HomeMy WebLinkAboutXR2023-0692 - Permits�EWPpRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
Community Development Department- Building Division x R 2 0 2 3 0 6 9 2
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
CgCiFppN�P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
COMB Permit XR2U23-0692
Plan Check No:
Issued Date : 03/14/2023
Inspection Area : 8
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 : 1500 SANTIAGO DR
Legal Desc : N TR 5287 BLK LOT 6
Description: SFR -YARD DRAINAGE (720 SF) *CITY STANDARD PLAN
Owner: HERZOG HAIM REVOCABLE LIVING TR
Contractor: AAA WATER RESTORATION INC
Architect
Address : 1500 SANTIAGO DR
Address : 23151 VERDUGO BLVD, 113
Address
NEWPORT BEACH, CA 92660
LAGUNA HILLS, CA 92653
Phone :
Phone : (833) 420-7378
Phone
Con State Lic : 1033925
State Lic
Lic Expire: 1213112023
Applicant: AAA WATER RESTORATION INC
Bus Lic : BT30080960
Engineer
Address : 23151 VERDUGO BLVD, 113
Bus Lic Expire : 03/31/2024
Address
LAGUNA HILLS, CA 92653
Phone: (833) 420-7378
Workers' Compensation Insurance
Phone: '
Carrier: STATE COMPENSATION INSURANCE
FUND
Owner/Builder :
Policy No : 9231841
Designer:
Address :
W. C. Expire : 5/22/2023
Address
Phone:
Phone:
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,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
Building Setbacks : Front: 20, 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:
I hereby affirm under penalty of perjury that t 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 feel
3ection 7031.5, Business and Professions Code; Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor 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 ilcensure 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 ($500).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044,
Usineas and professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeesor 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).
3 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
poly to an owner of property who builds or improvesthereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
am exempt from licensors under the Contractors' State License Law for the following reason:
;y 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 pg r1il I.cannat lagall
ell 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 {a Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site;htip:llwww.leginfe.ca.gov/calaw.html.
.ignature of Property Owner or Authorized Agent .Date _
.ICEN.SED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that t am licensed under provisions of Chapter 9 (commencing with Section 7001 of Division 3 of the Business and Prof - / y license is In full force
nd effect. License Class License No Date.-?VL1 202-3 Contracto ore
tKERS' COMPENSATION DECLARATION 1:.�
ZING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND D LLARS IS}OD;DDO), IN ADDrT1ON TO THE
OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
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
ormance of tha work or which this permit is issued. Policy No.
:have and will maintain workers' compensation insurance, as required bye soften 3700 of the Labor Code. for the performance of the work for which this permit is issued. My Workers' Companies
Rance carrier and polley number are:
Policy Number
to of Agent
certify that, in ti purormance of the work for which this
if I should become subject to the workers' compenpalto
Heby a,firm unJer penalty ofjp*�jurp tit there is a construction lendir
Ider's Name
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's
I have read this application and the information I have provided is cc
I agree to comply with all applicablecity and county ordinances and
I authorize representatives of this city or county to enter the abovi
ACTION
PERMIT EXPIRED
PERVirT CANCELLED
PERMIT EXTENDED
PERMIT n- AL
CERTIFICATE OF
OCCUPANCYISSUED
DATE. I BY
1403
PROPOSED
Date
person in any manner so as to become subject to the workers' compensation laws of California., and agre
r Code, I shall forthwith comply with those provisions.
Date 3 - ,2442
the performance of the work for which this permit Is issued (Section 3097, Civil Code).
.enders Address
3 to building construction.
for inspection purposes.
OF CON6. LIANCE WITH CODE OF FEDERAL
PART OF TITLE 40 AND AQNID RULE
NOT
TO
FOR OFFICE USE ONLY
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