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XR2022-2192 - Permits
City of Newport Beach tr e Community Development Department - Building Divisior 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 C"�{1F00.N`P Inspection Requests Phone: (949) 644-3255 newportbeachea.gov/inspections Combination Type - SFP Work Class - Other COMB Permit : XR2022-2192 Plan Check No: 1845-2020 Issued Date : 08/16/2022 Inspection Area : 3 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: 1224 DEVON LN Legal Desc : N TR 3000 BLK LOT 33 Description: DELTA 3 - ADD'L SCOPE-2 PILASTERS & RET WALL 12":H X 60' W/ WOOD FENCE ON TOP Owner: ERIC & TRACY HOROWITZ Contractor: DRAKE CONSTRUCTION INCH Address : 1224 DEVON LN NEWPORT BEACH, CA 92660 Address.: 7422 MOUNTJOYDR HUNTIN Phone Applicant Address Phone: BEACH, CA92648 (949)275-6333 Phone: (714).369-5550 Con State Lic : 881821 BD&Arch 234 BROADWAY COSTA MESA, CA 92627 (949)534-2724 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U Bldg Height : Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 —Single-Unit Residential PROCESSED BY: SPECIAL CONDITIONS: REV2022-1442 Lic Expire.: 07/31/2024 Bus Lic : BT30051436 Bus Lic Expire : 06/30/2023 Workers' Compensation Insurance Carrier: STATE COMPENSATION INSURAh Architect GTON Address Phone: State Lic Engineer, Address Phone: BD&Arch 234 BROADWAY COSTA MESA, CA 92627 (949)534-2724 VOLPE ROBERT M 20321 LAKE FOREST FOREST, CA 92630 (949) 305-4700 x1 „"—A . Expire :�j 8/30/20�273 Address Phone: If np pkabl:. DR STE D-6 LAKE Fire Sprinklers : 0 0% 2n ructiorDVV �3�j% or LEJS, inn r Bfurl ld Fir azar one • - G= . Add /New/TI sq. ft. Bldg : 0 No pf Unit. 9• tiNq �'Afitetatlon sq ft. Bldg: Nob Stori � Whim O j _LLBei seq. f� d3 )ODIC' S.•✓ ImU re � ��..'��t� �„M+ �w L��" 1 j ®oea• ��� 'd7d ?: _:•ate.%s s.t.>'i-3W� • o ®• a • • 0 0 0 • I ..y. i..'� o 0o a a pp € n !F'R. ° ® • s ommo omo©o am o m • o o e®_ 4. IrIsn em t hereby affirm under penalty of pe tury that I am exempt from the Contractors' Slate License Law for the reason($' iectlon 7031.5,.Business and Professions Code: Any city or county that requires a permit to construct, after. Improve a permit to file a signed statement that he or she is licensed pursuant to theprovisions of the Contractors' State Lief rofessions Code) or that he or she is exempt from licensors. and the basis for the alleged exemption. Anyviolation of ctmore than five hundred dollars ($500j. ] 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U putter usiness and Professions Code. The Contractors State License Law does not apply to an owner of property who, thn aprovements are not Intended or offered for If, however, the building. or improvement is sold within one year of 1provedfor the. purpose of safe).. I, as owner of the property. am exclusively contracting with licensed Contractors to construct the project (Section a ly to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Cant I am exemptfrom licensore under the Contractors' -State License Law for the following reason y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least Bit a structure that I have built as an owner-bultder if it has not been constructed in its entirety by licensed contractor. rofessions Code, Is available upon request when this applicationissubmitted or at the following Web sfteihttp;lly w% ignature of Property Owner or Authorized Agent ICENSED CONTRACTOR'S DECLARATION hereby affrm under penalty of perjury that I am licensed under provisions of Chapter 9. (commencing. with Sectiion7t nd effect. License Class License No Data._ VORKERS' COMPENSATIONDECLARATION 'ARNING: FAILURETO SECURE WORKERS' COMPENSATION. COVERAGE. IS UNLAWFUL, AND SHALL SUBJECT. AN EMPLOYER TO CRIMINAL DST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706.OF THE LABOR CODE. INTEREST. AND ATTpRNEY'S FEES. indicated below by the checkmark(s) I have placed nest to the applicable Item( demolish, or repair any structure, prior to its issuance, also requlr-- ,-applkant or rise Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business ar-,�f Section 7031;5 by any applicant for a permit subjects the applicant to a civil penalty ou s of the work, and the structure is not intended or offered for sale (Section 7044, Ugh employees' or personal effort, builds or Improves the property; provided that the ;ompletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' Skate License Law). Id bythis permit, . I.cannot 7044 of the Businessand in full force ?) AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS f$i0I%0 L IN ADDITION TO THE I lha a and will maintain a certificate of the t Wowing for workers' compensation, issued by: the Directors hereby penalty perjury g of Industrial Relations as provided for by SeCtion'3700 of the Labor Code, for arformance of the work for which this permit is issued Policy No. and will maintain Workers' compensation insurance, as required by Section 3700.of the Labor Code, carrier and policy number are: Policy. Number of Agent for they performance of the Work for which this permit is issued. My workers' CompE certify that, in file performance of the work for which this permit is issued, shall not employ any person in any i 3f I should become subject to t worke UD 'Gc % of Section 3700 of the Labor Code, I shall udure of APphCan# My Signature below,. I CBmty to Gaon Or rn I am the property owner or authorized to I have read this application and the infer I agree to co: plivAth all applicable city I authorize ftp••seiitatives of this city or • jpgiyje of Property Owner or Authorized A -noN, DATE .• •e WIT CANCEL 0.:.— :RFXtENQED • :RMIT FINAL • --- iRiII:CATEOF• •� rriuiANr'YI1XUFT* • , • sees •• •• ee is a construction lending agency owing: • the property owner's behalf. • I have provided is Correct, county ordinances and state law: sty to enter ti Aida DECLARATION OF OF COMALIAN RE45MATIONS PART 61 CIF TI' 1403 IEl I SUBMITTED ASBESTOS N RULE the work Date D as to become subject to the workers' compensation laws of California: and agre' comply with those provisions. Date �"�A_7 e� permit is issued (Section 3097, Civil Code),. ONLY All required alarms, latches gates and fences: which serve as part of a pool/spa barrier, shall be in place prior to approval to fill poolfspa & shall remain in place & be maintained: for the NOTIFICATION IS NOT APPLICABLE To life of the pool, PERMIT FEE DETAILS FOR PERMIT XR2022-2192 Fee Name Transaction Date Payment Method Building Building Permit Fee - Valuation Building Plan Check Fee 08/16/2022 CC EPL Drawing Fee Green Building Fee OTC Plan Check Fee - Planning 08/1612022 CC EPL Fee Amount r $166.00 - :-..$144.42 -$4.00 $1.00 $53.00 - Fee Paid Amount Trans. Paid Amount Paid By - $0.00 $144.42 $144.42 BD&Arch - $0.00 $0.00 - $53.00 $53.00 ': BD&Arch GRAND TOTAL: $368.42 $197.42, V _ d°