HomeMy WebLinkAboutXR2022-2332 - PermitsaEwnoRT City of Newport Beach
0 R Community Development Department- Building Division
r'. 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
coaN`r_ newportbeachca.gov/inspections
Combination Type -
Work Class - Other
II III I I I I I II I III III II I I II COMB Permit : XR2O22p-2332
Plan Check No: Inspection to eB 912022
2022-2176� 7
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE v44 S
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 6 SUNDIAL Legal Desc : N TR 16461 BLK LOT 45
Description: SFR - 8' HIGH PIZZA OVEN & FIREPIT (GAS). INSTALL FOUNTAIN & SERVING COUNTER W/DRAINAGE
Owner:
COLBY WEAVER
Contractor : URBAN LANDSCAPE MAINTENANCE
Architect
INC
Address :
6 SUNDIAL NEWPORT COAST, CA 92657
Address : 895 DOVE ST 3RD FLR NEWPORT
Address
BEACH, CA 92660
Phone :
Phone : (949) 637-8767
Phone
Con State Lic : 962251
State Lic
Applicant :
PAUL ELLISON
Lic Expire : 06/30/2023
Address :
24642 VIA RAZA LAKE FOREST, CA 92630
Bus Lic: BT30079582
Engineer:
Phone:
(949) 683-9861
Bus Lic Expire : 08/31/2023
Address
Workers' Compensation Insurance
Phone:
Owner/Builder
:
Carrier: TECHNOLOGY INSURANCE COMPANY INC
Address :
Policy No: TWC4105863
Designer
Phone:
W. C. Expire: 6l3/2D23
Address
Phone:
Code Edition : 2019
Fire Sprinklers :
Type of Construction : V-B
Fire Hazard Zone
Occupancy Groups : U
No of Units :
Bldg Height:
No of Stories
Building Setbacks
Flood Zone : X
Use Zone : PC - Newport Coast
PROCESSED BY
SPECIAL CONDITIONS:
NO
Yes, as determined by the state.
0
DANIEL PETER KORNTVED,
2546 MONTCLAIR ST SPA' DIEGO, CA
92104
(619)841-8241
Construction Valuation : $18,000.00
Added/NewITI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
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 checkrnark(s) I have placed next to the applicable itam(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 its issuance, also requires the applicant for
ie 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
'rofessions 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 a civil penalty of
of more than five hundred dollars ($500).
3 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,
usiness and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided (hat the
nprovements 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
nproved 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' Stale License Law does not
�rply to an owner of property w1io builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
J I am exempt from llcensure under the Contractors' State License Lew for the following reason-
.
ly my signature below I acknowledge that, except for my personal residence in which I must have residod for at least one year prior to completion of the improvements covered by this permit, I cannot legally,
Fit a structure that I have built as an owner -builder if it has not been constructed in its entirety 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://www,leginfo.ca.govlcalew.htmi,
,ignature of Property Owner or Authorized Agent Dale
.ICENSED CONTRACTOR'S DECLARATION /�
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) iVi n 3 of the Business and Profe s' Co e, a d my fi • e is In full force
nd effect. License Class License No Date `?Contractor Signatu
VORKERS' --OMPENSATION DECLARATION
ARNIN^,: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100A00), IN ADDITION TO THE
G3. JI COMPENSATIJ.i. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES..
hereby affirm uadlr penalty of perjury one of the following declarations:
Vnia
nd vdil 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 Cade, for the
of too we.k for which this permit is issued. Policy No.
d 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' compensation
m®r and policy number are:
Policy Number Expiration Date
eTe rf Agent
11 terrify that, in the
E.I. r I should bacon
Ienature of ArIcT an
of th rk for Ich 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
n or rs' ' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
Dale G
-__. 1 rrnnu 11 �unlur. ennury a��r+�
hereby affirm under per7ialty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
enders Name _ Lender's Address _
ly 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 informabRoountitiaf)e<s�nd
vided is correct.
I agree to comply with all applicable city a sl laws relating to building construction.
I authorize representatives of this efty or ouerty for inspection purposes.
ignature of Property Owner or Authorized�/ Print Provenv Owner's or Authorized Aoenl's Name
ACTION DATE ( $Y DECLARATIONOF COMPLIANCE WIT14 CODE OFFEDEF
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
l 1403
PERMfr EXPIRED i LJ I Sl1BMITTPD ASBESTOS NOTIFICATION TO
PERMITEXTENDED i LJAQMD
PERMIT FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPAPICY ISSUED SIGNATURE:
FOR OFFICE USE ONLY
Civil Code).
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.