HomeMy WebLinkAboutXR2023-1404 - Permits�EWPO�,T City of Newport Beach II�IIIIIIIIIIIIIIIIIIII'IIIIIIIIIIIIIII I' COMB Permit XR2023-1404
4 @ Community Development Department - Building Division
f Fy 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1279
Permit Counter Phone: (949) 718-1888 Issued Date : 06/14/2023
U r newportbeachca.gov/civic Inspection Area : 6
Combination Type - ELEC
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 CALAIS Legal Desc : N TR 14571.BLK LOT 5
Description: SFR INSTALL (N) ALUMINUM PREFAB ATTACHED PATIO COVER WITH LIGHTS, FANS,
OUTLET, SPEAKER AND HEATER. 336 SF ....
s
Owner: DYM JEFFREY TR THE DYM PARK LIVING TR
Contractor: PATIO WAREHOUSE INC
Architect
Address : 8 CALAIS
Address : 211 W KATELLA STE H
Address
NEWPORT COAST, CA 92657
ORANGE, CA 92867
'
Phone: (310)614-1574
Phone: (714)771-6400
Phone: '
Con State Lic : 875966
State Lic
Lic Expire : 04/30/2024
Applicant : Miguel Ceballos
Bus Lic: BT30079159
Engineer : ROSEPINK DUSTIN KEITH
Address : 12881 Knott St Ste. 207, Ste. 207
Bus Lic Expire : 07/31/2023
Address : 109 EAST ESCALONES
Garden Grove, CA 92841
SAN CLEMENTE, CA 92672
Phone: (951) 494-2772
Workers' Compensation Insurance
Phone: (949) 388-9333
Carrier: TECHNOLOGY INSURANCE CO
Owner/Builder :
Policy No : TWC5282855
Designer : Miguel Ceballos
Address :
W. C. Expire : 10/1/2023
Address : 12881 Knott St Ste. 207, 3,e. 207
Garden Grove, CA 92841
Phone: (951)494-2772
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $52,287.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : U
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories ; 2
Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone : X
_ ' or,%
Use Zone Zone : PC - Newport Ridge
t S �3 f" LZ ' I
PROCESSED BY: "
SPECIAL CONDITIONS
I hereby affirm under penalty 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 items)
otion 7031.6, 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 the applicantfor
permit to file a signed statement that fie or she is licensed pursuantto the provisions of the Contractors` State License Lew (Chapter 9 (commencing with Section 7000) of Divteion.3 of the Business and
lassions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant for a permit aubjects the applicant to a Oval penalty of
more than live hundred dollars ( go).
1, 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,
iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' ar personal effort, builds or improves the property, provided that the
rovaments 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 at
roved for the purpose of sale):
I, as owner of the property,. am Exclusively contracting with licensed Contractors to construct the project I Secton 7044, Business and Professions Gode: The Contractors' State License Law does not
ly 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 form Ilcensure under the Contractors' Slate License Law for the following reason:
ny signature below i acknowledge that, except for my personal residence In which I must have resided for at feast one year prior to completion of the improvements covered by this permit, I cannot. tegall!
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 low, Section 7044 of the Business and
lessions Code, is available upon request when this application is submitted or at the following Web site:httpJiwww.leginfo.ca.govlcalaw.htmi.
iature of Property Owner or Authorized Agent Date ________
ENSED CON :rRP_CTOR'S DECLARATION
reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S 000)of I Ivision 3 of the Bust as d Professions Code, and my license Is in full force
a'fa�t. Licerva..,ass License No r;IXj L Eta Gontracto gnetu
IRKERS' COMPENSATION DECLARATION
tJNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SKALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINI UP T ONE NUNDR TN ff&AND0OLLLAR&J$ID*,00M0),IN ADDITION TO THE
T OF COMPENSA KIRC e' .MAGES AS PROVIDED FOR IN SECTION 3760 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm unaer peralty of perjury one of the following declarations:
have and Wi; a,ainfain a certificate or consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
'ryaxeof the Cork Tor which this permit Is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cc(* for the performance of the work for which. this permit is issued. My workers`
caller adtj DvLcypumber ere:
rler_ T . ! 'g— policy Number T`c,.r2�ay=J Expiration Date _
to of ;.gem c—/ Phone k
certify that, in the performance of the work for which this permit is issued, I shall not employ any poison in any manner so as to become subject to the
, if I should become subject to the workers' compensation provisions ofSection .3700 of the Labor Code, I shall forthwith comply with those provisions.
MI
Compensation laws of California, and
areby affkd6trn8 nal�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).
tdar's Name Lender's Address
my signature below, I Wrrtify 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 relating to building construction.
I authorize representatives of this city or county to enter the aoove4dontified property for inspection purposes.
ACTION
CANCELLED
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE: �� �� --DECLARATION OF COMPLIANCE WITH � REGULATIONS PART 610E TITLE O AND OAQMD BuiltDE OF
FOR OFFICE USE ONLY
TO
�..Lf1ASiSfrSTO*a)N071FICATION IS NOT APPLICABLE TO
PROPOS�,IkCCnn rr77rrhh__MOLITION