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Home My WebLink AboutXR2023-0489 - PermitsCity of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 04'. Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 111111111111111111111111111111111111111111111111111111111jjCOMB Permit : XR2023-0489 Plan Check No: Issued Date : 02/22/2023 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 Legal Desc : N TR 15391 BLK LOT 52 Description: SFR - YARD DRAINAGE `CITY STANDARD PLAN Owner: TAYLOR COLLEEN B TR Contractor: DIG LANDSCAPE CONSTRUCTION Architect Address: 184 RINCON POINT RD Address : 2732 E. Coast Hwy Ste A. Address: , CARPINTERIA, CA 93013 Corona Del Mar, CA 92625 ^ ^ ^ ^ Phone: Phone: (503) 877-8505 Phone: Con State Lie : 932954 State Lie : ^ Lie Expire : 01131/2025 Applicant: DIG LANDSCAPE CONSTRUCTION Bus Lie: BT30026912 Engineer Address : 2732 E. Coast Hwy Ste A. Bus Lie Expire : 01/31/2024 Address Corona Del Mar, CA 92625 Phone: (503) 877-8505 Workers' Compensation Insurance Phone: _ Carrier: SIRIUSPOINT AMERICA INSURANCE COMPANY Owner/Builder: Policy No: WC100081 Designer: Address : W. C. Expire: 6/1/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 5, Side: 5, Side: 5, Rear: 3 Flood Zone : X Use Zone: PC - Aeronutronic Ford PROCESSED BY: &e- SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate license Law for the reason(s) indicated below by the chackmark(s) I have placed next to the applicable -items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor to its issuance, also requires the applicant for the permit to file a signed statement that Ire 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 Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved for the purpose of sale). 0 1, 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 apply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 11 1 am exempt from licensors 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 ovmar-bwldor 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:liwww.leginfo.ca.gov/calaw,btmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio .. e is In full force and effect. License Glass License No Date '7_4y- !, Contractor Signature WORKERS' COY PIENSATION DECLARATION WARNING rAIW RE Tn SEC7^.E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5700,000i, IN ADDITION TO THE CnST OF COMPENSt TION, of MAGEE AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES, I hereby affirm under penalty of perjury one of the following declarations: D l hale and will malntain a certificate of consent to solf-insure for workers' compensation, Issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for the Lr/arprLnce of tha work ;or which this permit is issued, Policy No. :have and will rlaime'n 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 ins�r oca carrier And poli,Iy number are: Car, ier Policy Number Expiration Dale rNbmr. ul Agent Phone # Ell certify that, in ti , per.ormanoo 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' compensation laws of California, and agree ih-rt, it I sFaWd be-Dme ,u6'ect to jw�crkers/corn�}y/satio�. rout of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant I%®/ /'� Date�7.L 7.3 DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty 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). Lenders Name Lender's Address By my signature below, I certify to each of the following: I am the property owner orauthodzed to act on the property owner's behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state 10,4s relating to building construction. I authorize representatives of this city or county to ant bov ; ny for inspection purposes. Signature of Property Owner or Authorized Agent /' Pont Properly Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF CONIPLIANCEW17H CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE 1403 PERMIT EXPIRED _ I SURMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED tit• —r.y OMID PERAdIT FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF /L "5 PROPOSED OEMOLITEO�'�� OCCUPANCY ISSUED I SIGNATURE:-.: i �-