HomeMy WebLinkAboutXR2023-3321 - Permits�eWPoRr City of Newport Beach II III III I IIIII III IIIIIIII II IIIIIIIIIIII II COMB Permit: XR2023-3321
D� @ Community Development Department- Building Division X R 2 0 2 3 3 3 2 1
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2840
Permit Counter Phone: (949) 718-1888 Issued Date : 11/22/2023
+��-." a newportbeachca.gov/civic Final Date:
�4Wq<ioN`t Combination Type - SFP ELEC PLUM Permit Status: issued
Work Class - Other Inspection Area : 4
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 : 1958 PORT DUNLEIGH CIR Legal Desc : N TR 7027 BLK LOT 56
Description: SFR - PATIO COVER 423 SF
Owner: JON JOHNSTON
Address : 1958 PORT DUNLEIGH CIR
NEWPORT BEACH, CA 92660
Phone : (949) 922-1362
Applicant: JON JOHNSTON
Address : 1958 PORT DUNLEIGH CIR
NEWPORT BEACH, CA 92660
Phone: (949)922-1362
Owner/Builder: JON JOHNSTON
Address : 1958 PORT DUNLEIGH CIR
NEWPORT BEACH, CA 92660
Phone : (949) 922-1362
Contractor
Address :
Phone:
Con State Lic
Lic Expire
Bus Lic:
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Architect
Address
Phone :
..
State Lic
Engineer:
JUANMIGUEL ..
Address :
2312 PARK AVE, 123 .... ,
TUSTIN, CA 92660
Phone :
(949) 408-4085
Designer:
Address
Phone:
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation : $30,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups :
U,R-3
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: 21, Side: 5, Side: 5, Rear: 10
Flood Zone :
X
Use Zone :
PC - Harbor View Hills
PROCESSED B :
SPECIAL CONDITIONS: O/B AUTH S NED
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of penury that I am exempt from the Contractors' Stale License Law for the 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 file a signed statement that he Or she is licensed pursuant to the provisions of the Contractors' State License Lava (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
kien
ions Code} or
that ha ar she is exempt from ficensure 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
ethan fivehundred dollars "500)Ownerofthe property,ormyemployees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not Intended or offered for sale (Section 7044,
and PTOfessinnsCodeThe Cotractors' State Lcense Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
ts 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
improved for the purpose of sale).
0 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
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),
❑ I am exempt from licensure under the Contractors' State License Law for the fallowing reason:,
By my signature be9ovr 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 co died by this permit, I cannot iegaif,
sill a structure that I have built as an owner build - if has not b n constructed in its entirct7 by licensed contractors undershnd that a copy of the applicable law, Sac on 7 4 of t e Business and
Professions Coda is available upon reques Shen i pllcation I bmitted or at the following Wets site>h34p ffuwwvr leginfo ca gay/calaw.html i
Signature of Property Owner or Authorized A n t
.._.__._._�.____.____�__ to �LICENSED CONTRACTOR'S DECLA. 10— I i,areby afiirm under penalty of perjury that am loans nder proChapter 9 (commending with Section 7000) of Division 3 of the Business and Professions ode and my license is In full force
and effect License OIPFs License No Date Contractor Signature
COMPENSATION DECLARATION
Ni.RNIN3 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 (E100,000), IN ADDITION TO THE
COST OF CCMPENSAT.ON, CA:AAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
LcrLby affirm und_: peralty of perjury one of the following declarations:
' hn •e and wiI malmain a certificate of consent to self -insure for workers' compensation, issued by the Diredor of Industrial Relations as provided for by Section 3700 of the Labor Coda, for in
ppromr ance of the work ;or which this permit Is issued. Policy No.
r.a.Fo 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'
ranee carrier End Outcy number are!
Policy Number
Date
V 'Agent Phone?{
aril 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 work re' cord ensatic laws of California, and agre
Ih I I s out bec subject to the ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro Sic ``
Signatu4ffflr,"m1'undFerper
pplicant_koferjury
_ _ n ate_____
N RATRUCTIO DING AGBNCY
that C re 1 a construction lending agency for the performance of the work for which this permit is issued (Sectlon 097, Civil Code).
_ender's Name Lericl Address
3y:Ty signature below, Ih of the following:
I am the property owner orauthorized 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 IQ count c6diri and slate laws rotating to building construction.
I authorize representatives of this city or c n enter the ve-identified property for inspection purposes.
Signature of Property Owner or Authorized Agee. Print. Property Owner's or Authorized A e t. am �J Oat
ACTION DATE eY LARATI0N0 C NIPLIANCE`A+rTH CODE OF FEDERAL FOR OFFICE USE ONLY
i I RF ULATION5.P 51 OFTITLF 40 AND AgMD RULE
PER10T EXPIRED
PERMr7CAA'CELLED
PERMff EXTENDED
PC 7 FINAL
CERTIFYCA7' E OF
OCCUPANCY ISSUED
NOTIFICATION TO
101
NOTAPf ILCABLF TO
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