HomeMy WebLinkAboutXR2022-3161 - Permits (3)�EXPoRT
City of Newport Beach
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Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Other
II�III11111111111111111111111111111111111111111111111111111COMB Permit : XR2022-3161
Plan Check No: PC2022-3027
Issued Date : 12/06/2022
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 : 710 AVOCADO AVE
Description: SFR - 6' X 89' & 42" X 47' BLOCK WALLS (INSI
Owner: PAINTER ROBERT F
Address : 730 MALABAR DR
CORONA DEL MAR, CA 92625
Phone
Applicant: LANDCRAFTERS INC Bus Lic BT3C
Address: 29512 ANA MARIA LANE Bus Lie Expire : 05/31
LAGUNA NIGUEL, CA 92677
Phone : (949) 249-1086 Workers' Compensati
Carrier: AMERICAN
Owner/Builder: Policy No:: WC581
Address : W. C. Expire: 12/1/21
Phone
Code Edition : 2019
Fire Sprinkle
Type of Construction : V-B
Fire Hazard 3
Occupancy Groups : U
No of Units
Bldg Height:
No of'Stor w
Building Setbacks .
Flood Zone:
Use Zone :
PROCESSED BY
2
2
Front: 15, Side: 3, Side: 3, Rear: 5
X
R-2 - Two -Unit Residential
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SPECIAL CONDITIONS:
-TERS`INC
Architect:
MARIA LANE
Address
IGUEL, CA 92677'
086
Phone:
State Lie
124
)467
Engineer: - -
123
Address
Insurance
Phone:,,r_
RICH INS CO
31
Designer:
Address
Construction Valuation : $10,000.00
Added/New/TI sq. ft. Bldg: 0
Alteration sq. ft. Bldg:
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
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chess 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 sale. If, however, the building or improvement is sold within one year of comt letion, the Owner -Builder will have the burden of proving that it not built or
Oved for the purpose of sale),
I, as owner of the property,am exclusively contractingwith licensed Contractors to Construct the project: (Section 7044, Business and Professions Code: 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 Contractoi pursuant to the Contractors' State License Law),
l am exempt from licensure under the Contractors' State License Law for the following reason:
VORKERS' COMPENSATION DECLARATION U\% r
ARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN. EMPLOYER TO £RINENAL PENALTIES AND CIVIL FINES UP SO ONE HUNDRED . OUSAND DOLLARS ISIDO,OOet: 1N ADDITION TO THE
DST OF COMPENSATION, DAMAGES. AS PROVIDED FOR IN SECTION: BIOS Ole THE LABOR CODE, INTEREST, AND ATTORNIF" FEES:
hereby affirm under penalty of perjury one of the following declarations: I
3 t-have and will maintain a Certificate of consent to self -insure for workers'. compensation, Issued by: the Director a( Industrial Relations as provided for by Section 3700 of the Labor Code,.for th
rformance of the workforwhich this permit is issued. Policy No.
,Ihave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for theperformance of the work for which this _permit is issued. My workers' compensatioi
, rance carder and policy number are;
artier Policy Number Expiration Date
lame of Agent. Phone
71 Certify that, in the performance of the work for which this permit is issuad. (shall not employ any person in any manner �o as to become subject to the workers' compensation laws of California: and agre
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nature of AppOo
GLARATION
H,ebyaffirm u
Ider's Name
my signature
Tam the prope
I have read IN:
PPRebHT PTNAL
behalf.
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OTIFICATION IS NOT APPUCAUE TO
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