HomeMy WebLinkAboutXC2022-1882 - PermitsFatiWPORT City of Newport Beach 11111111�1111111111p111111111111111111111111111111111111Jill COMB Permit : XC2O22-1 s82
p Community Development Department - Building Division X C 2 0 2 2 1 8 8 2
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 1797-2021
Permit Counter Phone: (949) 644-3288 Issued Date : 01/12/2023
U T
a. Inspection Requests Phone: (949) 644-3255 Inspection Area : 6
c9<�Foa"�p newportbeachca.gov/inspections
Combination Type -
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 : 1234 SAND POINT WAY Legal Desc : N TR 6113 BLK LOT A
Description: COMM - 3 SHADE STRUCTURES - 16' X 16' EACH (CANVAS COVERING)
Owner: HARBOR VIEW HOA
Address: ft) Pj,/, Chug
Trrlfhe /_A 9Z616
Phone: (M1 504-4070
Applicant: JACK KAWAJA
Address : 2416 N GLASSELL ST
ORANGE, CA 92865
Phone
Owner/Builder :
Address :
Contractor: CRC GROUP
Address : 2416 N GLASSELL STREET
ORANGE, CA 92865
Phone: (714)244-5235
Con State Lic :
879133
Lic Expire :
06/3012024
Bus Lic:
BT30076922
Bus Lic Expire :
10/31/2023
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9264870
W. C. Expire : 11/26/2023
Architect
Address
Phone:
State Lic
Engineer: BOWEN WILLIAM N
Address : 1937 BEDFORD RD
BEDFORD TX 76021, CA
Phone: (180) 096-6500 x5
Designer:
Address :
Phone:
Phone:
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation
Type of Construction :
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg:
Occupancy Groups :
U
No of Units :
0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
0
Added/New sq. ft. Garage:
TOTAL sq. ft.
Building Setbacks
Flood Zone:
X
Use Zone:
PR - ParksandRecreation
PROCESSED BY:
J
SPECIAL CONDITIONS: REV2022-1345
$30,000.00
0
Ell
I hereby affirm under penally of perjury than am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable items)
;Seclion 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
:he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Divielon 3 of the Business and
protesstons Code) or that he of she is exempt from licensors, and the basis for the alleged exemption. Any violation of Section 7031:5 by any applicant for a permit subjects the applicant to a civil penalty of
iot more than five hundred dollars ($500),
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of Or L) portions of the work; and the structure Is not. intended oroffered for sale (Section 7044,
3usiness 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
mprovements 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 of
m{groved for the purpose of sale),
�l 1, as owner of the property, am exciusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code; The Contractors' State License Law does not
5'pply to an owner of prop" who builds or improves thereon, and who contracts for the projects With alicensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors'State License Law for the following reason:
3y my signature below I acknowledge that, except for my personal residence In which I must have resided for at least one year prior 10 Completion of the improvements covered by this permit, (.cannot legall
is[] 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 th usiness and
>rofessions Code., Is available upon request when this application is submitted or at the following Web site http:lh~.feginfo.ca:govlcalaw.html. -
3ignature of Proparty Owner or Authorized Agent to _
-ICENSED CONTRACTOR'S DECLARATION —
hereby affirm under penalty of perjury that I am Licensed under provisions of Chapter 9 (commencing with Section 7 } If ¢ viskm 3 of the Business and Profs n, -ode, an y license is In full force
and effect, License Class License No Or =, Contractor Signature
PORKERS' COMPENSATION DECLARATION `I,Y
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH BAND DO $ (St W,e00), RI ADDITION TO THE
'.OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations: ,
I have and Will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
'ormance 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'
carder and policy number are:
ne of Agent
certify that in the performance of the
, If I should become subject to the we
of Applicant
Policy Number
Date
this permit ls-issued, I shall not employ any parson in any manner so. as to become subject to the workers'compensation laws of California, and
ation provisions of Section 3700 of the Labor Code; I shall forthwith comply Win those provisions.
Data
neby affirm under penalty of perjury 04at fhb is a construction lending agency for the performance of the. work for which this permit Is issued (Section 3097,. Civil Code),
tder's Name i / Lender's Address.
my signature below I certify Lo each of the following:
I am the property owner or aitho-fiied to act on the property owner's behalf
I have read this &PollrAmn ant 'le'informatbn I.have provided is correct.,
I agree to comply with all applicable city and county ordinances and state'
I authorize representatives of this city or county to enter the above-iderni '
fte
i¢wrs relating t0 building construction.
d property for Inspection purposes.
ACTION I DATE I BY Dp-�7LAfy'ATION OFCOMPUANCE WITH CODE OF FEDERAL
I I Rf,GZ-TION5 PART 61 OF TITLE 40AND AQMD RULE
EXPIRED
PERmirFINAL sMr.NenlRc- OtT%'..N, f,L TO
D I N CERTIFICATE Of
OCCUPANCYiSSUE0
FOR OFFICE USE ONLY