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Home My WebLink AboutXR2023-1141 - Permitsa�WvoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-1141 ov @ Community Development Department -Building Division X R 2 0 2 3 1 1 4 1 1"y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1017 6 S Permit Counter Phone: (949) 718-1888 Issued Date : 05/05/2023 aw newportbeachea.gov/civic Inspectlon Area : 6 "c,roa��P Combination Type - 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 : 1428 SANDCASTLE DR Legal Desc : N TR 6152 BLK LOT 91 Description: SFR REPLACE DETACHED LATTICE PATIO COVER 176 SF Owner: ROBERTS LARRY KEITH TR 2018 ROBERTS Contractor: ENVIROWOOD FAMILY TR Address : 1428 SANTIAGO DR Address : 25442 NEPTUNE DRIVE NEWPORT BEACH, CA 92660 DANA POINT, CA 92629 Phone : (949) 233-7307 Phone: (949) 492-5180 Con State Lie : 894684 Lie Expire : 0413012025 Applicant : ENVIROWOOD Bus Lie : BT30081479 Address : 25442 NEPTUNE DRIVE Bus Lie Expire : 05/31/2024 DANA POINT, CA 92629 Phone: (949) 492-5180 Workers' Compensation Insurance Carrier: EXEMPT- NO EMPLOYEES Owner/Builder: Policy No: EXEMPT Address : W. C. Expire: Phone: Architect : Address : Phone: State Lie Engineer: PUTNAM CARL MATTHEW Address : 3441 IVYLINK PL LYNCHBURG, VA 24503 Phone: (434)384-2514 Designer: ENVIROWOOD Address : 25442 NEPTUNE DRIVE DANA POINT, CA 92629 Phone : (949) 492-5180 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : YES Added/New/TI sq. ft. Bldg Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories: 0 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) 37 PROCESSED BY: SPECIAL CONDITIONS: $14,000.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of pedury that i am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Kam(s) (Section 7031.5. Business and Professions Code: Any city or county [hat requires a permit to construct, alter, 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 {commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from lioensure and the basis far 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 L) all of or L) 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' ar 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). I, as owner of the property, am exclusively contracting with licensed Contractors to construct his project (Section 7044, Business and Professions Code; The Contractors' State License Law does not ar�ly 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). LI I am exempt from licensor(, under the Contractors' Slate 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 legatl, sell a structure that I have built as an owner -builder if it has not boon constructed in its entirely 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:llwww.leggnfo.ca.govlcafaw.htmi. Signature of Property Owner or Authorized Agent ,_ _, Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70DO) 'vision 3 of the Business and Professions Co 'an Icense sin full force and effect. License Class License No Date S Z�o2 Contractor Signature �— 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 THOUSAND DOLLARS P1n0PQ66), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AHD ATTORNEYS FEES, hereby affirm under penalty of perjury one of the fallowing declarations: —1 1 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 th )erfcm ante of the work for which this permit is issued. Policy No. -1I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, far the performance of the work for which this permit Is issued. My workers' compensatiol nsurance carrier and policy number are: :ariar Policy Number Expiration Data Jame ofAgent Phone It :s-c-ertify 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 hat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant /'_ _ ._....__....__�._..,____ Date_____�S! )ECLARATION REGARDING CONSTRUCTION LENDING AGENCY _ mm 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, Civil Code). .Finders Name, Lender's Address 3y 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 t have provided is correct. I agree to comply with all applicable city and county or finances and state laws relating to building construction, I authorize representatives of this city or county toe d property for in e abovezgdentifiespection purposes, 3gnature of RoParty 0woar or Authorized A em �A" 7 �S Print Property Owner's or Authorized A ent's Name Date S t Zm2 ACTION _ DATE RY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OFTTLE40AND AQM9 RULE _ 1403 I ER.M,T EXPIRED I SUBMITTED ASt1ESTOS NOTIFICATION TO PERMIT GArYC6? tEU TTEPA FERP e F EXTENDED DIME PERMIT FINAL // 55RESTDS NOTIFICATION IS NOT P'. BL} TO CERTI ICATE Or -.�iy �3 �I�'�—� PROPOSED DEMOLITION / OCCUPANCY ISSUE. SIGNATURE