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HomeMy WebLinkAboutXR2023-0827 - Permits�EWPpRT City of Newport Beach IIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XR2U23�U827 Q Community Development Department -Building Division X R 2 0 2 3 0 8 2 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1864 D Permit Counter Phone: (949) 644-3288 Issued Date : 0313012023 Inspection Requests Phone: (949) 644-3255 Inspection Area : 6 C9</FOHN,P newportbeachca.gov/inspections Combination Type - 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 : 3601 SEABREEZE LN Legal Desc : N TR 6228 BILK LOT 30 Description: SFR BLOCK WALL 74 LF X 5' HIGH ON P/L (REV2023-0570) Owner: LITTAUER STEPHEN L TR Contractor: LANDCRAFTERS INC Address: 909 TILLER WAY Address : 29512 ANA MARIA LANE CORONA DEL MAR, CA 92625 LAGUNA NIGUEL, CA 92677 Phone Applicant: LANDCRAFTERS INC Address: 29512 ANA MARIA LANE LAGUNA NIGUEL, CA 92677 Phone : (949) 249-1086 Owner/Builder : Address : Phone : (949) 249-1086 Con State Lic: 754071 Lic Expire : 09/30/2024 Bus Lic: BT30039467 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier: AMERICAN ZURICH INS CO Policy No: WC5897031 W. C. Expire : 12/1/2023 Architect Address Phone: State Lic Engineer: Address Phone : Designer: Address : Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $12,500.00 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 : Front: 6, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residetiat (6000 indicates minimum lot area) PROCESSED BY: 1 -. SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the chackmark(s) I have placed next to the applicable tennis) 'action 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter. Improve, dernolish, or repair any structure, prior to its issuance, also requires the applicant for Ia permit to file a signed statement that lie 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 Tofessions Code) or that he or she is exempt from fieensure-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 at more than five hundred dollars ($500). 3 1, as owner of the property, army employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 70", Business 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 -Builder will have theburden of proving that it was nal built or nproved for the purpose of sale). 1 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 poly to an owner of properly who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from licensure under the Contractors' State License Law for the following 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, Icannot legally all a structure that I have built as an owner -builder if it. has not been constructed in its entiraty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Tofessions Code, is available upon request when this application is submitted or at the following 'Nab site:http:ifwv .leginfo.ca.gov/calaw.html. ignature 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, (vision 3 of the Business and Prate ions de, and%� Iic Is In full force nd effect. License Class License No Date' Contractor SignaturAb .e . JORKERS' COMPENSATION DECLARATION ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000).1N ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I I 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 th,i l formance 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 of Agent Date Ell certify that, inthe 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 agre that, if I should become subject t he w kers' mTs(/22//��E_n provisions ofSection 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant - </., DECLARATION REGA l CBNSTRUCTION LENDING AGENCY I hereby affirm underpenalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 r lating to building construction. I authorize representatives of this city or county to enter he abo-identif d p far Inspection purposes. _� I Si nature of Pro erty Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name STCPN&v Date 3 ,?0 27 ACTION DATE BY LRATION'.OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY II i REGULATIONS PART 61 OF TITLE 40AND AQI RUIE 1403 PERMIT EXPIRED I ISUBMiTTED ASBESTOS NOTIFICATION TO PERMITEXTENOED 1 LJAt1MD PER'MYP FINAL ZIASBE$TOS NOTIFICATION ISNOTAPPUCABLE TO CERTIFICATE OF �fj 11 �'�" PROPOSED DEMOLITION OCCUPANCY ISSUED AM SIGNATURE:.