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HomeMy WebLinkAboutXR2023-1140 - Permits"U". City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - SFP Work Class - Other Ili iii iiiii iiiii iiiii iiii liiii iiiii 0 II COMB Permit : XR2023-1140 Plan Check No : PC2023-1017 Issued Date : 05/05/2023 Inspection Area : 6 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 ATTACHED LATTICE PATIO COVERS 280 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 Applicant: ENVIROWOOD Address : 25442 NEPTUNE DRIVE DANA POINT, CA 92629 Phone: (949)492-5180 Owner/Builder : Address : Phone : Con State Lic : 894684 Lic Expire : 04/30/2025 Bus Lic : BT30081479 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: EXEMPT -NO EMPLOYEES Policy No : EXEMPT W. C. Expire : Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : YES Occupancy Groups : U,R-3 No of Units : 1 Bldg Height : No of Stories : 2 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) PROCESSED BY: R -3 SPECIAL CONDITIONS: Architect : Address : Phone: State Lic 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 Construction Valuation : $16,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft.: 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the mason(s) Indicated below 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, 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 lieensure 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). 1:11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Buslnoss 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 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-Bui]dar will have the burden of proving that it was not built or Eroved for the purpose of sale). L 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 properly 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 8censure 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 legalll sell a structure that I have built as an owner -builder it ithas not been constructed in its entirety by ficensed 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:htlp,li w.legin(o.ca.gav/Calaw.html. Signature of Property Owner or Authorized Agent, Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f�f the Business and Professions C m e is in full force and effect. License Class License No Date 2J Contractor Signature y� 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 FE100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: © I have and will maintain a certificate of consent 10 seff-Msure for Workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for to Conformance of the work for which this 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' Fence carrier and policy number are: Policy Number of Agent Data illy that, in the performance of the work for which this permit is issued, I ahalI not employ any person in any manner so as to become subject to the workers' compensation laws of California, and afire I should become subject to thewrnpabsatian previsions of Section 3700 of the Labor Code, I shall forthwith comply With those provisfans. are or Applied a, Date , ,1— 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 Cade). ender s Name lenders 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 correct. I agree to comply with all applicable city and county ordinances and state taws relating to building construction. I authorize representatives of this city or county to enter above-iQ Uified perry for inspection purposes. denature of P•ooenv'Dwner or Authorized Agent &'1xi.w .. Print Properly Owners or Authorized AaanCs Name _ ACTION DATE I By j DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R.EULATIONS PART 6I OF TITLE 40AND AQMD RULE 1403 f.am, EXPIREDI SUBMITTED ASBESTOS NOTIFICATION TO r-uR!w!i LXTENDEG LIAQMD PFRA,VT FINAL ; i%n"SBESTO5 NOTIFICATION 15 NOT APPLICABLE TO CERTt CA7E Oi 9-a�-z D�--i�� PROBOSLDDEMOLITION OCCURANCI'ISSUEO SIGNATURE_