HomeMy WebLinkAboutXR2023-0712 - PermitsEnoR�_ City of Newport Beach
off_. Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
C T Inspection Requests Phone: (949) 644-3255
°q4 coRN`P newportbeachca.gov/inspections
Combination Type - SFP ELEC PLUM
Work Class - Other
COMB Permit : XR2023-0712
Plan Check No : PC2023-0590
Issued Date : 04/04/2023
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 : 5 MALIBU CIR Legal Desc : N TR 7432 BLK'LOT 22
Description : SFR DRAINAGE & BLOCK WALL 4'6" X 20'. GAS/ELEC TO BBQ AND FIREPIT.
Owner: MATTHEW GRECO
Address : 5 MALIBU CIR
CORONA DEL MAR, CA 92625
Phone:
Applicant:
LOS PINGS LANDSCAPES
Address :
10661 FRANCES AVENUE
GARDEN GROVE CA 92643, CA 92643
Phone:
(714)791-5120
Owner/Builder
:
Address :
Phone
Contractor:
LOS PINOS;LANDSCAPES
Address :
10661 FRANCES AVENUE
GARDEN GROVE CA 92643, CA 92643
Phone:
(714)791-51.20
Con State Lie
: 796989
Lie Expire :
07/31/2023
Bus Lie:
BT30069136
Bus Lie Expire : 10/31/2023
Workers' Compensation Insurance
Carrier: SERVICE AMERICAN INDEMNITY CO
Policy No: SAAWC0001311
W. C. Expire : 2/1/2024
Code Edition :
2022
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups :
U,R-3
No of Units :
1
Bldg Height:
No of Stories :
2
Building Setbacks :
Front: 10, Front: 10, Side: 5, Side: 5
Flood Zone :
X
Use Zone:
PC - Harbor View Hills
PROCESSED BY: 41111"
SPECIAL CONDITIONS: LANDSLIDE
Architect
Address
Phone:
State Lie
Engineer
Address
Phone
Designer: LOS PINGS LANDSCAPES
Address : 10661 FRANCES AVENUE
GARDEN GROVE CA 92643, CA 92643
Phone: (714)791-5120
Construction Valuation : $22,000.00
Added/New/Ti sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the reasons) indicated below by the eheckmark(s) I have placed next to the applicablettem(s)
Section 7031,5, Business andProfessions Code: Any city or county that requires. a permit to construct, alter, improve, demolish, or repair any structure, prior toits issuance, also requires the 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
'rofessrona Code) or that he or she is exempt from {censure 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),
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness and Professions Code: The Contractors' Mate License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
aprovements 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
rn reved for the purpose of sale)
-
1, 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
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).
I am exempt from licensure under the Contractors' State License Law for (be follovang 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
oil astructure 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
refessions Code,. is available upon request when this application is submitted or at the fof[owing Web sitt:httpliwww.loginto.ca.gov/calaw.html.
ugnature 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 7000),of Division 3 of the Business and P a s ode, and. my license is In full force
nd effect. License Class License No D y-Ur-l- Contractor Signatu
PORKERS` COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SNALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T " US DOLLARS t1100,0001, IN ADDITION TO THE
DST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
�hLe'reby affirm under penalty of perjury one of the following declarations:
a�ttave end will maintain a certificate of consent to selhosure for workers' Compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the . Labor Code, forth,
gl4�mance of the work for which this permit Is issued. Policy No. .-
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'
carrier and policy number are:
Policy Number Expiration Date
of Agent Phone if
JI oertiry that, in the performance of the work for which ibis 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 egrel
rat, if I should bee 0 s1 t to the worker cDmpensaiicn previsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applica t-C7y
IECi.ARATfC1N RE RDiN C N8TRUG'TtON ILENi3ENG ACxENGX
hereby affirm undBrlpe"al of p rjurytha[ ttlere 3& a oonstmction i8nd#rig ageaey for the performance oPthB work fpCvthlat7 trite perm'r(Is issued (5ea[lon 3097, Civil Code).
ender's Name LandeYs Atldress
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 andthe 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 U@Nrthe aboverydentifSed property for inspection purposes.
ACTION (I DATF BY" DF. LARATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
GULATIONS PART 51 OF TITLE AO AND ACOAD RULE
1403 _
PERMIT EXPIRED I 1 sUdMi-n ED ASR6S,OS Nt,TitIGATI(,N TO
PER'MITPINAL ' ASBESTOS NOTIFICATION 15 N07 APPLICABLE TO
CERTIFICATE OF 72 FROPOSEO DEMO' MON
OCCUPANCY ISSUED 1 SIGNATURE: