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HomeMy WebLinkAboutX2022-1645 - Permitsa�EWPoR m Community Development City of Newport Bea cent -Building Division II III I II I II I III III IIII II COMB Permit : X2O22-1 645 F h 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 1499-2022 y. Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Issued Date cqC/Fo�H�P newportbeachca.gov/inspections Inspection Area : 6 Combination Type - ELEC PLUM 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 : 1000 WHITE SAILS WAY Legal. Desc : N TR..2202 BLK'LOT 27 Description: SFR RETAINING WALLS - 2'-4' MAX X 103', 36 X 185 GAS/ELEC`TO BBQ & FIRE PIT Owner: RAJESHMASINA Contractor: Architect: Address : 1000 WHITE SAILS WAY NEWPORT BEACH, Address,: -.. Address ; CA Phone: Phone • ,Phone: Con State Lic: State Lic Applicant: JEFF LOZUN Lic Expire: Address : 4122 WINTERHAVEN ST YORBA LINDA, CA Bus Lic Engineer: PASOL DAWN 92886 Phone: (714) 337-7790 Bus Lic Expire : Address : 1411 N BATAVIA STE 208 ORANGE, CA 92867 Workers' Compensation Insurance Phone: (714) 363-3585 Owner/Builder: RAJESHMASINA Carrier: Address: 1000 WHITE SAILS WAY NEWPORT BEACH, Policy No: Designer: CA .... Phone: W. C. Expire: Address Phone: Code Edition: 2019 Fire Sprinklers : -. NO Construction Valuation : $25,000.00 Type of Construction : Fire Hazard Zone [ No Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 '' Alteration sq. ft. Bldg : Bldg Height: No of Stories : Added/New sq. ft. Garage: 0 Building Setbacks : Front: 27, Side: 6, Side: 6, Rear: 6 1 Flood Zone: X - Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) �°R, INS Ca v PROCESSED BY: SPECIAL CONDITIONS: • ° ° ° °° ° ° ° ° ° I hereby affirm under penalty of perjury. that I. am exempt hum the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed: next to the applicable items) otion 7031.5, Business and Professions Code: Any city or county that requires permitto construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for permit W 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 70001) of Division 3-of the Business and fessions Code) or that he or she is exempt from Ndensure and the basis for the alleged exemption. Any. violation of Section 7031,5.by any applicant for a permit subjects the applicantto a civil penalty of more than five hundred: dollars ($500.): 1, as owner of the property.; or my employees with wages as their sole compensation, will do all of or(_) portions of:fhe 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 ovrner of properly who, through employees' or personal effort, builds Or improves the property, provided that the movements are not intended or offered'for sale. if, however the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built:ar 1; as ownerof 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 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), I axe mot from Lcansure under the Contractors' State License Law for the following reason' my ignature. below 1 acknowledge that, except for my personal residence in which I must have residedfor at least oneyear prior to completion of the improvements cove€ed by this. permit, I,Cannot legal tnatureofProperty Owner orAuthorized A4enN ,'\� �� -.-_ -_ -._. _. -.-.. -.-_ _._ DateW (--)_.. To under penalty of perjury that I License Class COMPENSATION DECLARATION RE TO SECURE WORKERS" COMPENSATION. COY Chapter 9 (commencing with Section 70DD) of Division of the Business and Professions Code, and Try license is in full force Date Contractor. Signature AND. SHALL SUBJECT AN EMPLOYER TO CRIMINAL. PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($00,000), IN ADDITION TO THE t CODE, INTEREST, AND ATTORNEYY'S FEES. hereby affirm under penalty of penury one of the following_ declarations: I I 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 erformance of the work for which this permit is issued. Policy No. ]t have 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' compenss Isurance carrier and policy number are: Eger Policy Number Expiration Date n of Agam —Phone # ce ify that, in the performance of the work for which this permit is issued, I shall not employ any personin any manner so as to become subject to the workers' compensation laws of California. and agre( L. if I should become subjec tD the workers' compensation provisions of Section 3700 of the Labor Code; Ishall forthwith comply with those provisions. lure of Applicant Datrs�,� e�j CLARATION REGARD ONST TON ENDING AGENCY r/J`1t— Ireby affirm under penalty perju at a construction lending agency for the performance of the work For which this permit is issued (Section 3097,.Civil Code).: Ider's Name Lenders Address 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 have provided is correct. 1 agree to comply with all applicable city and county ordinances and state lawsrelatingto building construction. 1 authorize representatives of this city or cou�n,�rs7�� +enter th be identified property for inspection purposes .,.,,,..., ..s o..........m., n..,.,.,. .,� A� H,_a1_A n.,9,J, VJ�T � on„e a.nno,i., nu ­, a dr,IiI.,I ACTION DATE BYV RE R TEON OF MPLIANCE WMI CODE OF FEDERAL FOR OFFICE USE ONLY �J OLH NS PA b10f TITLE 40 AND AQ,Mp RULE i 1403 PERMIT EXPIRED U SUBMI'@TIO ASBESTOS NOTIFICATION TO PERMITCANCELLfO 13FPA All require aiarms,latches gates and fences which serve as part of a pool/spa barrier, Shall PERMIT EXTENDED QMD • •bd fn.place prior Cn fuproval to fill poollspa &-shall remain in place & be maintained for the PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLIC�lBtE •TO :ifet9the ppot s •• CERTIFICATEOF—51-.t3 r>A-- PROPOSED DEMOLIT€ON. : ••• • �•� OCCUPANCY.155UED SIGNATURE: ore e• e eoa co