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Home My WebLink AboutXR2022-2184 - PermitscWPol?lr, City of Newport Beach Community Development Department- Building Division }e°+ 100 Civic Center Drive, Newport Beach, CA 92660 Fermat Counter Phone: (949) 644 3288 Inspection Requests Phone. (949) 644-3255 °9<rFonn�P. newportbeachca.govhnspections Combination Type - MFP Work Class - Other II III I I I II I II I III II II I II II COMB Permit : XR2022-2184 Plan Check No : Issued Date : 08/16/2022 Inspection Area : 6 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 : 11 CELANO CT Legal Desc : N TR 14772 BLK LOT 6 UN 137 TRACT 14772, LOT 6 OF PROJECT 93 5-34 LOCATED ON Description : MFR OPEN LATTICE PATIO COVER 230 SF *STANDARD PLAN* Owner: KENT CLAYTON Contractor: CUSTOM DELUXE LANDSCAPE INC Architect Address : 11 CELANO CT NEWPORT COAST, CA 92657 Address : 232 WEST AVE SAN ANTONIO SAN Address CLEMENTE, CA 92672 Phone: Phone : (949) 498-5243 Con State Lie : 642734 Phone : ' 13.v ^ L CT ^ R State Lic : � C4�3 Applicant: SAMUEL GHAY Lie Expire: 03/31/2023 Address : 21909 ERIE LN LAKE FOREST, CA Bus Lie : BT30079487 Engineer Phone: (949) 235-0552 Bus Lie Expire: 08/31/2023 Address Workers' Compensation Insurance Phone: Owner/Builder: Carrier: COMPWEST+INSURANCE+CO Address : Policy No: WCV5504967 Designer Phone: W. C. Expire : 4/1/2023 Address Phone: Code Edition.: 2019 Fire Sprinklers : NO Construction Valuation : $0.00 Type of Construction : V-B Fire Hazard Zone : Yes, as determined by the state. Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-2 No of Units : 8 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 Building Setbacks Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby aftinn under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next io the applicable ftem(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 the 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 Divisibn 3 of the Business and Professions Code) or that he or she is exempt from flcensure 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 not more than five hundred dollars ($500). 0 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, 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 [hat 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 Imrroved 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 apply 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). 0 1 am exempt from Iloansure under the Contractors State License Law for the following reason: _. _....._—.._._.� . _..._..._ By my signature below 1 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 entirety 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:lfwww,leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION 4 �" I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) (vision 3 oft )e Business and Pr f siora nd my license is In full force and effect. License Class License No Date Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRRAINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,000), iN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE. INTEREST, AND ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: Q 1 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 th, performance of the work for which this pen -nit 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' woe carrier and policy number are: is of Agent _ certify that, in the . If I should becon of Applicant Policy Number Date work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' comps if IS of California, and agre 1tBrs' DompensaU pr Jvisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .� Date CLARATION REGARDING -CONSTRUCTION LENDING AGENCY areby 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 309 , Civi Code). )CRT's Name _ Lender's Address._ _ my signature below, I certify to each of the following: I the property owner or authorized to act on the property owner's behalf. have have read This aoplicalion and the information I have prow' etl is correct. `L{,/•p-/WI I agree to comply with all applicable city and our y ordil) n s and state laws relating to building construction. I authorize representatives of this city or court enter abov -identified property for Inspection purposes. nature of Pronarty Owner or Authorized Agent Print Property Owner's or Authorized Agent's NanZ ACTION DATE i By / DCaARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY \ i REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE j 1403 P6'R,m11 EXPIRED 0 1 SURNIITTED ASBESTOS NOTIFICATION TO PLRmITCANC€i t€u - i EPA - - - All required alarms., latches gates and fences which serve as part of a pool/spa barrier, shall VERAITtEXTENOEo� qA� hip be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the P€4Ml''FINAL ASBE OS O11FI ION 15 NOT APPLICABLE To life of the pool. CERTIFICATE OF-11-13 ��i�--��OPOSEOL L)LCbPANCY155UE0 sic NAT IRE