HomeMy WebLinkAboutXR2023-1376 - Permitsr wno,; City of Newport Beach IIII���I�IIII��IIIIIIII�IIIIIIII II
COMB Permit : XR2023-1376 Community Development Department -Building Division X R 2 0 2 3 1 3 7 6
> y.. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1242
T;' Permit Counter Phone: (949) 718-1 B88
>~ Issued Date : 08/'14/2023
newportbeachca.gov/civic
'Vs,cgt F 0.r�r Final Date:
o Combination Type - SFP 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 : 2641 BASSWOOD ST Legal Desc : N TR 4893 BLK LOT 1
Description: SFR ATT ALUMINUM PATIO COVER W/ AUTOMATIC LOUVERS 530 SF
Owner:
KERR FAMILY TR
Contractor: ZION LANDSCAPING
Address :
2641 BASSWOOD ST
Address : 7641 GRANADA DR
NEWPORT BEACH, CA 92660
BUENA PARK, CA 90621
Phone :
(714) 746-6302
Phone : (714) 907-3334
Con State Lic : 796825
Lic Expire : 08/31/2025
Applicant:
PAUL Y00
Bus Lic: BT30082039-31123
Address :
7641 GRANADA DR
Bus Lic Expire : 08/31/2024
BUENA PARK, CA 90621
Phone :
(714) 313-2341
Workers' Compensation Insurance
Carrier: STATE FUND
Owner/Builder
:
Policy No : 9049030
Address :
W. C. Expire : 3/19/2024
Phone
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height :
Fire Sprinklers :
NO
Fire Hazard Zone :
NO
No of Units :
1
No of Stories :
2
Building Setbacks : Front: 6, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone :
State Lic
Engineer: JEFFHEDMAN
Address: 216 W ST GEORGE BLVD, 203
ST GEORGE, UT B4770
Phone:
Designer: AMY BELT
Address: 3185 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA 92675
Phone : (949) 429-9208
Construction Valuation : $20,000.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
i N,03 P rECTOR
OWNER -BUILDER DECLARATION
€ hereby affirm under penalty of perjury that I ant exempt front the Contractors' State License Law for the reason(s) 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
:ha permit to file a signed statement that hB 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
?rofessions 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
lot more than five hundred dollars ($500),
7 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,
BL1SIn P.SS and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, huilds or improves the property, provided that the.
Improvements are not intended or offered for sale. If, however, the building drimprovement is sold within one year of completion. the Owner -Builder will have the burden of proving that It was not built or
'mproved 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 Law).
E I am exempt from licensure under the Contractors State License Law for the fallowing 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 lagall)
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 the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/lwww.leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent—.._-.-,_._._._._.,_.......W___�.___.------_.._._.-.--_-- Date LICENSED CONTRACTOR'S CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7007f "vi i n 3 of the Business and Pr �asons Co e� my license is In full force
and effect. License Class License No Date I 'L Contractor Signatu
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO AND DOLLARS ($10D,000), IN ADOm CN TO THE
COST OF COMPENSATION. DAMAGES 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:
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
rmance of the work for which this permit is issued. Policy No.
aye 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
once carrier and policy number are:
Policy Number
of Agent
Dale
]I certify that, in the performance of the ' rk for wh h this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation taws of California, and agre
EO if I should become sub act to the r rs p sahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. qq
`gnalure of Applicant _.._� .._.........
t
LARATION REGAR CON UCT LENDING AGENCY
hereby affirm under penalty of perj that are Is a construction lending agency for the performance of the work for which this permit Is issued(Section 3097, Civil Cade).
ender's Name Lende`B Address
ly 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 mecl.
I agree to comply with all applicable city and county ordinances d laws relating to building construction.
I authorize representatives of this city or county to enter t - 'e erty for inspection purposes. UIZ�
ticnaWre of Prooerty Owner or Authorized AgenNOwner's or Authorized Agent's Nan' �Vp\ ( � Dale r I
DATE I 0Y v y F REGAAYIONS PART COMPLIANCE 40 H CODE OFAQMD FEDERAL I FOR OFFICE USE ONLY
PERMIT EXPIRED I I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITEXTENDED '.. L1AQMD
PER,LHT FINAL i ASBESTOS NOTIFICATION IS NOT APPLICABLE 'TO
CERTIFICATEOF -Q .r, PROPOSED DEMOLITION
OCCUPANCY iSSUED SIGNATURE: