HomeMy WebLinkAboutXR2022-3207 - Permits�aOW PC City of Newport Beach
@ Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
u S Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Alteration
111I��III��III 11111111111111111111111111�1111111111111111jj COMB Permit : XR2022-3207
Plan Check No : PC2022-3076
Issued Date : 1212112022
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 : 718 MARIGOLD AVE Legal Desc : A TR CORONA DEL MAR BILK 740 LOT 18 CORONA DEL MAR LOT 18 BLK 740 NELY 5 FT AND
SWLY
Description: SFR - DEMO EXIST'G DRIVEWAY, INSTALL DRAIN AND REPOUR
Owner: PAULREYNOLDS
Address :
NEWPORT BEACH, CA 92658
Phone
Applicant: LOS PINGS LANDSCAPES
Address : 10661 FRANCES AVENUE
GARDEN GROVE CA 92643, CA 92643
Phone: (714)791-5120
Owner/Builder :
Address
Phone:
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups: U
Bldg Height:
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone-:- X -
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY: , \
Contradtor: •
LOS PINOS LANDSCAPES
Address :
10661 FRANCES AVENUE
GARDEN GROVE CA 92643, CA 92643
Phone:
(714)791-5120
Con State Lie
: 796989
Lie Expire :
07/31/2023
Bus Lie:
BT30069136
Bus Lie Expire : 10/31/2023
Workers' Compensation Insurance
Carrier: SERVICE AMERICAN INDEMNITY COMPANY
Policy No: SAAWC0001311
W. C. Expire: 2/1/2023
Fire Sprinklers :
NO
Fire Hazard Zone :
NO
No of Units :
1
No of Stories :
1
C% ,�rn
N6r i.
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone :
Designer:
Address
Phone:
Construction Valuation :
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
$8,000.00, , J
0
8,000
0
0
K)N NOISE
SPECIAL CONDITIONS:
vEEKEND
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated
below by the checkmark(s) I have placed next to the applicable items)
(Section 7031.5, 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 applicant for
the 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
Professions Code) or that he or she is exempt from lieensure and the basis for the alleged exemption. Any violation of Section
031.6 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
El 1, as owner of the property, or my employees with wages as their sole compensation, will do L.) all of or U portions of the wark,
and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emp
ogees' or personal effort, builds or improves the property, provided that the
Improvements are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of ccmpleti
e, the Owner -Builder will have the burden of proving that it was not built or
Improved for the purpose of sale).
El 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bu
Hass and Professions Code: The Contractors' Stale License Law does not
apply to an owner of property who builds or improves: thereon, and who contracts for the projects with a licensed Contractor pur
want to the Contractors' State License Law),
0 1 am exempt from licensure under the Contractors' State License Law for the following reason
nor to completion of the improvements covered by this permit, I cannot legall
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I under
tand that a copy of the applicable law. Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted orat the following Web sillwhitipi/Avvew.leginfo.ci
govicalaw.html.
Signature of Property Owner or Authorized Agent
Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f Di
ision of the Business and Professiga* Code, and my license is In full force
and effect. License Class License No Date oL -
1-2k Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
USID CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS TSt DI I, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37DS OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate Of consent to self -insure for workers' compensation, Issued by the Director of Int
istral Relations as provided for by Section 3700 of the Labor Code, for IN
nnrly anDa ofthe wnrk for which this permit is issued. Policy No.
I have and wi;1 maintain workers' compensation insurance as required by Section 3700 of the Labor Code, for the perfor
Fence of the work for which this permit is issued. My workers` Compensation'
in,uraice, carrier, and policy number are:
Carrier Policy Number
Expiration Date
Name of Agent
Phone t#
to become subject to the workers' compensation laws of California, end agre
r1' certify that. in the performance of the work for which this permit is issued, I shall not employ any person in any manner so
Ethat, it I should becor.le subject to the rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith coi
rely with those provisions.
!lpSiyr,a:ure of Applicant
Date - Z 1- 2Z
DDECLARATION RE:CARDI G D STRUCTION LENDING AGENCY
III h=rehy affirm underpenal perjury that there is a construction lending agency for the performance of the :work for which thi
permit is issued (Section 3097, Civil Code).
!Lenders Name Lender's Address
By my signatura, beew, 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 relating to building construction.
I authorize representatives of this city or county to ant he above-io ntified property for inspection purposes.
Si nature of Propertyy Owner or Authorized Agent Print Property Owner's or Authori-ed
Agent's Name Date
ACTION
DATE
BY
D C ATICN OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE US
ON LY
RE LATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
1 SUBMITTED ASBESTOS NOT] FICATION TO
PERMIT CANCELLED
UEPA
PER,YfITEXTENDED
LJAQmD6
PERMIT FINAL
DF--
_
ASBESTOS NOT ]FICA I ION 15 NOT APPLICABLE TO
CERTIFICATE OF
-slat
P01''+
PROPOSED DEMOLITION
OCCUPANCY ISSUED
.SIGNATURE: