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Home My WebLink AboutXR2022-2683 - Permits (3)City of Newport Beach �aEWPoRr Community Development Department- Building Division > 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq<�FppN�P newportbeachca.gov/inspections Combination Type - MFP Work Class - Other ��111111111111111111111111111111111111111111111111COMB Permit : XR2O22-2683 Plan Check No: Issued Date : 10/10/2022 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 : 2156 VISTA DORADD Legal Desc : N TR 5741 BLK LOT 18 TR 5741 (L.L.84-214029) PAR 18 Description: MFR BLOCK WALL U HIGH X 29 LF INSIDE P/L & DRAINAGE (STANDARD PLAN) Owner: JONATHAN BEATTY Address: 2017 VALENCIA CV ROANOKE, TX 76262 Phone Applicant: D & G CONSTRUCTION GROUP INC Address : 16205 MT HARKNESS ST FOUNTAIN VALLEY, CA 92708 Phone : (714) 585-2955 Owner/Builder : Address: Phone Contractor: D & G CONSTRUCTION GROUP INC Address : 16205 MT HARKNESS ST FOUNTAIN VALLEY, CA 92708 Phone: (714)585-2955 Can State Lic: 984602 Lie Expire : 06/30/2023 Bus Lie: BT30074202 Bus Lie Expire : 02/28/2023 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: Architect : �+ Address Phone :� State I : F40j P Engineer Address Phone: Designer: Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $21,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY SPECIAL CONDITIONS: SURVEY WAIVER ATTACHED OWN I hereby affirm under penalty of perjury that I are exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(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, prior to its issuance, also requires the applicant for to 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 L) all of or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044, usiness 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 nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Bul der will have the burden of proving that it was not built or nproved for the purpose of sale)- 3 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 p€y 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). I am exempt from Bcensure under the Contractors' State License Law for the Fallowing reason ...... _____ y 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 legalf. ell a structure that I have built as an owner-buildor if it has not been constructed in its antiroty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Businoss and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:l/ w .leginfo.ca.gov/calaw.html. Jgnature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3-of the Business and Professions Code, and my license is In full force nd effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION WARNING: 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 (6100,000). IN AOOrTION TO T COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEV's FEES. I hereby affirm under penalty of penury pkle of the following declarations: �0 I have and will main m. 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 performance of the work frWhich 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: Policy Number of Agent Date certify that, in the performance 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wth those provisions, signature of Applicant Date, IECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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). ender's Name Lenders Address y 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for Inspection purposes. Date ACTION I DATE ! BY DECLARATION OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY Ijt REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PER,MITEXTENDED LJAQMD_..v PEAMITFINAL / ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF �Z/2tf ✓�� PROPOSED DEMOLITION SIGNATURE: OCCUPANCY ISSUED �—+^