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HomeMy WebLinkAboutX2022-0957 - Permitsv,�Wno,. City of Newport Beach o� p%'S .�� , Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 = Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - Other COMB Permit : X2022-0957 Is54-2021 Inspection Da Area: 0/202 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 : 314 EVENING CANYON RD Legal Desc : N TR 1116 BLK LOT 66 Description: SFR CMU RETAINING WALLS 5' HIGH X 116 LF INSIDE P/L *MARKERS ON SITE* Owner: BLUEWATER ESTATES LLC Contractor: JW CONTRACTING INC Architect Address : 15391 CHERBOURG AVE IRVINE, CA 92604 Address: 16833 HAY DR CHINO HILLS, CA 91709 Address Phone Applicant: JW CONTRACTING INC Address : 16833 HAY DR CHINO HILLS, CA 91709 Phone: (714) 812-2136 Owner/Builder : Address Phone: Phone: (714)812-2136 Con State Lie : 987024 Lie Expire: 09/30/2023 Bus Lie : BT30047581 Bus Lie Expire : 06/30/2016 Workers' Compensation Insurance Carrier : Policy No : EXEMPT W. C. Expire: Code Edition : 2019 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height : No of Stories Phone: State Lie RHOADS TIMOTHY TRAVIS 17848 SKY PARK CIR STE D IRVINE, CA 92614 (808)280-5961 Engineer: KHOURY NADER Address : 1278 GLENNEYERE BEACH, CA 92651 Phone: (949) 637-8357 Designer Address Phone: NO Construction Valuation : No Added/New/TI sq. ft. Bldg 1 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: Building Setbacks : Front: 25, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: ST#201 LAGUNA $20,000.00 0 0 1 t'y , , OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forthe reasons) 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 fife 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 five hundred dollars ('$500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, w'lll do (_) all of or U portions of the work, 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 employees' or personal effort, builds or improves the property, provided that the improvements are riot 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 of i�myproved for the purpose of sale). 4J I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business 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 pursuant to the Contractors' State License Law). ❑ I am exempt from licensure 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 for at least one year prior to completion of the Improvements covered by this permit, I cannot legally sell a structure that I have built ns an owner-buiider if it has not been Constructed In its entirety by licensed contractors. I understand that copy of the applicable law. Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:http:llwww.leginfo.ca.govicalaw.html. Signature of Property Owner of 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 0) of vian 3 of the Business and Pro{ tons Co - y license is in full force and effect. License Class License No Date Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE HOUSAND DOLLARS ISU10.0001,' N TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37H OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 370D of the Labor Code, for the performance of the work for which this permit is issued. Policy No. have andwill 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' rands, carrier and policy number are: 9ofAgent _ wir.dify that, in the If I should becor} ature of ADolicadli Policy Number Expiration Date co 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' cognpensation laws of California, and ogre to the work ,ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dat : 5T C O I hereby affirm under penalp perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code . Lender's Name Lenders Address By my signature below, I ertify to each of the following: I am the prc d,, owner or authorized to act on the property owner's behalf. ' I Wive read €h€F application and the information i have provided is correct. i I agree to cnr Inly ,with all applicable city and county ordinances an laws relating to building construction. 13,Ahorize representatives of this city or cc o enter tifled property for inspection purposes, �Signature of Proertv Owner or Authorized A e t Print Property Owner's or Authorized A ent's Name I¢✓L- A at A,CTIO'! DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE DNLV j REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 1 P£HIOU FxpIHfO 3 , I SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENDEQ PERMIT FINAL CERTIFICATE OF G J OCCUPANCYfSSUED All required iar to latches gates and fences which sense as part a pool/spa barrier, shall be in place prior Co approval to fill pool/spa &shall remain in place & be maintained for the NOTAPPLICABLE TO life of the pool.