HomeMy WebLinkAboutXR2023-0934 - Permits�EWPORr City of Newport Beach IIIII��III�II�III��II�IIII��I�II�IIII II
oA @ Community Development Department- Building Division X R 2 0 2 3 0 9 3 4 COMB Permit:XR2023-0934
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0830
>h S Permit Counter Phone: (949) 644-3288 Issued Date : 04/12/2023
.M Inspection Requests Phone: (949) 644-3255
c r Inspection Area : 6
gcrFnar" newportbeachca.gov/inspections
Combination Type - SFP
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: 12 FAYENCE Legal Desc : N TR 15934 BLK LOT 19
Description: SFR -DRAINAGE REPLACEMENT AND (N) PERMEABLE PAVER AT DRIVEWAY; FOUNTAIN POOL AT REAR OF PROPERTY (123-1088)
Owner: ANNIE WONG
Address : 402 ROCKEFELLER UNIT317
IRVINE, CA 92612
Phone
Applicant:
M P L ENTERPRISES INC
Address :
2302 S SUSAN ST
SANTA ANA, CA 92704
Phone :
(714) 545-1717
Owner/Builder
:
Address :
Phone
_.. - Contractor : —M
n ENTERPRISES INC—
Architect:
Address :
2302 S SUSAN ST
Address
SANTA ANA, CA 92704
Phone :
(714) 545-1717
Phone
Con State Lie
: 409169
State Lie
Lie Expire :
09/30/2023
Bus Lie:
BT30066406
Engineer:
Bus Lie Expire : 04/30/2023
Address
Workers' Compensation Insurance
Phone:
Carrier: INSURANCE
COMPANY OF THE WEST
Policy No:
WFL506572600
Designer
W. C. Expire:
6/1/2023
Address:
Phone:
Code Edition : 2022
Fire Sprinklers:
Type of Construction : V-B
Fire Hazard Zone
Occupancy Groups: U
No of Units :
Bldg Height:
No of Stories
Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10
Flood Zone : X
Use Zone : PC - Newport Ridge
PROCESSED BY: Fes`
�y � xy r_�sK•r, u� r � t•�, r.�n
NO Construction Valuation :
NO Added/New/Tlsq. ft. Bldg
1 Alteration sq. ft. Bldg :
2 Added/New sq. ft. Garage
TOTAL sq. ft. :
$2,50C.30
0
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I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(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
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 far 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).
❑ I, 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,
Business 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
Improvements are not intended or offered for sale. It, however, the building or improvement is sold within aria year of completion, the Owner -Builder will have the burden of proving that it was not built or
Improved for thepurpose of sale).
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
rapply 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),
11 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 legail)
sell a structure that I have built as an owner -builder if it has not been constructod 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:llwww.leginfo.ca.govlcolow.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 S (commencing with Section 7000 TMn 3 of the Business and Professions _ and an,. is In full force
and effect. License Class License No - Date L Contractor Signature
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 THOUSAND DOLLARS (5100.000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES "PROVIDED FOR IN SECTION STOS OF THE LABOR COOs, INTEREST, ANd ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
111 have and wilt indnitaina 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 the
performance of the var': 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 anL; pulicy number are:
Ponev Nr rnb Exoiration Date
of Agent ______
ce.Cfy that, in the performance of the water c f WM1ClTTTIsVatM
.:f I should b^come Fubject to workers' compens orfproa
nature of Applicant � tl� .:�.Ir2.1TIGN REGARol TIGN LENDING AGED
naby Lffirm under peraly of perjury that there is a construction
,dsl Name
I shall not employ any personif) any manner so as to become subject to the workers' compensation laws of California, and ogre
etion 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date____ /ir ^12- -OC:5
agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
3y my signature oolow, I certify to each of the following:
I am the property owner or authorized to act on the property own ' If.
I have read this application and the information I hav I etl is co
1 agree to. comply with all applicable city and ord' g to building construction.
I authorize representatives of this City nt ea above -identified prop. for inspection purposes.
3i nature of Property Owner or Authorized of Print Property Owner's or Authorized A
ACTION DATE Y DECLARATION OF COMKIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
TO
PERMIT EXTENOED 7 LJARMD
PERMITFINAL _ QB�JV� DL TON SF3FST0S NOTIFICATION . DTAPPLICA TO
CERTWICALE OF PROPOSED DEMOL
OCCUPANCYISSUCO DR SIGNATURE
Name
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