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Home My WebLink AboutXR2024-0586 - Permitsr�WPORT City of Newport Beach 11!II,II1111111111111111111111111111111111111111111111111I jj COMB Permit : XR2024-0586 Community Development Department - r301aing Division 100 Civic Center Drive, Newport Beach, CA 92060 Plan Check No : PC2024-0476 Permit Counter Phone: (949) 718-188F Issued Date : 03/08/2024 -' newportbeachca.gov/civic Final Date: cq<iF�aN`P' Combination Type- Permit Status: Issued Work Class - Other Inspection Area : 7 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 : 1000 SAN JOAQUIN PLZ Legal Desc : P BK 389 PG 29 PAR 1 PM 389-29 POR OF PAR 1 Description: MFR POOL FOOTINGS FOR (2) UMBRELLAS, (13) POWER STATIONS, (3) FIRE PIT TIMER POST, AND (2) TV STANDS Owner : VILLAS AT FASHION ISLAND LLC Address : 1101 SAN JOAQUIN PLZ NEWPORT BEACH, CA 92660 Phone: (949)636-1551 Applicant: CAMI OKELLY Address: 3195A AIRPORT LOOP DRIVE COSTA MESA, CA 92626 Phone : (714) 557-5877 x2 Owner/Builder : Address : Phone: Contractor: CUESTAS CONSTRUCTION Address : 221 PALMER ST COSTA MESA, CA 92627 Phone: (949)233-5425 Con State Lic : 1102102 Lic Expire : 03/31/2025 Bus Lic: BT30082428 Bus Lic Expire : 08/31/2024 Workers' Compensation Insurance Carrier : Policy No: WSD503883006 W. C. Expire : 12/31/2024 Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : R-2 No of Units : Bldg Height : No of Stories Building Setbacks Flood Zone : X Use Zone: PC - North Newport Center PROCESSED BY Architect Address Phone: State Lic Engineer: ORTIZ ROBERTO Address : 1744 W KATELLA AVE ORANGE, CA 92867 Phone: (714) 997-1145 Designer: Address : Phone : NO Construction Valuation : $26,000.00 NO Added/New/Ti sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg : 0 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 SPECIAL CONDITIONS:. OWNER -BUILDER DECLARATION o a I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasoR(s)'indinateo bt:low.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. imprLve, demOisa, ur ropair Lily strugture, prior to its issuance, also requires the applicant for to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Licc:tso'_3w (Chapter 9 (comm-:Toing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or 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 of more than five hundred dollars (S500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of of U portions of the work, and the structure Is not intended or offered for sale (Section 7044, rosiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, though employees' or Her-ona: effort, 3uilds 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 yeer of completion, the Owrer-Budder vrill have the burden of proving that it was not built or nproved for the purpose of sale). ' 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 pply 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). 7 I am exempt from licensors under the Contractors' Slate 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 permit, I cannot legalli 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 the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:(lwww.leginfo.ca.govlcalaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of ' i f the Business and Prof si , and my license is in full force that effect. License Class License No Cat Contractor Signature IJORKERS' COMPENSATION DECLARATION IF '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 ISIM.000I, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S 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 ante of the work for which this permit is issued. Policy No. e 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' compensa Trance 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 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre P P ...__ y provisions. tat, if I should becom $ to the workers' tom ensation provisions of Section 3700 of the Labor Code, I shall forthwith comp) with those�./J Ignature of Applicant _ _ _ Date _. DECLARATION REGAR I TRUCTION LENDING AGENCY hereby affirm under penal of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). enders 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 county mantes and state laws relating to building construction. I authorize representatives of this city or county tt ant the above -identified property for inspection purposes. q �/� I, / 5 XN1 �/ -ionature of PrODertv Owner or Authorized Agenf'� _ _ Print Property Owner's or Authorized Agent's Name `UU�/� I�f l ` Y Datee" /9/2� ACTION DATE BY t DVCLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 RFGULATIONS PART 61 OFTITLE 40 AND AOMD RULE 403 PERMIT EXPIRED I I LJ I SUBMITTED PERMITEXTENDED OMD PERMIT FINAL 7 E OS N CATION 15 NOT APPLICABLE TO CERTIFICATE OF �N P OP D 0 N OCCUPANCY ISSUED IGNATURE: