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HomeMy WebLinkAboutXR2023-1786 - PermitsaEWPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XR2U23-1786 C� @ Community Development Department- Building Division X R 2 0 2 3 1 7 8 8 '. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1580 Permit Counter Phone: (949) 718-1888 Issued Date : 07/07/2023 U S newportbeachca.gov/civic Final Date: CqC/FO0.��P Combination Type - Permit Status: Issued Work Class - Other 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: 43 MONTECITO DR Description: DEMO POOL -CITY STANDARD -METHOD B Owner: WILLIAM STORY Address : 43 MONTECITO DR CORONA DEL MAR, CA 92625 Phone: Applicant: OUTDOOR CONCEPTS Address: 28241 CROWN VALLEY PKWY, F293 LAGUNA NIGUEL, CA 92677 Phone: (949) 295-4417 Owner/Builder Address : Phone Legal Desc : N TR 7844 BILK LOT 64 Contractor: OUTDOOR CONCEPTS Address : 28241 CROWN VALLEY PKWY, F293 LAGUNA NIGUEL, CA 92677 Phone : (949) 295-4417 Con State Lic : 831378 Lic Expire : 02/29/2024 Bus Lic: BT30060506 Bus Lic Expire : 09/30/2023 Workers' Compensation Insurance Carrier: BENCHMARK INSURANCE CO Policy No: CST5025614 W. C. Expire : 6/18/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U No of Units : 0 Bldg Height: No of Stories : 0 Building Setbacks : Front: 6, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS. Architect Address Phone: State Lic Engineer: Address Phone Designer: OUTDOOR CONCEPTS Address: 28241 CROWN VALLEY PKWY, F293 LAGUNA NIGUEL, CA 92677 Phone : (949) 295-4417 Construction Valuation : $8,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 I hereby affirm under penalty of perjury that 1 am exempt from the Contractors.' State 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 construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the 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 Ncensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penatty of not 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 (_) patens 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, 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 Improved for the purpose of sale). El 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 License Law does not apply 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 am exempt from licensureunder the Contractors' State License Law for the following reason: By 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 legal sell 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 70" of the Business and Professions Code„ is available upon request when this application is submitted prat the following'Aeb site:http:Ylwww.leginfo.oa.govicalaw.htmi, 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 7000) of Divisio of the Business and Professio D d my 'c nse is In full force and effect. License Class License. No Data onVactor Signatpre�/ COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TNbUSAND DOLLARS L$t00,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: � 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 the e4grmance 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 Agent Date 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 California, and agre, , if I should become subject tD a workers' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant _ � ' 1 ' ,LARATIGN Fit STR.l1O G AGENCY Ireby affirm under penalty eperjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). idler'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 I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or ;aunty to t r t bove-identified property for inspection purposes. >igoature of Property Owner or Authonzed Agent /h Print Property Owner's or Authorized Ag ACTION DATE BY ECLARAT€0 OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I UI SUBMITTED ASBESTOS NOTIFICATION TO PERMIFCANCELLED fLIEPA PERM77 EXTENDED ? QMD PCRMIT FINAE i❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CER Fh"rCATE Of —�t7".i.g PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: Name