HomeMy WebLinkAboutP2023-0079 - Permits�EwPoRT City of Newport Beach
Community Development Department - Building Division
r 100 Civic Center Drive, Newport Beach, CA 92660
0 y Permit Counter Phone: (949) 644-3288
C,i� FOM1N�P Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/lnspections
11IIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII JillPlumbing Permit : P2023-0079
Plan Check No
Work Class : Other
Issued Date : 02/16/2023
Inspection Area : 4
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: 56 CROOKED STICK DR
Description : PLUM GASLINE TO FIREPIT
Legal Desc : N TR 15391 BILK LOT 52
Owner: TAYLOR COLLEEN B TR
Address : 184 RINCON POINT RD CARPINTERIA, CA 93013
Phone:
Applicant: DIG LANDSCAPE CONST. INC
Address: 2732 E COAST HWY #A CORONA DEL MAR, CA 92625
Phone: (949)673-5450
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction :
Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 3
Flood Zone : X
Use Zone : PC - Aeronutronic Ford
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor : DIG LANDSCAPE CONST. INC
Address : 2732 E COAST HWY #A CORONA DEL MAR, CA 92625
Phone : (949) 673-5450
Con State Lic: 932954
Lic Expire: 01/31/2025
Bus Lic: BT30026912
Bus Lic Expire:01/31/2024
Workers' Compensation Insurance
Carrier: SIRIUSPOINT AMERICA INSURANCE COMPANY
Policy No : WC100081
W. C. Expire: 6/1/2023
Fire Hazard Zone : NO
Occupancy Groups :
JJ�
i
G
GYG
4ii
n
i
el ny�
10
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s). indicated below by the checkmark(s) I have placed next to the applicable item(s)
action 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
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
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Anyviolation of Section 7031.6 by any applicant for a permit. subjects the applicant to a civil penalty of
more than five hundred dollars ($500)_
I, as owner of the property, or my employees with wages as their sole compensation, will do (J all of or i_) portions of the work; and the structure is not intended or offered for sale (Section 7044,
dness 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
Irovements are not intended or offered for sale. 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 built or
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
)ly 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).
L1 I am exempt from ficensure under the Contractors' State 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 been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Web site:http://www.loginfo.ce.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under previsions of Chapter 9 (commencing. with Sectio 7 O) of Division 3 of the Business and Pr f ssiof� —nd ` n in full force
and effect. License Class License No Do "'o l6 "i Contractor Signatur «ti'-'
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH IUSAND DOLLARS (5100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 47000F THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I 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 Ih1
ormance of the work forwhich this permit is issued. Policy No.
have and will maintain 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' compensatior
mMe carder and pollcy number are:
'tar Policy Number Expiration Date
ie of Agent Phone N
certify that in the pert manca of the rk for which this permit is issued, I shall not employ any person m any manner so as to become subject to the workers' ompensation laws of Califomia, and agree
, if 1 should become ssi/Jgbrlect to t�h�.�o-rrkvrk '' compons p ns of S n 3700 of the Labor Code. I shall forthwith comply with those provisions.
nature of Applicant���f Qa L` 6'"� 7
•! Atl AT!!�\ ifL-1PABt�lu%YMGI\iCYtl11I�Y1l�\!! C\tWl\!1^ AY�.CAi/V
ereby affirm underpenalty of perjury that there is a construction lending agency for the performance of the Work for which this permit is issued (Section 3097, Civil Code).
lder'S Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property Owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county inances and state laws refaling to building construction.
authorize representatives of this city or ceunty t. ier eve- enti�f ropeny for inspection purposes. 11,
0 //1 I,. I _
nature of PropertyOwner or Authorized Agent I —� /%� Print Property Owner's or Authorized Agent's Name .R6°'C `-�"`rt
TION DATE BY i DE ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART bl OF TITLE 40 AND AQMD RULE
1403
PERMIT CANCELLED
LL--frEPA
PERMIT EMENDED
—QAQMO
PERMITFINAL
9 If,'3
ASBES'fO5 NOTIFICATION 15 NOT APPLICABLE. TO
CERTIFICATEOF
PROPOSED IAMOUTION
OCCUPANCYISSUED
SIGNATURL: