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Home My WebLink AboutXR2023-2646 - Permitsr WPo , City of Newport Beach 11111111111111111111111111111111111111111111111111111111111 11 =1 ' R Community Development Department Division coM6 Permit : XR2023-2646 ty P P 9 X R 2 9 2 3 2 6 4 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2304 ,r Permit Counter Phone: (949) 718-1888 Issued Date : 0912012023 .N newportbeachca.gov/civic Final Date: c9�iFoa�`P Combination Type -SFP 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 Job Address : 1736 ANTIGUA WAY Legal Desc : N TR 4224 BLK LOT 284 Description: SFR - DEMO EXISTING SPA USING CITY STANDARD. *METHOD A* Owner: JASON DOWNING Contractor: SEA BREEZE LANDSCAPING Architect Address : 1736 ANTIGUA WAY Address : 625 W KATELLA AVENUE #24 Address NEWPORT BEACH, CA 92660 ORANGE, CA 92867 Phone: Phone : (714) 997-7700 Phone Con State Lie : 424207 State Lie Lie Expire : 05/31/2024 Applicant: SEA BREEZE LANDSCAPING Bus Lie : BT30082646 Engineer Address : 625 W KATELLA AVENUE #24 Bus Lie Expire : 09/30/2024 Address ORANGE, CA 92867 Phone: (714) 997-7700 Workers' Compensation Insurance Phone: Carrier: PREFERRED PROFESSIONAL INS Owner/Builder : Policy No: ON0961403 Designer Address : W. C. Expire : 3/26/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $3,000.00 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 : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 6, Front: 12, Side: 6, Rear: 6 Flood Zone: X Use Zone : R-1-6000 - Single -Unit (6000 indicates minimum lot area) /Residential /Zy ` PROCESSED BY: SPECIAL CONDITIONS: l OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) (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 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 leensure 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 sale compensation, will do L) all of or L) 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 saleir, 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 improved for the purpose of sale). ❑ 1, 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 ContractorsState License Law). ❑ 1 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 legal sell a structure that I have built as an owner -builder if it has not been constructed in its antiroly, 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:/iwww.leginfo.ca,gov/calaw.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 7000) of Division 3 of the Business and P Code, and my lie a is In full force and effect. License Class License No Date ��71�2� Contractor Si ire /�4r'iJLi�ct°GCO VORKERS' COMPENSATION DECLARATION 'ARNING: 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 fIn D0,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] 1 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 eorfformance of the work for which this permit Is issued. Policy No. dl have 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' compensatior Isurance carrier and policy number are: :arrfer Policy Number Expiration Date lame of Agent Phone R 31 certify that, in the performance 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' compensation laws of California and agre tat, if I should become c tot workers' corn satioprovisions of Section 3700. of the Labor Code, I shall forthwith corn With those provisions. _ P PY Iunalure of Applicant %...C/a7/./4(,r Date— � ^� III hereby affirm under penalty of perjury In at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) Lenders Name Lender's Address By 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 slate laws relating to building construction. �/,j I authorize representatives of this city or coup ent the above-1 flied property for inspection purposes.f2'7 2�`f��t 1�15 u _ 2 Signature of Property Owner or Authorized Agent &I L Print Property Owner's or Authorized A ent s Name C ) Date ACTION OATF 1ARATEON OF CONS IANCE wTH CODE OF FEDERAL FOR OFFICE USE ONLY NEGUIgTIONS PART 51 OF TITLE 40 AND AONID RULE. 1403 PERMIT EXPIREP € I SUBMITTED ASBESTOS NOTIFICATION TO P€AMrT CANCElECl , � ERTRT EXTE❑AD PCRMIT FINAL �1TIN�Z3 ASBESTOS NOTIFICATION IS NO)APPLICABLE 10 COF CERTIFICATE OF PROPOSED D DEMOLITION OCCUPANCYISSUEA �___ SIGNATURE