The URL can be used to link to this page

Home My WebLink AboutXR2024-0837 - PermitsPO City of Newport Beach 1111111p111111111111111111111111IIIIIII1111I111111111111 COMB Permit : XR2024-0837 a I Community Development Department- Building Division Plan Check NO: PC2024-0672 100 Civic Center Drive, Newport Beach, CA 92660 R� Permit Counter Phone: (949) 718-1888 Issued Date: 0510212924 t r newport6eachca.gov/civic Final Date: �94cod�"r Combination Type - SFP ELEC PLUM Permit Status: Issued Work Class - Other Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY NO CONSTRUCTION Legal Desc : N TR 1218 BILK LOT 55 Job Address : 508 KINGS PL SOLID PATIO COVER 266.5 SF W/FIREPLACE, LIGHTING AND FAN (INCL GAS/ELEC) Description: SFR ATT 0 Owner: RAJESH BANKER Contractor: DIETZ RJ LANDSCAPE 555 N EL CAMINO REAL, A144 Architect : Address : Address : 508 KINGS PL Address : SAN CLEMENTE, CA 92672 NEWPORT BEACH, CA 92663 Phone : (949) 899-5540 Phone Phone : (818) 693-2972 Con State Lic : 1113961 State Lic Lic Expire : 12/31/2025 Bus Lic : BT30084174 Engineer: LY PHAN Applicant: RYAN DIETZ 555 EL CAMINO REAL, 144A Bus Lic Expire: 04/3012025 Address : 10820 KEENEN PL STANTON, CA 90680 Address : SAN CLEMENTE, CA 92672 Workers' Compensation Insurance Phone: (909) 647-6208 Phone: (949) 899-5540 Carrier: Designer: RYAN DIETZ owner/Builder: Policy No : EXEMPT Address : 555 EL CAMINO REAL, 1 W. C. Expire: 79 SAN CLEMENTE, CA 92�i? Address : Phone: (949)899-5540 Phone: -' Construction Valuation : $15,006.'Ov Code Edition : 2022 Fire Sprinklers : NO NO Added/New/Ti sq. ft. Bldg : 0 Type of Construction : V-B Fire Hazard Zone : 1 Alteration sq. ft. Bldg : Occupancy Groups: U No of Units : i Added/New sq. ft. Garage : 0 Bldg Height: No of Stories : TOTAL sq. ft. : 0 Building Setbacks: Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone: X R-1 - Single -Unit Residential Use Zone: PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placednext to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, 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 (commencingwith 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). ❑ 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 personai effort, builds or improves the property, provided that the improvements are not intended or offered for sale. It, 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). ❑ 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 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: 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 it 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 Yofesslons Code., is available upon request when this application is submitted or at the following Web site:hltp:/I",w.leginfo.ca.gov)calaw.btmi. signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION mess Coverep Dy this permit, I cannot law, Section 7044 of the Business and Date hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sects 7 of ivfs' n 3 of the Busi. as and Professio e, and my license is In full farce Ind effect. License Class License No D�e{_ Contra r Signature VORKERS' COMPENSATION DECLARATION EARNING: 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 115100,000), IN ADDITION TO THE :OST OFCOMPENSA. lot., dAMAGES AS PROVIDED FOR M SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. , lela,iy affirm u, IG6r penalty of perjury one of the following declarations: I I hive and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th er_ furmance of the work for which this permit is issued. Policy No. and wi'I 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 cf Agent Date ,b eerily 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 wor rs' compensation laws of California, and agre ,at, if I should bacor.leaubject o e workers' compensation provisions or Section 3700 of the Labor Code, I shall forthwith comply with those provisio ns. ignalur„of fucrt �ECLARAT N F<-PPDING C NSTRUC71pN LENDING AGENCY hereby affirm and penalty 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 Lenders 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 ordinances and state laws relating to building construction. I authorize representatives of this cify-Kcou ty to enter the -Identified property for inspection purposes. ienafure of ProDertv Owner or Authori7Pn Arle<[ . .. . .. 1 I Sir _ L � / � DATE By DECLARATibN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE RFGULATIONS PART 61 OF TITLE 40 AND ACIMO RULE I SUBMITTED PERMIT CANCELLED TO PERVNTEXTENDED _ I I ❑ADi CERTIFICATE ATEtOP�H�ICATION 15 NOT APPLICABLE TO CERTiFlCATE OF E +( OCCUPANCY ISSUEDiiSIOP) V A