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Home My WebLink AboutXR2023-1413 - PermitsQ a�WPOR� City of Newport Beach II III III I IIII III III II IIII IIII I II COMB Permit : XR2023-1413 p 6 Community Development Department- Building Division X R 2 0 2 3 1 4 1 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0963 u ] = Permit Counter Phone: (949) 718-1888 Issued Date : 05/30/2023 a. `P newportbeachca.gov/civic Inspection Area : 4 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: 2615 BUCKEYE ST Description: SFR YARD DRAINAGE (REV2023-1000) Owner: 2615 PCDEV LLC Address : 2615 BUCKEYE NEWPORT BEACH, CA 92660 Phone Applicant: REINA FUENTES Address: 1276 E COLORADO BLVD, 210 PASADENA, CA 91106 Phone: (626)251-5744 Owner/Builder : Address : Phone Legal Desc : N TR 4892 BILK LOT 76 Contractor: WESTMOD Address : 1276 E COLORADO BLVD PASADENA, CA 91106 Phone: (626)261-0825 Con State Lic : 1053685 Lic Expire : 05/31/2025 Bus Lic: BT30079735 Bus Lic Expire : 09/30/2023 Workers' Compensation Insurance Carrier: EMPLOYERS PREFERRED INS CO Policy No: EIG282852704 W. C. Expire : 4/1/2024 Architect Address Phone: State Lic Engineer: BIEDENBACH CHRISTOPHER Address: 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714)630-6100 Designer: Address : Phone : Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : .- Bldg Height: No of Stories : 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 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 SPECIAL CONDITIONS: - ---------- 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 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 is 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 'rofessions Code) or that he or she is exempt: from licensors 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 pannity of at more than five hundred dollars (S500). 3 I, 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, tusiness 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 nprovements 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 nproved for the purpose of sale). 1 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 pply to an owner of property Who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), J I am exempt from Ueertsure under the Contractors' State License Law for the following reason -_ ly 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 legally ell astructure 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 tha Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site;http:Uwv+w.leginfo.ca.govlcalaw.html. tlgnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section Divisi 3 of the Business and Prof o s od , anIf my license is In full force and effect. License Class License No Doti Contractor Signature VORICERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSANO LLARS (5100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7709OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] 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 erformance of the work for which this permit Is issued. Policy No. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which Ibis permit is issued. My workers' compensatiol is nce carrier and policy number are: Policy Number Dale me of Agent Phone q I certify 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 t, if I should becom s bjec a t 10 rke. mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dat5 _ CLARATION RBGA OI STRU ION LEN lKOO AGENCYty zMby affirm under penalty of duthe there is a construction lending agency for the performance of the work for which this permit is issued ISection 3097, 'Cl I Code). Anr's Name _ _ Lander's Address my signature helow, I ,ertify 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 1 have provide,9 is Correct. I ag-ea to comply with all applicable city a�n�coon an and state laws relating to building construction. I -L thorize repntsentahves of this city or c�l(nty to ter a huffed property for inspection purposes. n /j� ' u _ G, '! ' f nature of Proi arty Owner or Authorized An & Knn m f V 9 1 Print Property Owner's Or Authorized AOent's Nan G � ate5 ✓9 A,CTICR DATE. G By] -DECLARIpTION OF COMPLIANCE TITCE RULE WITH AND DE OF AL f I OR OFFICE USE ONLY REIONS PART F ,d,f"TEXTENDED L1att D Fcd,rf TFINAl. —_ — jf,].Q$RE57 N 1FI fl PPUCABLE TO CERTIFICATE OF ,tA q,,II ROP SEDO OLITt OCCUPANCY15SUED 1,6 m I SIGNATUREc