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Home My WebLink AboutXR2023-1275 - Permits�EwPoR� City of Newport Beach COMB Permit : XR2023-1275 Community Development Department - Building Division X R 2 0 2 3 1 2 7 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1133 u >A T .N Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic r� "'F "' Issued Date : 05/16/2023 c q[�FOM1N�P r Inspection Area : 8 Combination Type - SFP ELEC PLUM°�� 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 : 539 WESTMINSTER AVE Legal Dose: N TR 27 BLK 2 LOT 15 TR 27 LOT 15 BLK 2 SELY1/2(AND SELY1/2 LOT Description: SFR -INSTALL (N) ATTACHED ALUMINUM PATIO COVER 460 SF & DRAINAGE *CITY STD (123-1357) Owner: DUTCH RICHARD H TR THE R & M DUTCH Contractor: COVI HARDSCAPE & LANDSCAPE Architect FAMILY TR Address : 539 WESTMINSTER AVE Address : 8891 MAC ALPINE ROAD Address NEWPORT BEACH, CA 92663 GARDEN GROVE, CA 92841 Phone: (949)531-3066 Phone; (714)423-5579 Phone: Con State Lie : 1021035 State Lie Lie Expire : 11/30/2024 Applicant : FERNANDO CORTES Bus Lie : BT30081576 Engineer : ROSEPINK DUSTIN KEITH Address: 8891 MAC ALPINE RD Bus Lie Expire : 04/30/2024 Address : 109 EAST ESCALONES GARDEN GROVE, CA 92841 SAN CLEMENTE, CA 92672 Phone: (714) 423-5579 Workers' Compensation Insurance Phone: (949) 388-9333 Carrier: FALLS LAKE FIRE AND CASUALTY COMPANY Owner/Builder : Policy No : FLA01925800 Designer : FERNANDO CORTES Address : W. C. Expire : 7/12/2023 Address : 8891 MAC ALPINE RD GARDEN GROVE, CA 92841 Phone: Phone: (714)423-5579 ..� Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $12,090.00- _ 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: 15, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-2 - Two -Unit Residential - PROCESSED BY: 47/ •" SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that t am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5. Business and Professions CodeAny 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 licensure 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 not more than rivehundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation will do (_) all of or U portions of the work, and the structure is not intendedor offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees'or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one yearof completion. the Owner -Builder will have the burden of proving that it was nol built or Improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ra�,ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractorpursuant to the ContractorsState License LBW). U I am exempt from Imensure under the Contractors' State License Law for the following reason By my signature. below I acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the Improvements covered by this permit, 1 cannot legally sell a structure that I have built as an owner -builder if it has not been constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Iwww.teginto.ca.gov/calaw.htmf. Signature of Property Owner or Authorized Agent Date _ LICENSED CONTRACTOR.'$ DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professioor. o , and my license is in full force and effect License Class License No Date 5-1 b^z3 Contractor Signature r WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DANAGEs AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS. INTEREST, AND ATTORNEY-3 FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 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, forth - performance of the work for which this permit is issued. Policy No. have and will maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier and policy number are: in of Agent. certify that, in the performance , if I should become subject to Z Policy Number Date 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 compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. Date s-1G-23 IECLARATION RE^a RDING CONSTRUCTION LENDING AGENCY hereby affirm unoer neraq 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). .enders Name _ _ Lender's Address ly;ny stgr.ature bolo• d` certify to each of the following: , am She property owner or authorized to act on the property owner's behalf. I hss3 read this application and the information I have pro etl is correct, agno to complywllh all applicable city and county 4to�(bove-ideritlfied and state laws. relating to building construction. I al thonze representatives of this city or county fo enproperty for inspection purposes. (� \ /' ;if ra'l ^ of PmDerty Uwner or Authorized Agent I Print Prooerty Owner's or Authorized Apart's Name i Crnvunaa Ct7+ ALT,bf. PrRA•I* -,AIRED PERAll ,ANCELLEO PERMIT UTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY USUED DATE ( BY DECLARATION OF COMPLIANCE WITH CODE: OF FEDERAL FOR OFFICE USE ONLY RFGULATIONS PART 61 OF TITLE 401 AOMD RULE ZN J✓G PROPOSED DEMOLITION ION 4S N¢jF A�PUCABLE TO Date