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Home My WebLink AboutXR2022-2909 - Permits�EWPp�T City of Newport Beach p� @� Community Development Department- Building Division X R 2 0 2 2 2 9 0 9 COMB Pernnit:XR2 F n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No 2022-27 : PC Permit Counter Phone: (949) 644-3288 Issued Date : 1110212022PC Inspection Requests Phone: (949) 644-3255 CgGiFORN�P newportbeachca.gov/inspections Inspection Area : 6 Combination Type - SFP Work Class - Alteration 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: 3901 SANDUNE LN Legal Desc : N TR.6425 BLK LOT 73 o ° ae®aaa Description: SFR INSTALL STONE VANEER ON CORNERS OF GARAGE Owner: KIELY BERNADETTE TR B Contractor : TERRA PRIMA INC - Architect Address: 3901 SANDUNE LN Address: 3800 TOPSIDE LANE Address: CORONA DEL MAR, CA 92625 CORONA DEL MAR,. CA 92625.. Phone: (503)970-5523 Phone:.: (714)679-2002 Phone: Con State Lic :-982237 State Lic Lic Expire : 03/31/2023 Applicant: TERRA PRIMA INC Bus Lic.': BT30076800:. Engineer:', Address : 3800 TOPSIDE LANE Bus Lic Expire : 10/31/2023 I Address CORONA DEL MAR, CA 92625 Phone: (714) 679-2002 Workers' Compensation: Insurance Phone: ` Carrier: SIRIUS AMERICAINSURANCE COMPANY ' Owner/Builder : Policy No: WC92023 Designer: TERRA PRIMA INC Address : W. C.'Expire: 3/1/2023 Address: 3800 TOPSIDE LANE CORONA DEL MAR, CA 92625 Phone: - Phone: (714)679-2002 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $800.00 Type of Construction : V-B Fire Hazard Zone NO Added/New/Ti sq. ft. Bldg ; Occupancy Groups : U No of Units : 0 - Alteration sq. ft. Bldg Bldg Height: Noof'Stories : 1 Added/New sq. ft. Garage`. 0 TOTAL sq. ft. Bldg : 0 Building Setbacks : Front: 10, 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: ° ° ° ozca♦ ° ° . I hereby eff;rm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasch(s)' indicated below by the checkmark(s) I have placed next to the applicable Item(s) cfion 7031Z, Business and Professions Code: Any city: or county that requires a: permitto construct, alter, improve, demolish, or repair any structure, prior to tts`issuance, alsorequiresthe 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 (commencing with Section 7000) of Division 3 of the Business an 1, as owner of the property, or employees with wages as their sole compensation will do`L) all of or L). portions of the work, and the structure is not intended or offered 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 rovements 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 not built or roved for the purpose of said).. I, as owner of the property,am exclusively Contracting with. licensed Contractors to construct the project,(Seclion 7044,. Business and Professions Code: The. Contractors State License Law does net lyto 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), I am exempt :from licensure under the Contractors`. State License Law for the following reason: •1.. COMPEIKSATION DECLARATION 9 (commencing with Section in full force CT AN.EMPLOYER TO CRWHAL PENALTIES AND CIVIL UP TO ONE HUNDRED THOUSA14D DOLLARS (1100.000), IN ADDTTION TO AND ATTDRNSS.FEES. A h.v affirm undel`penaltyof perjury one of the following declarations:. I hav4 and will'meinlein a certificate of consent to self»insure for workers' oompensation, Issued by the Director of Industrial Relations as provided for by Sectiorr3700 of the. Labor Code, for th, 1pGlnarce of the Oork For which this permit is issued. Policy No. At—tYa and will,mahtst workers' compensation insurance as required by Section 3700:of the Labor Code, for the performance of the workfor which this permit is Issued. My workers` compensatior rents carder -and Policy number are: Tier _. Policy Number Expiration Date no of Agent Phone ## certify that, in the performance of the work: for which this permit is Issued, I shall not employ anyperson in any manner so as to become subject to. Me worker' compensation laws of California, and agree I, if I should becoma i act to the workers' compensation provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. nature of Applicant Jl r>�r ate �1—-�z- CLARATION REGAI CONSTR GTION LENDING AGENCY n,eby affirm under penaltyof perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil. Code). Idera Name. - _ ___ __ Lender's Address my signature below, I Certify to each of the following: I am the property owneror authorized to act on the: property owner's behalf. I have read this: application and the information f have provided is correct. I agree to comply with all applicable city and un# ordinances and state lam r, I authorize representatives of this city or county ntor the above-lAntifled pro DATE ( ay PERiIVIT FINAL CERT1FIC11TtOF OCCUPANCYISSUED FEDERAL I FOR RULE NOT.APPLICAOLE T0.