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Home My WebLink AboutXR2022-2404 - PermitsF P�WPoRr City of Newport Beach II III p @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 } Permit Counter Phone: (949) 644-3288 °9ciFeaN'P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections ' Combination Type - SFP PLUM Work Class - Other COMB Permit : XR2022-2404 Plan Check No: PC2022-2248 Issued Date : 09/07/2022 Inspection Area : 3 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 : 2338 TUSTIN AVE Legal Desc : N TR 3138 BLK'LOT 16 Description: SFR ATTACHED PATIO COVER (SOLID ROOF) 160 SF * GASLINE FOR FIREPIT Owner: ELIZABETH MARK : Contractor: ARTISAN OUTDOOR LLC ;: Architect Address : 2338 TUSTIN AVE Address : 1653-B SUPERIOR AVE < Address: NEWPORT BEACH, CA COSTA MESA, CA 92627 Phone : (414) 559-8653 Phone: ` (949);424-5870 Phone: Con State Lic : 1001086 State Lie Lie Expire : 02/28/2023 Applicant: BRIAN MARIVS Bus Lie: BT30055442 Engineer: Address : 5422 HENDRICKSEN DR. Bus Lie Expire : 06/30/2023 Address HUNTINGTON BEACH, CA 92649 Phone: (714) 717-2036 Workers' Compensation Insurance Phone: Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : PROCESSED BY: Carrier: TECHNOLOGY+INSURANCE+COMPANY+INC Policy No: TWC4078024 Designer: W. CExpire : 2/6/2023 Address o°oo °.°. ° Phone: 2019 Fire Sprinklers : ,NO Construction Valuation : $100.00 V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 U,R-3 No of Units : 1 Alteration sq. ft. Bldg : No of Stories: Added/New sq. ft. Garage: 0 Front: 20, Side: 4, Side: 4, Rear: 10 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: INNSPECTOR °o®oo . ° I hereby affirm Linder penaltyof perjury that I am exempt from the Contractors` State License Law for the reason(s). indicated below by the oheckmark(s) I have: placed next to the applicable itemjs) ction 7031.5, Business End Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish., or repair any structure, promo its Issuance, also requires -the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commenciorl with Section 7000) of Division 3 of the Business and lossions Code) or that he or she is exempt from licensurO and the basis for the alleged exemption. Any violation of Section 703t.5 by any applicant for a permit subjects the applicant to. a oteil penalty of 'more than five Hundred dollars ($500), I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended oroffered for sale (Section 7044, ;mess and Professions Code:: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the: property,provided that the irovements are not intended or offered for sale. If,however, the building or improvement is sold Withinone year of completion, the Owner -Builder will have the burden of proving that it was notbuilt or .roved. for the purpose of sale). I; as owner of the property; am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State LicenseLawdoes not )ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law} € am exempt from licensors under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered by this permit,: I cannot legail a structure that I have built as an owner -builder if it has not been constructed In its entirety by licensed contractors. I understand that.a copy of the applicable law, Section 7044 of the Business and fessions Code, is available upon request whan this application is submitted or at the following Web site:http:/Avww.]"Info.ca,gov)calaw.html. n;aD C �d entdDate EpenV r RAT . Nib� affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 of Division 3 of tha Business and Pro ssi Cooe, and my license is in full force Wl: Lice dig Nis$ License No Date ZZ Contractor Signatur . � -- WsRs' codFINsATtoN DECLARATION MIN(k 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.(S1SO,SSe), IN ADDITION TO THE. IT OF COMPENSATIRM. RAMACES,AS PROVIDED FOR IN SECTION 3M OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, jrebY a* undarpenaltyof,perjury, one of the following declarations: 1, C andw4 rod hAm a certificate of consent to seltynsum for workers' compensation, issued by the. Director of Industrial Relations As provided for by Section 3700 of the Labor Code, for N pf"1te of thif Work for which this permit is issued. Policy No. 44aw.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' compensabo brahce Barrier III& WtCy number are: Tier... " ' Policy Number Expiration Date �%%afADent .' Phone# certify that, in the performanoe of the work for which this permit is issued, I. shalt not employ any person in any manner so asto become subject to the workers' compensation laws of California, and-agro. t, if I should become subjectio the workers' compensation previsions or Section 3700 of the Labor Code, I;shall forthwith comply with those provisions. � nature of Applicant Dal C) Z �" CLARATION REGA DING -CONSTRUCTION LENDING AGENCY iraby affirm under penalty of perjury that there is a construction tending ageneyfor the performance of the work for which this permit is issued (Section 3097, Civil Code), ider's Name - Lender's Address my signature below,, t certify to oath of the following: I am the property owner or authorized to act on the property owners ])shelf. 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 Maws relating to building construction.. (authorize representatives Of this city orcounty to eyyter the above -identified property for inspection purposes . _ — . — — C i1, AN n 5 n�ta�\ �+ Z e PERMIT EXTENDED rcmnn Nr L Q /J CERTIFICATE Or OCCUPANCY ISSUED OF B NOTIFICATION 15 NOT APPLICABLE TO DEMOLITION: