HomeMy WebLinkAboutX2022-0787 - PermitsWPo�r City of Newport Beach I II I II I II I II II III I II II
o� COMB Permit : X2U22-U787
p Community Development Department- Building Division
100 Civic Center Drive Newport Beach, CA 92660 Plan Check No : 0707-2022
Permit Counter Phone (949) 644 3288 Issued Date : 08/11/2022
Inspection Requests Phone. (949) 644-3255 Inspection Area : 6
�9<ircnN`P newportbeachca.gov/inspections ! g—�y °�"`" `"". `'
Combination Type- I 3— i il._��.J 8 �..� i t
Work Class - Other
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 : 8 JETTY DR No
Legal Desc : N TR 8428 BLK LOT 7
Description: MFR YARD DRAINAGE, FMlE PiT BLOCK WALL 6' HIGH X 90 LF (INSIDEP/L) PER CITY STANDARD (3A DETAIL)
Owner: THOMAS STEPHEN R TR
Contractor: ABODE LANDSCAPING ING -
Architect:
Address : 8 JETTY DR CORONA DEL MAR, CA 92625
Address : 10952 MAGNOLIA AVE ANAHEIM,'CA
Address
92804
Phone :
Phone : (714) 507-5943
Phone:
Con State Lie : 1059736
State Lie
Applicant : ABODE LANDSCAPING INC
Lie Expire ; 10/31/2023
Address : 10952 MAGNOLIA AVE ANAHEIM, CA 92804
Bus Lie: BT30079458
Engineer
Phone: (714) 507-5943
Bus Lie Expire : OB/31/2023
Address
Workers' Compensation Insurance
Phone:
Owner/Builder :
Carrier: NATIONAL LIABILITY AND FIRE INSURANCE
COMPANY
Address :
Policy No : APWC222690
Designer:
RAY MORROW
Phone :
W. C. Expire : 8/30/2022
Address :
2901 COAST
-
BEACH, CA
Phone:
(562)743-0436
HWY W, 200 NEWPORT
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation : $40,000.00
Type of Construction :
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
Building Setbacks :
Front;
15, Side: 5, Rear: 15
Flood Zone :
X
Use Zone:
PC - Jasmine
Creek
PROCESSED BY:
65
SPECIAL CONDITIONS:
K
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exarnpL from the Contractors' State License Law for the ressoms) indicated below by the checkrnark(s) I have placednext to theapplicable itemts)
(Seddon 7031.5, Business and Professions Cade: Any city or county that requires a penult to construct, alter, improve, demolish, or repair anyslruclure, prior to its issuance, also requires the applicant for
the permit to fife a. signed statement that tie or she is licensed pursuant to the provisions of the Contractors' Stole Licenso Law (Chapter 9 (Commencing With Section 7000) of Division 3 of the Business and
Professions Code) or that he or she Is exempt from Iicensure 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 ($600),
11 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or („_) portions of tine work, and the structure Is not Intended or offered for sale (Section 7044,
Business and Professions Code; The Contractors' State License Law does not apply Io an owner of property who, through employees' or personal effort, builds or improve.$ the properly; provided fhal 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 thatItwas not built or
Improved for the purpose of sale).
0 I, as owner of the property. am exclusively contractingwith licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
ap..ply 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). —
Q I am exempt from licensors under the Contractors' Stole License Law for (be following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided fora! least one year prior to completion of the Improvements covered by this. permit. ;_nnotlegall
Sell a structure that I have hulls as an owner -builder if it has not been constructed In its entirely by licensed contractors. I understand that copy of the applicable law, Section 7044 of the 13usviess and
Professions Code, Is available upon request when this application is Submitted or at tire following Web site:M1li;p:(/www.legmfo.ca.govlce law.html.
Signature of property Owner or Authorized Agent _ Dale
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of pequry lha4 am licensed under provisions of Ghapler.9 jcommencing. with Seddon 7 ).of Division 3 of Iha Business and Proress1. d ,and my lice r, full force
and effect. License Class License No Bef O Z Contractor Signature
WORKERS' 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 1SIK000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706:OF THE LABOR COOE., INTEREST, AND ATTORNEYS FEES,
hereby affirm under penalty of perjury one of the fallowing declarations:
111 haveand will maintain a cedlficate of consent to self -insure for workers' compensel on, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit Is. issued. Policy No.
andwill maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit its issued. My y Workers'
carrier and policy number are:
Policy Number
tie of Agent
certify that, in the performance of 1e work for which this
.. If I should become sub'ed th orkers' Compensa}le
I,alrre of Appl oam h� 1`
Date
issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and
is of Section 3700 of the Labor Code, I a l forthwith comply with those provisions.
Daw"-—((^7_aZ
lr by affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwbich this parmit is.issued (Section 3097, Civil Code).
,der.., Name Lender's' Address _
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 Nava read this applicalion and the information have provided is correct.
I agree to comply with all applicable city and county ordinance and state laws felalingJty' building construction.
1 nuthorize representatives of this city or county to enter-#ee Ove-Identited PCRRefty r inspection purposes.
3imlaure of
ACTION DATE I By DECLARATION OF COMPLIANCE WITFI CODE OF FEDERAL FOR OFFICE USE ONLY
!li kEGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
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PER14117'Ea'PIRW
LJ su8M111E0 ASBESTOS NOTIFICATION TO
All required alarms, fetches gates and fences which serve as part of poollspa barrier, shall
be In place prior to approval to fill pool/spa & shall remain in place & be. maintained for the
life of the pool.
PERMTCANCELL€o
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PERA41T EXTENDED
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PERMIT FINAL
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