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Home My WebLink AboutXR2022-2719 - Permits (2)0 City of Newport Beach 4 � s Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq!IF00.H�P newportbeachca.gov/inspections Combination Type - SFP PLUM Work Class - Other II III I I I II I II I III I III III II COMB Permit : XR2022-2719 Plan Check No : PC2022-2566 Issued Date : 10/14/2022 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: 1 HAMPSHIRE CT Legal Desc : N TR 3852 BLK LOT 33 Description: SFR DETACHED 323 SF SOLID PATIO COVER WITH FIREPLACE (42" HIGH MAX) Owner: BLANCHARD FAMILY TRUST Address : 1 HAMPSHIRE CT NEWPORT BEACH, CA 92660 Phone : Applicant: INSTANT LANDSCAPE INC Address : 833 DOVER DR #24 NEWPORT BEACH, CA 92663 Phone : (949)347-0700 Owner/Builder : Address : Phone : Contractor: INSTANT LANDSCAPES Address : 833 DOVER DR STET NEWPORT BEACH, CA 92663 Phone: (949)347-0700 Con State Lic : 842586 Lic Expire : 07/31/2024 Bus Lic : BT30072973 Bus Lic Expire : 09/30/2023 Workers' Compensation Insurance Carrier: PALOMAR SPECIALTY INSURANCE COMPANY Policy No: ON1166201 W. C. Expire : 8/15/2023 Architect Address Phone: State Lic Engineer: FORBES DALE L Address : 1800 E 16TH ST #B SANTA ANA, CA 92701 Phone: (714)835-2800 Designer: Address : Phone: Code Edition: 2019 Fire Sprinklers : NO Construction Valuation : $0.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg 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. Bldg: 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 - - Flood Zone: X ,... W Use Zone: R-1-6000 - Single -Unit Residential (60D0 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 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 fts issuance, also requires the applicant for he 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 Irofessions Cade) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 properly, provided that the mprovements 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 mproved 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 Cade: The Contractors' State License Law does not I�rply to an owner of property who builds or improves thereon, and who contracls for the projects with a licensed Contractor pursuant to the Cenlmctors' State License Law). J I am exempt from licensure under the Contractors' Stale License Law for the following reason ,,_._,__.___„ 3y 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 legall3 all 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:ii' yr .leginfo.ca.govlcalaw.htmi. 3gnature of Properly Owner or Authorized Agent ........ Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under previsions of Chapter 9 (commencing with Section TOLD of ry sio of the Business and Pr dons Co full force Ind effect. License Class License No Date ( �Contractor Signatur VORKERS' GOMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE '.OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. hereby affirm under penalty of perjury one of the following declarations I I e 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 th ormance of the work for which 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 ranee carrier and policy number are: ne of Agent certify that. in the performance of the , if I should become subject to the we Of Applicant Policy Number UFIE 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 agra o of Zecli n 340 ar the Labor Code, I shall forthwith comply with those provisions. Date U-f'zZ hereby affirm under penaltilIK-perjury there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address By 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 inforinalion I have provi correct. ide I agree to cjr i I •;.with all applicable city and county ' antes a ate laws relating to building construction. It —Ty —7 I Luthorize representatives of this city or county enter t ov -i lified property for inspection purposes. Si nature of Property Owner or Authorized A enL Print Propart y Owner's or Authorized Agent's Name �+ W I ( 1 Date ACTION DATE BY RATION OF COMPLIANCE WI DE OF FEDERAL FOR OFFICE USE ONLY 20 REGULATIONS PART BI OF TITLE 40 AND MD RULE 1403 p<pMir EXPIRED LX—SUBMITTED ASBESTOS NOTIFICATION TO o PMITCANCELLEi. I EPA MIT EXTENDED MD PIITFINAL -'ZD 23 IJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO OCCUPANCY SXED SmNPAiilp DEMOLITION OCCUPANCY