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XR2023-1284 - Permits
��EWPORT City of Newport B`eacr.-,,,. o -. @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U n Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic CglieORNSP Combination Type - Work Class - Other COMB Permit : XR2O23-1284 Plan Check No : Issued Date : 05/16/2023 Inspection Area :6 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: 2700 LIGHTHOUSE LN Legal Desc : N TR 6385 BILK LOT 8 - Description : SFR DRAINAGE ALT ADD (N) TRENCH DRAIN AT DRIVEWAY PER CITY STANDARD PLAN (DETAIL E) Owner: LANDSCAPEING Address : 2700 LIGHTHOUSE LN Address : 2973 HARBOR BLVD, 215 Address CORONA DEL MAR, CA 92625 COSTA MESA, CA 92626 Phone: Phone: (714)546-3792 Phone: Con State Lie : 788678 State Lie Lie Expire : 10/31/2024 Applicant: ALL SEASONS SPRINKLER AND Bus Lie: BT30075415 Engineer: LANDSCAPEING Address : 2973 HARBOR BLVD, 215 COSTA MESA, CA 92626 Phone: (714)546-3792 Owner/Builder Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: U Bldg Height: Bus Lie Expire : 05/31/2023 Workers' Compensation Insurance Carrier: FALLS LAKE FIRE AND CASUALTY COMPANY Policy No: FLA01984800 W. C. Expire : 1013112023 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 0 No of Stories : 0 Building Setbacks : Front: 15, Front: 20, Side: 6, Side: 6 Flood Zone: X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: • s SPECIAL CONDITIONS: Address : Phone: Designer: ALL SEASONS SPRINKLER AND LANDSCAPEING Address : 2973 HARBOR BLVD, 215 COSTA MESA, CA 92626 Phone: (714)546-3792 Construction Valuation : . - Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 3ITIMMI 011i7Y 7 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 applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to oonshuct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for thin 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 71 I, as owner of the property, or my employees with wages as their sole compensation, will do f_.) all of or (_) 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. If, however, file 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 thepurpose of sale). © I, as owner of the property, am exclusively contracting with licensed Contractors to construct (he project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not aIpty 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). LI I am exempt from licensure under the Contractors' Stata License Law for (he 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 iegall, sell a structure that 1 have built as an ownor-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:llwv .leginfo.ca.guy/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 7QQpp0 of Di ision 3 of the Business and Professjpw�Eryde,�ld my li sat .n full force and effect. License Class License No Date 7 1 ('i Contractor Signature (� 1 -7 WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDREO THOUSAND DOLLARS ($100,000), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATrORNFrs FEES. hereby affirm under penalty of perjury one of the following declarations: 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, for th Terfo>_ri;i4m;e 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 Expiration Date of Agent Phone # _ JI 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 Califomia, and agre iat, if I should become subject to� rkers' comps lion revisions f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignalure of Applicant .IS..��� Date_ ,ECLARATION REGARDING CONSTRUCTION LENDINTAGENCCY 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). ender's Name Lender's Address y 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 applicc.tion and the information I have provided is correct. f agree to comply with all applicable city and county ordinances and state laws relating to building construction. t autho-Ize represrntat ves of this city or county to the above= lift property for inspection purposes. Y'AJ lA S t ic�n_fura of Property Owner or Authorized Agent Print Property Owner's or Autlrorized A sops Name y Qate \C', ION GATE BY OCCLARAT[ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PEf.69T e ^,NCELLED OEPA ..:....._ P€i.A it icNQ€D ..._— _. -_..�-I .... ...._ ...—.......__. PChNll7 FINALiS7T+SBES105 __ �fLIAQMD NOT ITICA I ION IS NO ]'APPLICABLE TO CEhLf,CAr, OF PROPOSED DEMOLITI SL OCCL'PFk^YISSUEC SIGNATURE: A/ice