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Home My WebLink AboutXR2022-3074 - Permitso�aEwPORr City of Newport Beach @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 D Permit Counter Phone: (949) 644-3288 i)h.. Inspection Requests Phone: (949) 644-3255 cgCiFo0.N�P newportbeachca.gov/inspections Combination Type - ELEC PLUM Work Class - Other COMB Permit : XR2022-3074 Plan Check No: PC2022-2946 Issued Date : 12/05/2022 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 : 1 HERMITAGE LN Description: SFR DETACHED OPEN TRELLIS 238 SF Owner: PETER POLOS Address : 2 HERMITAGE LN NEWPORT BEACH, CA 92660 Phone Applicant: JEANELLE HEASTON Address : 2279 EAGLE GLEN PKWY, 112-421 CORONA, CA 92883 Phone: (909)633-4094 Owner/Builder: Address : Phone Legal Desc : N TR 7223 BLK LOT 91 Contractor: WALKER CUSTOM HOMES INC Address : 418 1/2 ORCHID AVE CORONA DEL MAR, CA 92625 Phone: (949)280-2633 Con State Lic : 681217 Lic Expire : 0913012023 Bus Lic: BT30058987 Bus Lic Expire : 05/31/2023 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Code Edition: 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U No of Units : 0 Bldg Height : No of Stories : 0 Building Setbacks : Front: 10, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC - Big Canyon PROCESSED BY: SPECIAL CONDITIONS: \'� CF1 Architect Address Phone : State Lic Engineer Address Phone : Designer: RICHARD KING Address : 24682 DEL PRADO STE 230 DANA POINT, CA 92629 Phone : (949) 285-9692 Construction Valuation: $10,000.00 Added/New/TI sq. ft. Bldg: 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 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 hems) (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 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 not more than five hundred dollars ($500). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 bunt or mproved for thepurpose 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 Law), I am exempt, from licensure under the Contractors' State License Law for the following reason:.T__ 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 legall,. sell 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 tho Susinos ;and Professions Code,, is available upon request when this application is submitted orat the following Web site:http7/www.leginfo.ca.gov/calaw.htm). Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of pequry than I am licensed under provisions of Chapter 9 commencing with Sec'on ). f 3 of the Business and Professions Cade. a ce stirs in full force and effect. License Class K License No GFS� 94 D Contractor Signature NORKERS' COMPENSATION DECLARATION NARKING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED T OUSAND DOLLARS tSI00,000). IN ADDITION TO THE ]OST OF COMPENSATION, OAMAOES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 rerformance of the work for which this permit is issued. Policy No. 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' ranee carrier and policy number are: Policy Number Agent Date (c nify that, in the performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre i, I should become subject to the workers'QDmP ifevisions of Section 3700 04 the Labor Code. I shall forthwith comply vdlh those provisions. :nature of Applicant Date CLARATION RE43AR.. N CONSTR49C.TtON LENDING AGENCY '— =reby affirm under penally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Iv Code). ider's Name Lender's Address 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 ei the atI",-id pe for inspection purposes. gnalure of rro ertowner or Authonzetl Agent Print Property Owner's or Authorized Agent's Name ° V 1`-'d Date ACTION DATE 4 BY ARATION OF COMPLIANCE WITH CODE OF FEDERAL L FOR OFFICE USE ONLY REGULATIONS PART 610E TITLE 40 AND AQMD RULE E 1403 PERMIT EXPERED SUBMITTED ASBCETOS,Ju I IFICATION TO PERMIT CANCELLED ____...................._.._._.—. _e LIEFA _ PERMIT FXTFNOED IiIF. PERMIT FINAL CERrIFICAVE OF L �lI I f,�(/)/�I9 -�—�-rI'-,n{ML 1%'I/`—�_i 1J ASBc5T05NOTIHCATIONI5 NOTAPPLICA6 TO PROPOSED DEMOLITION OCCUPANCY ISSUED �V AIh SIGNATURE-