HomeMy WebLinkAboutXR2023-0129 - PermitsaeWPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII II
Community Development Department- Building Division X R 2 0 2 3 9 1 2 9
F 100 Civic Center Drive, Newport Beach, CA 92660
S Permit Counter Phone: (949) 644-3288
o-. Inspection Requests Phone: (949) 644-3255
ogcrFoa�"P newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH
Work Class - Other
COMB Permit : XR2U23-0129
Plan Check No: PC2023-0134
Issued Date : 02/14/2023
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 : 10 FAENZA
Legal Desc : N TR 15467 BLK LOT 22
Description: SFR -ATTACHED PATIO COVER W/ GAS & ELEC APPROX 270 SF. CITY STANDARD DRAINAGE
Owner: GARETH EVANS
Contractor: DIG LANDSCAPE CONST. INC
Architect
Address : 10 FAENZA
Address : 2732 E COAST HWY #A
Address:
NEWPORT COAST, CA 92657
CORONA DEL MAR, CA 92625
Phone :
Phone: (949) 673-5450
Phone
Can State Lic : 932954
State Lic
Lic Expire: 01/31/2025
,
Applicant: DIG LANDSCAPE CONST. INC
Bus Lic: BT30026912
Engineer: BURKE LEO •> >
Address : 2732 E COAST HWY #A
Bus Lic Expire : 0113112024
Address : 34167 PACIFIC COAST HtNY,#D
CORONA DEL MAR, CA 92625
DANA POINT, CA 92629
Phone: (949) 673-5450
Workers' Compensation Insurance
Phone: (949) 226-7130 ...
Carrier: SIRIUSPOINT AMERICA INSURANCE
COMPANY
Owner/Builder :
Policy No : WC100081
Designer : DAVID PAGE
Address :
W. C. Expire: 6/1/2023
Address : 2732 E COAST HWY, A '
CDM, CA 92625
Phone:
Phone: •' "
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $8,000.00
Type of Construction : V-B
Fire Hazard Zone : YES
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: PC - Newport Coast
PROCESSED BY:
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SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
€ hereby affirm 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 to the applicable item(s)
Section 7031.5. Business end Professions Code: Any city or courtly that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
he 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 l censure and the basis for the alleged exemption- Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500),
[,as owner of the property, or my employees with wages as their sole compensation, will do(_) all of or L) portions of the work, and the structure is notintended or offered for sale (Section 7044,
3usiness 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
mprovements are not intended or offered for sale. If, however, the building Or improvement is sold within one year of completion.., the Owner-8ulfder will have the burden of proving that it was not built or
mproved for the purpose of sale)-
3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
Ipply 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),
3 I am exempt from licensure under the Contractors' State License Law for the fallowing reason:
—
3y my signature below f acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements coveted by thispermit, I cannott I egally
Of 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
'rofesslons Code., is available upon request when this application is submitted or at the following Web sheihttp:/IWww.leginfo.ca.govfcalaw:html.
iigriature of Property Owner or Authorized Agent _ Date
ACENS£D CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Qivfsion 3 of the Business and Professions ny license is in full force
and effect. License Class License No Date 91 I Contractor Sfgnatu
VORKERS' CON PEN CATION DECLARATION
1AKNING: FA,LORE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO. ONE HUNDRED THOUSAND DOLLARS tS1[09,000I, IN ADOPTION TO THE
:OET OF COMPENSATION, DAdAGES AS PROVIDED FOR IN SECTION 31106 OF THE LABOR LODE, INTEREST, AND ATTORNEY'S FEE$.
hereby affirm under Nenaay of perjury one of the following declarations:
I I hart and will Iilalntain 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, forth,
erNi je%maace of the lvfnk,fbr which this permit Is issued. Policy N
, 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' compensa.tior
iss ai-c carrier and policy number are
Policy Number
cl Agent
Date
I certify that, in the pertprmance of file work for which this permit is issued., I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre
I, h I snould become subject to the w rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Appli.xn_ Date_f"�z7
CLARATYON REG RAIN N T UCTION LENDING AGENCY — %-
3reby 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).
ider's Name Lenders Address
my signature below, I certify to each of Ilia following:
I am the property owner or authorized to act on the property owner's behalf.
l 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 t entified property for inspection purposes.
nature of Property Owner or: Authorized Agenf%'�� _ — Print Property Owner's or Authorized Aaert's. Name n Av't-' f rl L,C Date •���r 12 r
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
DATE. BY SAT€ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART 61. OF TITLE AD AND AQMD RULE J
TO
PERMIT FINAL /' /` ILIASBESTOSNOTIHIAI NOT PPLICABL£ TO
CERrIFICATE OF b/�/ �/�✓ 'PROPOSED DEMO, lOP✓�
OCCJPANC'YY5SuED ///""'���� ///"'��� I SIGNATURE-