLLARS ($100,000)., IN ADOmON TO TI :LIST OF COMPENSATION, DAMAGES. AS PROVIDED FOR IN SECTION 3706 of THE LABOR CODE, INTEREST. AND ATTORNEYS. FEES. hereby affirm under penalty-pf perjury one of the following declarations: _ I have and will. maintain a cartfficate of consent to..self-insure tot workers' compensation, Issued by: the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the `ormance of the work for which this permit is issued, Policy No, have and will maintain workers' compensation insurance, as required by Section 3700 of the Labat Code; for the performance of the work for which this permit is issued. My workers' eompensador Imnce carrier and policy numberare: net Policy Number Expiration Date no of Agent. Phone # certify that. in the per€ nce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' eompensaton laws ofCalifornia ., and agree �' ould be °m a bj t the war rs'' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iature ofApplfeant _ Date ' L .""TION R .G O CONS GTION LENDING AGENCY —' reby&rtrm ufft &U Mal penury that there is a construction lending agency for the performance of the work for which this permit is: issued ($action 3097,. Cfvi Code), tl�rs�eme. Lenders Address .1 or* the propeit 0VILer or authorized to sot on theproperty owner's behalf. Ielrxe read thisapplication and the information I have provided. is correct ..I+61 to coptJY.% CI all applicable city and eou�p�tya�gtf��d��r�I es and state Eaws relating to building eonswctior ..I,gUjtinriza representatives of this city or county I-"abvIntified p_ row fobinspection purposes. e ACTION s: es+e+ DATE BY i R „„ONS PART:61 OF ITLE4AN©D AQMD RULE IOF CPLIANCE WITH CODE OF AL FOR OFFICE USE ONLY rrn.wr MIVNL L-IAS'BESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF lV�.i1 fill%-' jj PROPOSED DEMOLITION OCCUPANCY153UED j SIGNATURE: