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HomeMy WebLinkAboutXR2023-1339 - Permits�Evuvo�r City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XRZO23-� 339 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0832-2022 Permit Counter Phone: (,949) 718�1888 Issued Date : 0512212023 s newportbeachCa.gov/civic Inspection Area : 3 Comf ination Type - Work. lass Other PERMITS EXPIRE,80 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 : 1807 ANTIGUA CIR Legal Desc : N TR 3764 BLK LOT 22 Description: SFR BLOCK WALL 30 LF X 6' HIGH INSIDE P/L /r Owner: AZZARITO MARK TR THE MAE TR Contractor: HATFIELD HARDSCAPE Architect Address : 1357 SUSSEX LN Address : 1572 RAINBOW DR Address NEWPORT BEACH, CA 92660 SANTA ANA, CA 92705 CD Phone: Phone: (714)600-9388 Phone: 1 Con State Lie : 899809 State Lie: Lie Expire : 07/31/2023 Applicant : HATFIELD HARDSCAPE Bus Lie: BT30057128 Engineer Address : 1572 RAINBOW DR Bus Lie Expire : 11/30/2023 Address Phone: SANTA ANA, CA 92705 (714) 600-9388 Workers' Compensation Insurance Phone: 1 *" Carrier : Designer : '✓ P Owner/Builder : Policy No : EXEMPT Address : W. C. Expire: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $5,650.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Tl sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : I „ . 0 Bldg Height : No of Stories : 0 Added/New sq. ft. Garage : TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 " Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential 60D0 indicates minimum lot area) PROCESSED BY: �— SPECIAL CONDITIONS: STANDARD PLAN OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I 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 item(s) (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 licensure and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($50D). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not. intended er offered for sa: a (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 propany, provided that the Improvements are not intended or offered for sale. It, 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). © 1, 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 improvesthereon, 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: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least 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 boon constructed in its entirety by licensed contractors, j understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginto.ca.gov/calaw.html. 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 ) of 'vision 3 of the Business and Prof io Code, and my I' • Ste is In full force and effect. License Class License No Date Z Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDREO THOUSAND DOLLARS (S100,0000N ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES- -�A 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 Diroolor of Industrial Relations as provided for by Section 3700 of the Labor Code,, for th )erfermance of the work for which this permit is issued. Policy No. 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' ranee carrier and policy number are: Policy Number _.... Expiration Date of Agent hgertify that, in the p rformance 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 worke ' compensation taws of California, and ogre t, il"should bec subject to th workers' compens ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. F mature of App]icagt ��+ //if/) Date OJ'2Z CI.RRATION RB�idRDING TRUCPON LENDIN AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civi Code). ides s Name Lender's Address my signature below, I certify to each of the following: I am the p.ocehy owner or authorized to act on the property owner's behalf. 1 have read this application and the information I have provided is correct, , at ree to or -ply with all applicable city and county Virdirances and state laws relating to building construction. I authorize representatives of this city or county o teTthe -Identified p5wt, rty for inspection purposes. N I ( I I 1 .nature of Property Owner or Authorized Agent /X% Print Property Owner's or Authorized Anant's Namei /� '� h( "ht�t�Tl-r �-N�l A . 19— 7-2 ACTION PERMIT cXPIRED PERMITrANCEtLED .................... ....._._.-..-..___ _.. MER)VIT E7ffEVDED PER1R'T f'NAL CERTITIr:ATE Of OCCUPANCY ISSUED DATE, BY DECLARATION. OF If NIPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 DF TITLE 40 AND ACLMD RULE 1403 SIGNATUR ICAHONENOTAPPLICABLE TO 'AA w Sao E+ y o y b N RCN o• E E. y j yO A.LO ZL 0w 9 All F,