HomeMy WebLinkAboutE2022-0947 - Permits�EWPp�T City of Newport Beach
Community Development Department- Building Division
r1 100 Civic Center Drive, Newport Beach, CA 92660
0 µ> S Permit Counter Phone: (949) 644-3288
Cg4�OPN�P Inspection Requests Phone: (949) 644-3255
n ewportbeachca.gov/i n spections
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Plan Check No : 0458-2020
Work Class : Other
Issued Date : 12/22/2022
Inspection Area : 5
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 : 200 ORCHID AVE Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 142 LOT 6 RESUB OF CORONA D EL MAR LOT 6 BLK 142
NLY 61 FT
Description: ELEC FOR ABOVE GROUND SPA ON ROOF DECK
Owner:
A TINY SPECK LLC
Address :
832 EUCALYPTUS AVE HILLSBOROUGH, CA 94010
Phone:
Applicant:
CHILDSCYNTHIA
Address:
2732 E COAST HWY #B CORONA DEL MAR, CA 92625
Phone:
(949)718-3528
Owner/Builder
:
Address
Phone :
Code Edition :
2019
Type of Construction :
Building Setbacks :
Front: 20, Side: 4, Side: 4, Rear: 10
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: REV2022-2311
Contractor : LEGACY C D M INC
Address :
2618 SAN MIGUEL DR #204 NEWPORT BEACH, CA 92660
Phone :
(949) 677-3650
Con State Lic:
962720
Lic Expire :
04/30/2023
Bus Lic:
BT30043218
Bus Lic Expire:05/31/2023
Workers' Compensation
Insurance
Carrier:
STATE+COMPENSATION+INSURANCE+FUND
Policy No:
9147240
W. C. Expire:
11/24/2023 -
a °o
Fire Hazard Zone : NO
Occupancy Groups :
MO WN4 as4A"11itT2 7
I hereby affirm under penally 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)
Election 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 file applicant for
is 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 ilcensure and the basis for the alleged exemption. Any violation or 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,
justness 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-Buiiderwill have the burden of proving that 11 was not built or
nyproved for the purpose of sale).
J I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code:. The ContractorsState License Law does not
poly 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).
a lam exempt from licensure under the Contractors' State License Law for the following reason:
ly 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
eB a structure that I have built as an owner -builder if it has not been constmctod in itsentirety 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 fallowing Web site:http://www.I%into.co.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
,ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Df isic, of the Business and Profes r Code �il en 's i fate
nd effect. License Class License No Data Contractor Signature I
VORKERS' COMPENSATION DECLARATION
'ARNING: 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 ($100,0001, IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 or THE LABOR CODE, INTEREST, ANO ATTORNFY'$ FFFS.
hereby affirm under penalty of perjury one of the following declarations:
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
rmance of the work for which this permit is issued. Policy No.
and 01- 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'
carrier and policy number. are:
Policy Number Expliation Date
of Agent Phone N _
11 certify that, in the perfo nce 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 works ' ompensa/tion I we of California, and agre
.at, if I shoul.f become s j of to the s' comp so ' revisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
i3nature of Aoplicanl _ Date ( IT 4 ^
F=CLARATION rEOARD (3N- S CTiON LENDING A NCY
hereby affirm under pen Ity of pen that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, civil,_ ode),
enrer s Name Lenders Address
y by signeture ba;aw, I certify to each of the following:
I am the prope, ty owner or authorized to not on the properly owner's behalf.
I have ead ILL application and the information I have provided is correct
I agree to comply with all applicable city and c ordinances and state laws relating to building construction.
1 authorize representatives of this city or county t nor the be ids% iQd for inspection purposes, /� J 7� /t 1 qr
ionature of Property Owner or Authorized Auenl %/ // Print Procertv Owner's or Authorized Anent's Name
ACTION
PERARI-EXPIRED
PERMITCANCEttED
PERMIT EXTENDED
CERTIFICATEOF
OCCUPANCYISSUED
DATE I BY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION To
J.: SHESIDS NOT I FICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY
evlt—