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HomeMy WebLinkAboutXR2023-2184 - Permits�EWPORr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 0 A Community Development Department- Building Division X R 2 0 2 3 2 1 8 4 COMB Permit : XR2023 2184 r ^: 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0981-2018 Permit Counter Phone: (949) 718-1888 Issued Date : 0810812023 mow.. newponbeachca.gov/civic Final Date: Cq�IF00.��P Combination Type - 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 : 6 INVERNESS LN Legal Desc : N TR 7638 BILK LOT 58 Description: SFR BLOCK WALL FOR TV 8'6" HIGH Owner: SMITH WILBUR H III TR WPBS TR Address : 6 INVERNESS LN NEWPORT BEACH, CA 92660 Phone: Rqq-735' cr8z6 Applicant: DIG LANDSCAPE CONSTRUCTION INC Address: 2732 COAST HWY E, A NEWPORT BEACH, CA 92625 Phone : (949) 673-5450 Owner/Builder : Address : Phone Contractor: DIG LANDSCAPE CONSTRUCTION INC Address: 2732 COAST HWY E, A NEWPORT BEACH, CA 92625 Phone : (949) 673-5450 Con State Lie : 932954 Lie Expire : 01/31/2025 Bus Lie : BT30026912 Bus Lie Expire : 01/31/2024 Workers' Compensation Insurance Carrier: CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy No: CWCO2070400 W. C. Expire : 6/1/2024 Code Edition : 2022 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: Architect Address Phone: State Lie Engineer: BURKELEO Address: 34167 PACIFIC COAST HWY #D DANA POINT, CA 92629 Phone: (949) 226-7130 Designer: GARDEN STUDIO Address : 2732 COAST HWY E, A NEWPORT BEACH, CA 92625 Phone : (949) 673-5450 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 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Bell (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 BIG 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). rl I, 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, 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 improved for the purpose of sale). 0 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). Ell am exempt from hcensure 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 legally sell a structuro 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 the Business and Professions Code., is available upon request when this application Is submitted or at the following Website:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ _ Date (LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of pe 'ury that I am licensed under provisions of Chapter 9 Commencing with Sectio 7 0 F 1 fen 3 of the Business and Pr ssiyR� a y license is In full force (land effect. License Class 2.% License No g `$T_ � � � Datr Contractor Signatu / C G.�t_ WORKERS' COMPENSATION DECLARATION (WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following dec€amtiorrl 0 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 thi ;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 Expiration Date of Agent ]I certify that, in the performance of the work for which this permit is issbed: I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Calffomfa, and agrel oat, if I should becomes -ject to eyvofb r npe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply wIIh those provisions. aera ignature of Applicant _ / V Dat 3 DECLARATION RFGA. I . INSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 A ivll Code). endei s Name _ Lender's Address :y 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 eoupt� ordinances and state laws relating to building construction. I authorize representatives of this city or counftt lrEnh et he p b ide. Iifled property for inspection purposes. A / �n�OS �I �I (� rionature of Property Owner or Authorized AgeIV Print Property Owner's Or Authorized Agent's Name\ uxy e_ ata ` ACTION DATE BY ° ) DFGLARAT€ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R4GGU LA'TIONS PART 61 OF TITLE 40 AND AQMD RULE CURIAM ED k SBTSTOS PERMIT EXTENDED PERMIT FINAL SBEST TIFICATION 1'5 NOT APPLICABLE TO CERTIFICATE OF /�G/2G' �/� PROR SFO1) OUTI OCCUPANCY ISSUED i t SIGNATUPE: �/J /f