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HomeMy WebLinkAboutXR2022-1994 - PermitsCity of Newport BeachCOMB Permit:XR2O22-1994 oCommunity Development Department- Building Division 0100 4�1— Civic Center Drive, Newport Beach, CA 92660 Plan Check No ll uPermit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 xv'�^+�� r �. PIE- ' A�.d goP Issued Date Inspection Area : 4 `f 1 1 newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 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: 5 RUE MARSEILLE Legal Dose: N TR 7788 BILK LOT 13 Description: SFR R/R CONC DRIVEWAY & PROVIDE TRENCH DRAINAGE. PER CITY STANDARD PLANS. Owner: KIME DUANE LOUIS II TR Contractor: MASONRY PLUS Architect : Address : NEWPORT BEACH, CA 92658 Address : 1079 CORONA LANE COSTA MESA, CA Address : - - 92626 Phone: Phone: (714)381-5997 Phone: Con State Lic : 553711 - State Lic Applicant: MASONRY PLUS Lic Expire : 01/31/2023 Address : 1079 CORONA LANE COSTA MESA, CA 92626. Bus Lic: BT00016674 Engineer Phone: (714) 381-5997 Bus Lic Expire: 11/30/2022 Address : •. Workers' Compensation Insurance Phone: Owner/Builder: Carrier: WESCO INSURANCE COMPANY Address : - Policy No: WWC3497348 Designer: MASONRY PLUS Phone: W. C. Expire : 10/1/2022 Address: 1079 CORONA LANE COSTA MESA, CA 92626 Phone: (714) 381-5997 Code Edition : 2019 Fire Sprinklers : NO - Construction Valuation : $8,000.00 Type of Construction : V-B Fire Hazard Zone : Y Occupancy Groups: U No of Units : 1 Added/New/Ti sq. ft. Bldg : 0 Bldg Height : No of Stories : Added/New sq. ft. Garage: 0 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC - Big Canyon PROCESSED BY: SPECIAL CONDITIONS: *CITY STANDARD PLANS* I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkniark(s) I have placed next to the applicable iteni(s) Section 7031.5, Business and Professions Code: Any city or county Ittal requires a permit to construcl, alter, Improve, demolish, or repair any stwolure, prior to Its issuance; also requires the applicant for to parmit to fl€o a sign ad slalom ant that he or she is I!Conrad pursuant to the provisions of the Contractors' State License Law (Chaptarg (Commencing with Section 7000)cf Division 3 of tha Business and 'rol'essions Code) or that he or she is exempt from Ilcensure-and the basis for the alleged exemption. Any violation of Section 7031.5 by applicant for a permifsubjects-the applicant to a civil penalty of of more than five hundred dollars 1$500). 3 I, as owner of (he 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, luslness 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 R7e property, provided that the nprovemems ato not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Bullder will have the burden of proving that It nat built. or n roved for the purpose of sale). I as owner of the property, am exclusively contracting with licensed Contractors do construct Ilia project (Section 7044, Business and. Professions Coda: The Contractors' State License Law does not p-Iuly town 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), J I am exempt from llhensurB under the .ContreGlors' Slate License Law (or the following reason: _F ly my signature aulaw 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) all a rt,ucturo'hat 1 K&io built as an owner -builder ill( has trot been constructed in its entirety by licensed contractors. I understand that a copy of Iheappiicable law, Section 7044 of tho Business and 'rofessdons Gone, Is available upon request when this application Is, submitted or at ilia following Web sileailipalwww,leginfo.ca.gov/calevchiml. iignalire of Property Owner or AuthorizedAgent Date ICEr'SED CONTRACTOR'S DECLARATION hereb,, of inn cidel psaalty of perjury that I am licensed Under provisionsofChapter 9_ jcommencing with Section 7000).of Male 3 of the Business and Professions Cc a d my license Is In full force ad effect License Class License No Dote Contractor. Signature X VORKERS' COYf ENSATION DECLARATION !ARNING: eAILURE TO SECURE VIORHERS' COMPENSATION COVERAGE IS UNLAWFUL, AND. SHALL SUBJECT. AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1100,000, IN ADDITION TO THE UST OF COMPENSAT11.1% DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. nemcy rffirm under p,r,alty of perjury one of the following declarations: I I have: and wih maintain a certificate of consent toself-insure for workers' compensation, issued by the Director of Industrial Rolations as provided for by Section 3700 of the Labor Code-, for in egormarco of tho work ,or which [his 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 Expiration Date to of Agent certify that, in the performance of the work for which this permit is issued., I shall not employ any person In any manner so asto become subject lathe workers' compensation laws of California, and agre t. If I should become subject t ( 7orkers compensation provI Ihe of Section 3700or the Labor Code, I shall forthwith comply with those provisions. -7 /' nature of Applicant ' Dale //72 CLARATIGN REGARDING ON511RUCTION LENDING AGENCY )reby affirm under penell)' of perjury thatthere Is a construction fending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). iiI Name Lenders 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 aft applicable city and county ordinances and slate laws relating to building construction, r 7/Z I authorize representatives of this city or county to ant e Bove-identifled Oro arty for Inepectlon purposes. fj Signature of Property Owner or Authorized Agent Print Properly -Owner's or Authorized A ent's Name- j1d' ( Date ACTION DATE BY DECILARAFION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART FI O F UTI.F 40 AND AOMD RULE 1403 PE81✓1 r EXPIRED 15URMITTED ASBESTOS N01'I FICATI ON TO PERMIT CANCECiEO - EPA - -- - - - All required alarms, latches gates and fenceswhich serve as part of a- pool/spa : barrier, shall PERMIT EXTENDED A4MD be In place prior to approval to, fill pool/spa & shall remain in piece & be maintained for the PFWvifr FINAt. 0g/03/ DL -FDy' ASBESTOS NOTIFICATION/ISNOT APPLICABLE TO life of the pool. CERTIFICATE Or PROPOSED OCCUPANCYISSUFO SL SMATURE:FX fO�i1