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HomeMy WebLinkAboutXR2023-2043 - Permits�gWPO�T City of Newport Beach IIIIIIIIII IIIIIIIIIIIIII IIIIIIIIIIIIIIII II COMB Permit XR2023-2043 Community Development Department - Building Division X R 2 0 2 3 2 0 4 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0284 Permit Counter Phone: (949) 718-1888 Issued Date : 07/26/2023 newportbeachca.gov/civic Final Date: °gcrroac+`P' Combination Type - Permit Status: Issued Work Class - Other Inspection Area : 3 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 3, Job Address: 1621 INDUS ST Legal Desc : N TR 4307 BILK LOT 18 1 Description: SFR YARD DRAINAGE (CITY STANDARD) REV2023-1423 Owner: MERRELL JOSHUA TR Contractor : ALL ABOUT CONSTRUCTION Architect Address : 2182 MESA DR Address: 136 W VALENCIA AVE Address: " newport beach, CA 92660 ANAHEIM, CA 92805 ' Phone: (714)742-5552 Phone: (714)719-4257 Phone: Con State Lie : 1056397 State Lie Lie Expire: 07/31 /2023 Applicant: ALL ABOUT CONSTRUCTION Bus Lie : BT30082233 Engineer Address : 136 W VALENCIA AVE Bus Lie Expire : 07/31/2024 Address: ANAHEIM, CA 92805 Phone: (714) 719-4257 Workers' Compensation Insurance Phone: Carrier: HARTFORD CASUALTY Owner/Builder : Policy No : 72WECAW2SAL Designer: AARON SEVILLA Address : W. C. Expire : 2/21/2024 Address: Phone: Phone: (949) 375-8481 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B 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 : 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 25 Flood Zone : X Use Zone : SP-7 - Santa Ana Heights Specific Plan PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER DEC t hereby Fill under penalty of perjury that I am exempt from the Contractors' Slate License taw for the reasarl 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 is 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 for a permit subjects the applicant to a civil penalty of of more than five hundred dollars (S500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for safe (Section 7044, RISiGeRS 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 nprovements 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 nproved for the purpose of sale). 7 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 pply 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 I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in whlch I must have resided for at least one year prior to completion of the Improvements covered by this. permit, I cannot iegail, all 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 the Business and 'rofessions Code., is available upon request when this application is submitted or at the following Web site:http:IAw .leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent _ Date _ ACEN'SED CON f RACTOR'S DECLARATION hereby affirm undo, penally, of perjury that I am licensed under provisions of Chapter 9 (commencing with Section TODD) of Di . ion 3 of the Business and Profesaipns Coda, and my license is in full force rid effect. Li.;cnse Class License No to �ontrac Signature` Y,DRf:ERS' CGM'PENSATION DECLARATION IARNING FAILURE TO LE,1URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,0001, IN ADDITION TO THE OST O- COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: .1 I have anr, will r,telntaln 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 th erformanca of tl,3 work for which this permit is issued. Policy No. have and w.il 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' rancptMrie_: Ind policy number are: Policy Number of Agar, Date 3 certify that, in the performance of the work for which this Camille issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre tat, If I should become subee4 the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ;ignalure of (cant IBCLARATipIN G11 fNG C9NSTRUCTIGN L.ENC•ING AGENCY hereby 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 ender's Name Lender's Address ly 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 county to,_ er th)abov nilfied ro arty for inspection purposes.itJ iignafure of Property Owner or Au ACTION I DATE PERMIT EXPIRED OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXTENDED I LlAQMo ( ASBESTOS NOl IFICATION 15 NOl APPLICABLE TO € PROPOSED DEMOLITION [ SIGNATURE: PGRNNT FINAL CERTIFICATE OF �I �.il (/� OCCUPANCY ISSUED FOR OFFICE USE ONLY Civil Cade).