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HomeMy WebLinkAboutXR2023-1791 - PermitsQWPO Cityof Newport Beach �111111111111111111111111111111111111111111111 jj 'r p COMB Permit : XR2U23-1791 o� A Community Development Department- Building Division X R 2 0 2 3 1 7 9 1 / ty" 100 Civic Center Drive, Newport Beach, CA 92660 - - — Plan Check No : PC2023-1589 3 g Permit Counter Phone: (949) 718-1888 _ - _ Issued Date : 0912112023 newportbeachca.gov/civic - f - Final Date: °gvcoaN`P Combination Type - �"u.„,, Yp Permit Status: Issued Work Class - Other 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 : 11 PAVONA Legal Desc : N TR 15337 BLK LOT 22 Description: SFR DEMO (E) POOL AND SPA. ! ri $twz(ari.{ r0 e4cd -el) Owner: MARK GRACE Contractor: NEW WEST LANDSCAPES PMB 419 Architect Address : 11 PAVONA Address : 32158 CAMINO CAPISTRANO Address NEWPORT COAST, CA 92657 SAN JUAN CAPISTRANO, CA 92675 Phone: (949) 706-3599 Phone : (949) 661-2767 Phone Con State Lic : 653313 State Lic Lic Expire : 09/30/2024 Applicant: MICHAEL LEE MC CURDY Bus Lic: BT30080220 Engineer : BIEDENBACH CHRISTOPHER JAME Address : 32158 CAMINO CAPISTRANO Bus Lic Expire : 12/31/2023 Address : 1201 N TUSTIN AVE SAN JUAN CAPISTRANO, CA 92675 ANAHEIM, CA 92807 Phone: (949) 661-2767 Workers' Compensation Insurance Phone: (714) 630-6100 Carrier: TECHNOLOGY INSURANCE COMPANY INC Owner/Builder : Policy No : TWC4236502 Designer Address : W. C. Expire : 4/1/2024 Address: Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : YES 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: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Newport Ridge " B PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION. I hereby alfihn 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 taints) ;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 :he permit to file a signed statement thathe 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 Tot more than five hundred dollars ($500). 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 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 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 mproved 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 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 Lava). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason _ _-...__..�_._...___ ....._... ..-.____.., _-.__.......... y y g g my personal residence in which I must have resided for at least one year prior to completion of the Improvements covered by this permitI cannot legall7 snt. Signature below I h acknowledge is B that, -build for self a structure that I have built as an owner -builder if It has not been constructed in its entirely by licensed contractors. I understand that a 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:/(www.leginfo.ca.govycalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 ) of Di ision 3 of the Business and Professiao%Code, aod,etyy licens ' m f Too and effect. License Class License No Dale Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 6706 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 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy No. and will 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' carrier and policy number are: Policy Number Date is of Agent rnone S certify that. in the performance of the work for which this permit is Issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre if I shouldbecame subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p nature of Applicant _„i[1 _ kA Date,-�y hereby affirm under penalty of perjury that there is a ca�ction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .enders Name _ _ Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to acton 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 reproFenlatives of this city or county to Chi r the abov entifi property for pecuon purposes. 3innature of Prunedv Owner or Authorized Aqen[ _ _ Print Property Owner's or Authorized Agent s Name ACTION' DATE RY DECLARATION OF COMPLIM&E WITW CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITI.F. 40ANO AQMD RULE 1403 'E.kMI"EXPIRED , II il$k)Bt,4[TTEDASRESTOSMOTIFICATIONTC) P(NPRI'CANCEII d>EIEPA FERf✓, 7 EXTENDFD 11AQMD _._ F fA 1 fINAL BE5f05 NOTIFICAI ION 15 NOT APPLICABLE TO C ':'r LATE OF 1 �{ M ROPOSEDDEOLIT N OrrfiPaq y(SSUED t rJ SICrNATURE: