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HomeMy WebLinkAboutXR2023-1376 - Permitsr wno,; City of Newport Beach IIII���I�IIII��IIIIIIII�IIIIIIII II COMB Permit : XR2023-1376 Community Development Department -Building Division X R 2 0 2 3 1 3 7 6 > y.. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1242 T;' Permit Counter Phone: (949) 718-1 B88 >~ Issued Date : 08/'14/2023 newportbeachca.gov/civic 'Vs,cgt F 0.r�r Final Date: o Combination Type - SFP 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 : 2641 BASSWOOD ST Legal Desc : N TR 4893 BLK LOT 1 Description: SFR ATT ALUMINUM PATIO COVER W/ AUTOMATIC LOUVERS 530 SF Owner: KERR FAMILY TR Contractor: ZION LANDSCAPING Address : 2641 BASSWOOD ST Address : 7641 GRANADA DR NEWPORT BEACH, CA 92660 BUENA PARK, CA 90621 Phone : (714) 746-6302 Phone : (714) 907-3334 Con State Lic : 796825 Lic Expire : 08/31/2025 Applicant: PAUL Y00 Bus Lic: BT30082039-31123 Address : 7641 GRANADA DR Bus Lic Expire : 08/31/2024 BUENA PARK, CA 90621 Phone : (714) 313-2341 Workers' Compensation Insurance Carrier: STATE FUND Owner/Builder : Policy No : 9049030 Address : W. C. Expire : 3/19/2024 Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height : Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories : 2 Building Setbacks : Front: 6, 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: Architect Address Phone : State Lic Engineer: JEFFHEDMAN Address: 216 W ST GEORGE BLVD, 203 ST GEORGE, UT B4770 Phone: Designer: AMY BELT Address: 3185 CAMINO CAPISTRANO SAN JUAN CAPISTRANO, CA 92675 Phone : (949) 429-9208 Construction Valuation : $20,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 i N,03 P rECTOR OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I ant exempt front 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 :ha permit to file a signed statement that hB 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 licensure 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 lot more than five hundred dollars ($500), 7 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended Or offered for sale (Section 7044, BL1SIn P.SS and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, huilds or improves the property, provided that the. Improvements are not intended or offered for sale. If, however, the building drimprovement is sold within one year of completion. the Owner -Builder will have the burden of proving that It was not built or 'mproved for the purpose of sale). 0 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 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). E I am exempt from licensure under the Contractors State License Law for the fallowing 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 lagall) 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:/lwww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent—.._-.-,_._._._._.,_.......W___�.___.------_.._._.-.--_-- Date LICENSED CONTRACTOR'S CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7007f "vi i n 3 of the Business and Pr �asons Co e� my license is In full force and effect. License Class License No Date I 'L Contractor Signatu 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 THO AND DOLLARS ($10D,000), IN ADOm CN TO THE COST 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: 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 rmance of the work for which this permit is issued. Policy No. aye 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' compensa once carrier and policy number are: Policy Number of Agent Dale ]I certify that, in the performance of the ' rk for wh h this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation taws of California, and agre EO if I should become sub act to the r rs p sahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. qq `gnalure of Applicant _.._� .._......... t LARATION REGAR CON UCT LENDING AGENCY hereby affirm under penalty of perj that are Is a construction lending agency for the performance of the work for which this permit Is issued(Section 3097, Civil Cade). ender's Name Lende`B 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 mecl. I agree to comply with all applicable city and county ordinances d laws relating to building construction. I authorize representatives of this city or county to enter t - 'e erty for inspection purposes. UIZ� ticnaWre of Prooerty Owner or Authorized AgenNOwner's or Authorized Agent's Nan' �Vp\ ( � Dale r I DATE I 0Y v y F REGAAYIONS PART COMPLIANCE 40 H CODE OFAQMD FEDERAL I FOR OFFICE USE ONLY PERMIT EXPIRED I I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENDED '.. L1AQMD PER,LHT FINAL i ASBESTOS NOTIFICATION IS NOT APPLICABLE 'TO CERTIFICATEOF -Q .r, PROPOSED DEMOLITION OCCUPANCY iSSUED SIGNATURE: