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Home My WebLink AboutXR2023-3556 - Permits�gWPp�T City DP Newport men Leach - �� IIIII I II IIIII IIIIIII IIIIIIIII III IIIIII �� COMB Permit : XR2023-3556 Community Development Gepartmunt - f3uilr1in0 Dvisiort X R 2 9 2 3 3 5 5 6 100 Civic Center Drive, Na.vport Seacn CA 92666 Plan Check No: D Permit Counter Phone: (949) 718-1888 Issued Date : 12/19/2023 u newponbeachca.gov/civic Final Date: o'°4voaN�P Combination Type - Permit Status: Issued Work Class - Other Inspection Area : 4 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 : 9 MARBLE SANDS Legal Desc : N TR 15478 BLK LOT 4 Description : SFR ADD BURRITO DRAIN Is C\k� Skca—rJcvU TtPN rx Owner: HERTHEL JASON S TR Contractor: INSTANT LANDSCAPE INC Address : 9 MARBLE SANDS Address : 833 DOVER DR #24 NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92663 Phone : Applicant: INSTANT LANDSCAPE INC Address: 833 DOVER DR #24 NEWPORT BEACH, CA 92663 Phone: (949)347-0700 Owner/Builder Address : Phone Phone : (949) 347-0700 Con State Lic: 842586 Lic Expire : 07/31/2024 Bus Lic: BT30072973 Bus Lic Expire : 09/30/2024 Workers' Compensation Insurance Carrier: PALOMAR SPECIALTY INS CO Policy No: PSIC1166203 W. C. Expire : 8/15/2024 Architect Address Phone: State Lic Engineer: Address Phone Designer: INSTANT LANDSCAPE INC Address: 833 DOVER DR #24 NEWPORT BEACH, CA 92663 Phone: (949)347-0700 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,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 15, Side: 5, Side: 5, Rear: 5 Flood Zone : X Use Zone: PC - Bonita Canyon PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER [hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated �eluw by,he chictmark(s) I have placed next to the applicable items) (Section 7031.5, Business end Professions Code: Any city or county that requires a permit to construct, alter. improve, demolish, orrepair any ❑Irucblre, Or Dr it iis�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 licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penatty of ❑ot more than five hundred dollars ($500). , ❑ I, as owner of the property, or my employees with wages as their sole compensation, will. do t_) all, of or U portions of the work, and the str �.chlre iL not intended D'r offered for sale (Section 7044, Business and Professions Code. 'I Contractors' State License Law does not apply to an owner of property who, through employees' s; oemonal after, builds or imp, oves 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 ?. raer-SuiWdr ww nave the burden of proving that It was not built or Improved for the purpose of sale). El 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensors 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 legalll sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensor! 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 IA'eb siteihttpahvwwv.leginfo.ca.gov/calaw.html, 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 7000 of Div'=icn 3 of the Business and Profess ns and. my li: rise is }n full force and effect. License Class License No Data Contractor Signature NORKERS' 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 (In Og000), IN AUDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, rNTEREST, AND ATTORNEY'3 FEES, hereby affirm under penalty of perjury one of the following 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, forth Z�ance of the work for which this permit is issued. Policy Na 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: is of Agent certify that, in the parrom" If I should become subl at to e ure of ADolicant Policy Number Date for which Is permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' Compensation laws of California, and Gompens Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 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). coder's Name Lenders Address y my Signature below, I cartify 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 provid correct I agree to comply with all applicable ediy and county o dmanc id state I vs relating to ouilding. construction. I authorize representatives of this city or county tg tort e-Identifie property for inspection purposes. ACTION I DATE f By DECLARATON I REGULATIONS PART CO .l LATI�tT TICE TLE CODE OD FEDERAL ( FOR OFFICE USE ONLY PERMT EXPIRED l._I I SUBMITTED ASBESTOS NOTIFICATION TO MI PERT CAIWELIEl [PA PER'rvfIF EXTENDED PERMIT FINAL (y ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF V PROPOSED DEMOLITION OCCUPANCY ISSUED ,,tt f.? SIGNATURE;