HomeMy WebLinkAboutXR2023-0898 - Permits�gWPpRT City of Newport Beach llj 11111111111111111111111111111111111111111111111111111 JillCOMB Permit: XR2023-0898
04 @ Community Development Department - Building Division X R 2 0 2 3 0 8 9 E
`�. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0705
Permit Counter Phone: (949) 644-3288 Issued Date : 04/0712023
U Inspection Requests Phone: (949) 644-3255 Inspection Area : 4
CgCIFp P��F newportbeachca.gov/inspections
Combination Type -
Work Class - Other
.. -...3 ,.-..• s
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 : 324 VISTA TRUCHA Legal Dead: N TR 6885 BILK LOT 22
Description: SFR ALT SITE DRAINAGE PER CITY STANDARD PLANS
Owner: WESLEY HOCKINSON
Contractor :
Architect
Address
Address : 324 VISTA TRUCHA
Address :
NEWPORT BEACH, CA
Phone
Phone : (949) 310-1177
Phone :
State Lie
Con State Lie :
Lie Expire
Applicant: WESLEY HOCKINSON
Bus Lie :
Engineer
Address
Address : 324 VISTA TRUCHA
Bus Lie Expire :
NEWPORT BEACH, CA
Phone : (949) 310-1177
Workers' Compensation
Insurance
Phone
Carrier :
Owner/Builder : WESLEY HOCKINSON
Policy No :
Designer
Address
Address: 324 VISTA TRUCHA
W. C. Expire:
NEWPORT BEACH. CA
Phone:
Phone: (949)310-1177
2022
Fire Sprinklers :
NO
Construction Valuation
Code Edition :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg : 0
Type of Construction :
No of Units :
0
Alteration sq. ft. Bldg :
Occupancy Groups: U
No of Stories :
0
Added/ Sew Y q. ft. Garage: 0
Bldg Height :
TOTAL y, 0
Building Setbacks
Flood Zone: X
Use Zone: R-1 - Single -Unit Residential
'
PROCESSED BY: (✓
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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, alsorequires 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 for a. permit subjects the applicant to a civil penalty of
no ore 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' Stale 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
imp ved for the purpose of sale).
I, asowner 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
a. 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).
0 I am exempt from licensure under the Contractors' Stale License Law for the following reason: _ _
By my signature below I acknowledge that, except for my personal esidence, in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
sell a structure that I have built as an owner builder if it ha not beek constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this apAtcation is submitted or at the following Web site:http:ll w .leg€nfo.ca.govlcalaw.htmi.
Signature of Property Owner or Authorized Agent. t Date a 4 1 2�
LICENSED CONTRACTOR'S DECLARATION..
I hereby affirm under penally of perjury that I am licensed u d provisionsprovisionI Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,00b, IN ADDfr10N TO THE
COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
-1 1 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
)erformance of the work, for which this permit is issued. Policy No.
L I 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' compensatioi
insurance carrier and policy number are:
Cartier Policy Number Expiration Date
r
Name of Agent Phone If
191 certify that, in the padorm nce of the W k for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the workers' compe�-l
s of California, and agre
that, if I should Uacoma sutrj Po the worke compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant„ _ Date 2-4
DECLARATION t3EGAR0ING CON TRUC ON LENDING
I hereby affirm under penalty o perju that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
Lender's Name, Lenders Address
By 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 rc•oply with all applicable city and county ordinances and state laws relating to building construction.
I authonze rep,bsentatives of this city Or county to enter the above -identified property for inspection purposes.
Si nature of Prnrehy Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART Fit OF TITLE40AND AOMD RULE
_ _ ? 1a03
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