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HomeMy WebLinkAboutS2022-0168 - PermitsCity of Newport Beach 4aEWPo�T o 11, Community Development Department - Building Division ,•`. Fy 100 Civic Center Drive, Newport Beach, CA 92660 U S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 o newportbeachca.gov/inspections Combination Type - Work Class - Demolition II II I I II I II I II III III I I II COMB Permit : S2022,-0168 Plan sued Dateion e8103312022 INSPECTOR 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: 9 LIMOGES Legal Desc : N TR 14617BLK LOT.33 Description : SFR DEMO (E) POOL PER CITY STD PLAN ""METHOD A" Owner : CAPONERA ERNESTO TR Contractor..: -. Architect Address : 24 BELFORT NEWPORT COAST, CA 92657 Address.: Address Phone : Phone : Phone : Con State Lie : State Lie Applicant: CAPONERA ERNESTO TR Lie Expire : Address : 24 BELFORT NEWPORT COAST, CA 92657 Bus Lie : Engineer Phone : Bus Lie Expire : Address Workers' Compensation Insurance Phone Owner/Builder : CAPONERA ERNESTO TR Carrier : Address: 24 BELFORT NEWPORT COAST, CA 92657 - Policy No : Designer Phone : W. C. Expire: Address Phone: Code Edition : 2019 _ Fire Sprinklers : -. -YES - Construction Valuation : $7,000.06 Type of Construction : Fire Hazard Zone : No -Added/New/TI sq. ft. Bldg : 0 - Occupancy Groups : U No of Units : - 1 Alteration sq. ft. Bldg Bldg Height: No of Stories : Added/New sq. ft. Garage : 0 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear' 10 . Flood Zone : X Use Zone : PC`- Newport Ridge .. PROCESSED BY: 4 ✓� SPECIAL CONDITIONS: OWNER -GUILDER DECLARATION I hereby affirm under penally or perjury that t am exempt from the Contractors' State License Law for the reason(s) Indicated below by the checkrnark(s) I have placednext to the applicable items) (Secilan 7031.5, Business and Professions Cade: 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 pormil to fro a signed statement that he or she is licensedpursuant to Ilia provisions of rho Contractors' Stole License Law (Chapter 9 (Commencing with Section 7000)df Division 3 of the Business and Professions Code)or that he or she is exempt from iicensum and the basis for the alleged exemption. Any vOlation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of riot more than five hundred dollars ($500), y-I; as ownae at the property, or my employees with wages as their sole compensation, will z[nY) all of or („-) portions of the work, end the structure Is not intended or offered for sale {Section 7044, usiness and Professions Code: The Contractors' State License Law does not apply to en owner property who through employees' ar personal effort, builds or improves the property, provided that the improvements 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 or I roved for the purpose of sale)r as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Dada: The Contractors Stale License Law does not a Is Y property P projects pursuant �Ww) 1 am exempt from licensee undertheContractors' State License t.aw for the foilowengrreasan with a licensed Contractor urn^� lto the nlractbrs'ete LicenseLaw). — By rY.y signature below I acknowledge trial, except for my personal residence in which I must have residedrasided fo�eyear prior to completion of the Improvements cove€eU by INS permit, I.cannot legal]) sell a structure that I have built As an owner-bulldsr If it bee nstruct its entirety by licensed contractors, I understand that a copy of the applicable law, Section 7044 of the- usiness and Professions Code Is available upon request when In p fcatmon a or at the following Web site�http:iivmw.leglnfo.ca.gov/calaw.htm). Signature of Property Owner or Authorized Agent LICENSEE) CONTRACTOR'S DECLARATIM I hareby'affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3.of the Business and. Professions Code, and my license is In full force And effect. License Glass License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION ,YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE le UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL. PENALTIES AND CIVIL FINES UP TO ONE HUNDRED' THOUSAND DOLLARS I3100,000i, IN ADDITION TO THE COST OF COMPENRATIONr DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS. FEES.. hereby affirm under penalty of perjury one of the following declarations: -11 have and will maintain a certificate of consent to sect -insure for workers' compensation, issuedby the Director at industrial Relations as provided for by Section 3700 of the Labor Code, for the earformance of the work for which this permit is Issued. Policy No. _ -11 have and will mahmaln 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' componsatiof Usurance carrier and policy number are: ,arner. Nonoy. Num.DeT Expiration Date dagme of Agent phone 0 !r6r ify that, hs 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 taws of California, and agre, last. If I should " ^rmo subjac -pa n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, 31gna ura of Applwsnl. pate//� 7ECLARATION REa^ARDING CONSTRUCTION LENDI GAG. -NCY 'I Gera Sy affirm under penalty of perjury thatthere Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Coda). ,enoer's Name _ LondePs Address 4y m'v signalwe bolow, I Certify to each of the following! I am the properly owner or euthabI to act on rho property owner's behalf. tr have rasd ;his upplicattoh and the information I have provided is correct. I-' agree to. annlply with all applicable city and county Ordinances and kale laws ($rating to building construction, �^ Jul representatives of this city arcounty uteri -Id nllfled property for Inspectlon purposes. ii nay ure E'mndit) Oevner or Authorized Agen Print PropertyOwn$rB or Authorized Agent's Name ®re - _ sc, 'e-I ON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT kxpinko 01 5URMIYTED ASBESTOS NOTIFICATION TO PEAMn CANCELIEn - - EPA. _ - - - All required alarms, latches gates and fences. which serve as part of a pool/spa barrier,, shall vEn,vrtT EXTENIIL'C7 AQMD be In place prior to approval to fill pool/spa &-shall remain in place & be maintained for the PERMIT FINAL I s�.� s ^ J �� gESTOS NOTIFICA7I N Is NOT APP BLE TO life of the pool. CERTIFICATE ` OF (O'r i�F`� PROPOSED DEVOUT. OCCUPANCYUSUED SIGNATURE: 1i