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HomeMy WebLinkAboutXR2023-0692 - Permits�EWPpRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Community Development Department- Building Division x R 2 0 2 3 0 6 9 2 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CgCiFppN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other COMB Permit XR2U23-0692 Plan Check No: Issued Date : 03/14/2023 Inspection Area : 8 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 : 1500 SANTIAGO DR Legal Desc : N TR 5287 BLK LOT 6 Description: SFR -YARD DRAINAGE (720 SF) *CITY STANDARD PLAN Owner: HERZOG HAIM REVOCABLE LIVING TR Contractor: AAA WATER RESTORATION INC Architect Address : 1500 SANTIAGO DR Address : 23151 VERDUGO BLVD, 113 Address NEWPORT BEACH, CA 92660 LAGUNA HILLS, CA 92653 Phone : Phone : (833) 420-7378 Phone Con State Lic : 1033925 State Lic Lic Expire: 1213112023 Applicant: AAA WATER RESTORATION INC Bus Lic : BT30080960 Engineer Address : 23151 VERDUGO BLVD, 113 Bus Lic Expire : 03/31/2024 Address LAGUNA HILLS, CA 92653 Phone: (833) 420-7378 Workers' Compensation Insurance Phone: ' Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder : Policy No : 9231841 Designer: Address : W. C. Expire : 5/22/2023 Address Phone: Phone: 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,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 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 (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that t 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 feel 3ection 7031.5, Business and Professions Code; Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor 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 ilcensure 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 ($500). 3 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 or offered for sale (Section 7044, Usineas and professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeesor 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). 3 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 poly 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), am exempt from licensors under the Contractors' State License Law for the following reason: ;y 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 pg r1il I.cannat lagall ell 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 {a Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site;htip:llwww.leginfe.ca.gov/calaw.html. .ignature of Property Owner or Authorized Agent .Date _ .ICEN.SED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that t am licensed under provisions of Chapter 9 (commencing with Section 7001 of Division 3 of the Business and Prof - / y license is In full force nd effect. License Class License No Date.-?VL1 202-3 Contracto ore tKERS' COMPENSATION DECLARATION 1:.� ZING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND D LLARS IS}OD;DDO), IN ADDrT1ON TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N 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 ormance of tha work or which this permit is issued. Policy No. :have and will maintain workers' compensation insurance, as required bye soften 3700 of the Labor Code. for the performance of the work for which this permit is issued. My Workers' Companies Rance carrier and polley number are: Policy Number to of Agent certify that, in ti purormance of the work for which this if I should become subject to the workers' compenpalto Heby a,firm unJer penalty ofjp*�jurp tit there is a construction lendir Ider's Name my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's I have read this application and the information I have provided is cc I agree to comply with all applicablecity and county ordinances and I authorize representatives of this city or county to enter the abovi ACTION PERMIT EXPIRED PERVirT CANCELLED PERMIT EXTENDED PERMIT n- AL CERTIFICATE OF OCCUPANCYISSUED DATE. I BY 1403 PROPOSED Date person in any manner so as to become subject to the workers' compensation laws of California., and agre r Code, I shall forthwith comply with those provisions. Date 3 - ,2442 the performance of the work for which this permit Is issued (Section 3097, Civil Code). .enders Address 3 to building construction. for inspection purposes. OF CON6. 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