HomeMy WebLinkAboutXR2022-2683 - Permitsty
R Community olf NDewport B patment- Building Division II II I I I II I I III III I III II COMB Permit : XR2O22-2683
100 Civic Center Drive Newport Beach, CA 92660 Plan Check No
r Permit Counter Phone (949) 644-3288
Inspection Requests Phone: (949) 644-3255 Issued Date : 0/'10/2D22
c r Inspection Area : 4
9ciFonN` newponbeachca.govlmspections
Combination Type - MFP
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 : 2156 VISTA DORADO Legal Desc : N TR 5741 BLK LOT 18 TR 5741 (L.L.84-214029) PAR 18
Description: MFR BLOCK WALL U HIGH X 29 LF INSIDE P/L & DRAINAGE (STANDARD PLAN)
Owner: JONATHAN BEATTY
Address : 2017 VALENCIA CV
ROANOKE, TX 76262
Phone:
Applicant: D & G CONSTRUCTION GROUP INC
Address : 16205 MT HARKNESS ST
FOUNTAIN VALLEY, CA 92708
Phone : (714) 585-2955
Owner/Builder:
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone:
PROCESSED BY:
2019
V-B
U
X
R-1 - Single -Unit Residential
SPECIAL CONDITIONS: SURVEY WAIVER ATTACHED
Contractor: D & G CONSTRUCTION GROUP INC
Address : 16205 MT HARKNESS ST
FOUNTAIN VALLEY, CA 92708
Phone:
(714)585-2955
Con State Lic
: 984602
Lic Expire :
06/3012023
Bus Lic:
BT30074202
Bus Lic Expire : 02/28/2023
Workers' Compensation Insurance
Carrier :
Policy No: EXEMPT
W. C. Expire:
Fire Sprinklers :
NO
Fire Hazard Zone :
NO
No of Units :
0
No of Stories :
0
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone:
Designer:
Address
Phone:
Construction Valuation :
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage:
TOTAL sq. ft. Bldg :
$21,000.00
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
(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 abet is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any epplicanl 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 (_) 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 Be nloyees' 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 -Builder will have the burden of proving that It was not built or
improved for the purpose of sale).
111. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
apply 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),
LI I am exempt from licensure 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 impro'
soli 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 applicab
Professions Code, is available upon request when this application is submitted or at the following Web site:httpl/iwww.leginfo.ce.gov/calaw.htmL
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) ,fi D' jet r�370f the Business and Pro
and effect. License Class License No Date p G� Contractor Signature
vents covered by this permit, I cannot
law, Section 7044 of the Business and
my
VORKERS' COMPENSATION DECLARATION
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOU AND DOLLARS jS 00.000j, IN ADDITION TO THE
'.DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I 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.
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
of Agent
Date
corW that, in the *ctlo
Work t r whi h this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' ompansation laws of California, and agre
t it I should becomrkers' comp nsallon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant __,,Dat CLARATION RSGAUCTI ING AGENCY�rebyaffirm underpat there a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Clvil Code).
tder's Name Lender's 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 hav rovided is correct.
i agree to comply with all applicable city and c on ordi a esan sta laws relating to building construction. Aa?/Xte_�;
/I authorize representatives of this city or cvun t IT the b. identifi propefor inspection purposes.�5.�/ / /nature of ProDertv Owner or Authorzed Agent / PrintProoertvOvmer'sorAuthorizedAuent'sNa �--j Oat �A//4/V—
ACTION I DATE I BY
OF C CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 6. OF TITLE 40 AND AGNID RULE
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERM17CANCELLED
L EPA—V-------
PERMIT EXTENDED
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