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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