HomeMy WebLinkAboutXR2023-2043 - Permits�gWPO�T City of Newport Beach IIIIIIIIII IIIIIIIIIIIIII IIIIIIIIIIIIIIII II COMB Permit XR2023-2043
Community Development Department - Building Division X R 2 0 2 3 2 0 4 3
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0284
Permit Counter Phone: (949) 718-1888 Issued Date : 07/26/2023
newportbeachca.gov/civic Final Date:
°gcrroac+`P' Combination Type - Permit Status: Issued
Work Class - Other Inspection Area : 3
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
3,
Job Address: 1621 INDUS ST
Legal Desc : N TR 4307 BILK LOT 18
1
Description: SFR YARD DRAINAGE (CITY STANDARD) REV2023-1423
Owner: MERRELL JOSHUA TR
Contractor : ALL ABOUT CONSTRUCTION
Architect
Address : 2182 MESA DR
Address: 136 W VALENCIA AVE
Address: "
newport beach, CA 92660
ANAHEIM, CA 92805
'
Phone: (714)742-5552
Phone: (714)719-4257
Phone:
Con State Lie : 1056397
State Lie
Lie Expire: 07/31 /2023
Applicant: ALL ABOUT CONSTRUCTION
Bus Lie : BT30082233
Engineer
Address : 136 W VALENCIA AVE
Bus Lie Expire : 07/31/2024
Address:
ANAHEIM, CA 92805
Phone: (714) 719-4257
Workers' Compensation Insurance
Phone:
Carrier: HARTFORD CASUALTY
Owner/Builder :
Policy No : 72WECAW2SAL
Designer: AARON SEVILLA
Address :
W. C. Expire : 2/21/2024
Address:
Phone:
Phone: (949) 375-8481
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg: 0
Occupancy Groups : U
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 0
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25
Flood Zone : X
Use Zone : SP-7 - Santa Ana Heights Specific Plan
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DEC
t hereby Fill under penalty of perjury that I am exempt from the Contractors' Slate License taw for the reasarl 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
is 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
of more than five hundred dollars (S500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for safe (Section 7044,
RISiGeRS 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
nprovements 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 or
nproved for the purpose of sale).
7 1, 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
pply 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 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in whlch I must have resided for at least one year prior to completion of the Improvements covered by this. permit, I cannot iegail,
all 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 7044 of the Business and
'rofessions Code., is available upon request when this application is submitted or at the following Web site:http:IAw .leginfo.ca.gov/calaw.html.
lignature of Property Owner or Authorized Agent _ Date _
ACEN'SED CON f RACTOR'S DECLARATION
hereby affirm undo, penally, of perjury that I am licensed under provisions of Chapter 9 (commencing with Section TODD) of Di . ion 3 of the Business and Profesaipns Coda, and my license is in full force
rid effect. Li.;cnse Class License No to �ontrac Signature`
Y,DRf:ERS' CGM'PENSATION DECLARATION
IARNING FAILURE TO LE,1URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,0001, IN ADDITION TO THE
OST O- COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
.1 I have anr, will r,telntaln 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, for th
erformanca of tl,3 work for which this permit is issued. Policy No.
have and w.il 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'
rancptMrie_: Ind policy number are:
Policy Number
of Agar,
Date
3 certify that, in the performance of the work for which this Camille issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
tat, If I should become subee4 the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
;ignalure of (cant
IBCLARATipIN G11 fNG C9NSTRUCTIGN L.ENC•ING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
ender's Name Lender's Address
ly my signature below, 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,_ er th)abov nilfied ro arty for inspection purposes.itJ
iignafure of Property Owner or Au
ACTION I DATE
PERMIT EXPIRED
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXTENDED I LlAQMo
( ASBESTOS NOl IFICATION 15 NOl APPLICABLE TO
€ PROPOSED DEMOLITION
[ SIGNATURE:
PGRNNT FINAL
CERTIFICATE OF
�I
�.il (/�
OCCUPANCY ISSUED
FOR OFFICE USE ONLY
Civil Cade).