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HomeMy WebLinkAboutXR2022-2217 - Permits(�, PORT City of Newport Beach Community Development Department- Building Division �y100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 w,N, nnewportbeachca.gov/inspections `" Combination Type - SFP ELEC PLUM Work Class - Other COMB Permit : XR2022-2217 Plan Check No: P02022-2056 Issued Date : .; Inspection Area : 5 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 : 4600 DORCHESTER RD Description: SFR SPA REMODEL, GAS/ELEC TO FIRE PIT Owner: CORDES PETER RUDOLF TR T Address: 4600 DORCHESTER RD CORONA DEL MAR, CA 92625 Phone Applicant: MILLENNIUM CONSTR Address: 2901 W COAST HIGHWAY NEWPORT BEACH CA 92663 Phone : (949) 258-4366 Owner/Builder : Address Phone : Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone: PROCESSED BY: Legal Desc : N TR 3519 ELK LOT 80 BLOCK WALL 6' HIGH X 70 LF INSIDE P/L AND DRAINAGE Contractor: MILLENNIUM CONSTR Architect Address : 2901 W COAST HIGHWAY NEWPORT Address BEACH, CA 92663 Phone : (949) 258-4366 Phone Con State Lie : 804132 State Lie Lie Expire : 10/31/2023 Bus Lie : BT30063185 Engineer Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier: COMPWEST INS CO Policy No : CWWCP100063383 W. C. Expire : 7/1/2023 Address Phone: Designer: MILLENNIUM CONSTR Address: 2901 W COAST HIGHWAY BEACH, CA 92663 Phone: (949)258-4366 2019 Fire Sprinklers : NO Construction Valuation : $6,000.00 V-B Fire Hazard Zone : No Added/New/TI sq. ft. Bldg : 0 f' l U No of Units : 0 Alteration sq, ft. Bldg : .- 3 No of Stories : Added/New sq. ft. en� Front: 15, Side: 6, Side: 6, Rear: 6 X R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) - SPECl/RL;�OhkDITlOAISr ' NEWPORT OWNER -BUILDER DECLARATION' I hereby affirm under penalty of perjury that 1 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 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 fife 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 Ilcensure 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). 11 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 empioyees'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). 71 I, 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 property Who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 0 1 am exempt from licensure under the Contractors' State 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 legally sell 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 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:/Aw .leginfo.ca.gov/calaw.html. Signature of Properly Owner or Authorized Agent Date LICENSED CONTRACTORS DECLARATION /1 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f Division 3 of the Business and of sslb Is Code. and my license is in full force and effect. License Class License No Date Z Contractor Signet r C WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNb THOUSAND DOLLARS (5100,000), W ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 pe njartde of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date ne of Agent -.vnone s 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 agra L. If I should become subject to e w ers' romps tlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, nature of Apphcant__,� Date 2 CLARATION REGARDING ON A UCTION LENDING AGENCY areby affirm under penalty of pe thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). iders 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 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county, to eti r the abov denfifled property for Inspection purposes. naivedowner of Prnnav or Authorized Anav� // Print Prooeriv Owners or Authorized Aoent'8 Name G riC 'y Date ' DATE PERMIT EXPIRED OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE. 40 AND AQMD RULE 5L/RMITTFD TO PERMITFINAL CERTIFICATE OF I `" � _V i f � NAOSED EMOU-PON ASBESTOS ION IS NOT APPLICABLE 70 OCCUPANCY ISSUED I FOR OFFICE USE ONLY All required alarms, latches gates and fences which se,ve as past of a pool/gpa'ba.Tlcr, shall be In place prior to approval to fill pool/spa & st-all r�mai:T in ylece i4 be maintained for the life of the pool.