HomeMy WebLinkAboutXR2022-2972 - Permits��EWPoRr
City of Newport Beach
c4
Community Development. Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
c9LrFoaN��
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type -
Work Class - Other
11111111111111111111111111111111111111111111111111111111 11111 COMB Permit : XR2022-2972
Plan Check No:
Issued Date : 11110/2022
Inspection Area : 2
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 : 723 SANTANA DR
Description: SFR YARD DRAINAGE
Owner: JOHNSTON TRUST Cor
Address : 723 SANTANA DR Adc
CORONA DEL MAR, CA 92625
Phone: Pha
Applicant: BRIAN M KILLELEA LANDSCAPE CO INC
Bus
Address: 1725 MONROVIA AVE CA
Bus
COSTA MESA, CA 92627
Phone: (949)645-4635
Wor
Carl
Owner/Builder :
Poly
Address :
W.'(
Phone:
Code Edition : 2019
Fire
Type of Construction : V-B
Fire
Occupancy Groups: U
'.Nor
Bldg Height:
Nora
Building Setbacks: Front: 18, Side: 4, Side: 4, Rear: 10
Flood Zone : X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY
SPECIAL CONDITIONS:
BILK : LOT 87
NO
D
D
CA
%PE CO INC Architect:
'-:Address:
Lic : ,�--
u
eer : 1 -' 3
Ai
PI
D1
Construction Valuation : $0.00
Added/New/Ti sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
Tess and Professions Code: The Contractors' State. License Law does not apply to an owner of property who, through employees or personal effort; builds or improves the: property, provided that the
warrants are not intended or offered for sale. If, however, the Wilding or improvement is: sold within one year of completion, the Owner -Builder will have the burden of proving that tt was not buiti or
wed for the purpose of sale).
I, as owner of the property, am exclusively: contractingwith licensed Contractors to construct the project {Section 70", Business andProfessionsCode: The Contractors State License Law does not
y to an owner of property who builds or improves,thereon, and who contracts for: the projects with a licensed Contractor pursuant to the Contractors' State License Law)..
I am exempt from Imensure:under the Contractors' State License Lawfor the following reason:
ny signature below I acknowledge that, except forinypamonal residence in which 1 must have resided for at least one year prior to completion of the improvements covered. by this. permit, I oannot legally
a structure that l have built as owner -builder if It has not been constructed in its:. entirety by licensed contractors. l understand that a copy of the: applicable law, Section 7044 of tho Business and
essions Code,. is.availableupon request%tenthis application is submitted orat,thefoflowing Web site:httpJiwwvr.teginto.ca.govlcalaw:html.
Isture of Property Owner or Authorized: Agent: Date.
ENSED CONTRACTOR'S DECLARATION
,eby affirm under penalty of perjury that I am licensed under provisions of Chapter (Commencing with Section 7 ) of Division 3 of ftie Business and P essions ode& my licenseisin full force:
effect. License Class License No Date U ZContractorSignatu
RKERS' COMPENSATION DECLARATION
NINO: MLURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL: AND'$HALL SUBJECT AN. EMPLOYER TO CRWNAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,000); IN ADDITION . TO THE
,eby affirm under penally of perjury one: of the following declarations:
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 thi
ormance of the work for which this permit is issued. Policy No.
Teve_and will maintain workers' epmpensauon Insurance, as required by Section 3700 of the Labor Code. for the performaneeaf the workfor which this: permit is issued. My workers' compensatior
mince carrier and policy number am:
ter Policy Number Expiration Pate
is of Agent:. Phone
certify that, inch pelf rmance of the k Ior rhich this permit is issued. I shah not employ any person in any manner so as to become subject tothe worke `' mpensatinnlaws of California:, and agre(
if I should beco s bjeot to the wor rs'..compa satipn provisions o ection 3700 of the Labor Code, I shall forthwith comply with those provisions. /
Iature of Applicant Da J (y 22
:LARATION REGA I ON G ON L NOING- ENGY
reDy affirm under p naltv of periury that them is a construction lending agency forthe performance of the work for which this permit is issued (Sect= 3097, Civil Code),
I am it
t have
I aorea
ACTION
APPLICABLE TO
CEAVFtC4TE OF
OCCUPANCYISSUED
1,IU
2Z