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HomeMy WebLinkAboutXR2024-0377 - Permits�EWPORT City of Newport Beach 11IllIn1IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 111 COMB Permit : XR2O24-0377 D� t� Community Development Department- Building Division X R 2 0 2 4 0 3 7 7 F y > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 02/14/2024 newportbeachca.gov/civic Final Date: C9G/FOPH�P Combination Type - SFP Permit Status: Issued Work Class - Other Inspection Area : 4 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 : 3154 CORTE HERMOSA Legal Desc : N TR 12271 BLK LOT 67 Description: SFR - (N) DRIVEWAY DRAINAGE. PER CITY STANDARD DETAIL "E" y Owner: ANA DELRIO Contractor : ALL SEASONS SPRINKLER AND Architect LANDSCAPEING Address : 3154 CORTE HERMOSA Address : 2973 HARBOR BLVD, 215 Address NEWPORT BEACH, CA 92660 COSTA MESA, CA 92626 Phone: (949) 244-5810 Phone: (714) 546-3792 Phone: Con State Lic : 788678 State Lie Lie Expire : 10131/2024 Applicant: ALL SEASONS SPRINKLER AND Bus Lie : BT30075415 Engineer: LANDSCAPEING Address : 2973 HARBOR BLVD, 215 Bus Lie Expire : 05/31/2024 Address COSTA MESA, CA 92626 Phone: (714) 546-3792 Workers' Compensation Insurance Phone: Carrier: TECHNOLOGY INS. Owner/Builder : Policy No : TWC4343484 Designer Address : W. C. Expire: 10/31/2024 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 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 : Front: 5, Side: 5, Side: 5, Rear: 5 Flood Zone : X Use Zone : PC - North Ford PROCESSED BY: �� 1 SPECIAL CONDITIONS: A" 0 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the TO ason (s) indicated below by the criark(s) I have placed next to the applicabla item (a) (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 iicensure 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 not more than five hundred dollars ($500). 11 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 211 of of I portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not Intended or offered for sale. i , however, the building or improvement is sold within one year of completion. the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). i❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), li❑ I am exempt from licensure under the Contractors' State License Law for the following reason By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the lmprovemants covered by this permit, I cannot legally '..sell a structure that I have built as an owner•buildor if it has not been constructed in its entiroty by licensed contractors.I understandthat a copy of theapplicable law, Section 7044of the Business and Professions Code„ Is available upon request when this application is submitted or at the following Web site;hllp:U�mwr,leginfo.pa.gov/calav+.html. ;Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o{$ Div! ion 3 of the Business and Profess®r Rode, and my Iic 5 ]n full force land effect. License Class License No Date Y_/v4 ; Contractor Signature (WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS uNLAWFuL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOREO THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TIN OF THE LASOR CODE, INTEREST, AND ATTORNEY'S FEES, I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a Certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations be provided for by Section 3700 of the Labor Code, forth performance of the Work for which this permit is issued. Policy No. ave 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' compensatior insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑1 certify that, in the performance 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 workers' Compensation laws of California., and agre that, if I should become suble a orke m Rs" rovisidns of Section 3700 of the Later Code, I shall forthwith comply with those provisions. Signature of Applicant p� p .� Dates .7— i, T/Z-,i. DECLARATION REGARDf G CONSTR T�tTC IOON'LENDING AGENCY I 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, Civil Code). Lender's Name Lender's Address _ By any signature below, I canify to each of Ilia 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 &V and county ordinances and slate laws relating to building. construction. I authorize representatives of thiscity or count n r en' .. property for inspection purposes. JL t Signature of Property Owner or AuthplY�ed A en Print Property Owner's or Authorized A ent's Name o"l ^- Date ACTION DATE BY I DECLARATION OF COTOPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AC AD RULE 1403 PERMIT EXPIRED _ I SUBMITTED ASBESTOS NOTI FICATION TO PEAMiT UINCELLLD r— �-rEPAI—J _ PERMIT EXTENDEn1 v --j I �nQMp PERMIT FINAL ,I (.,_(ASBESTOS NOr IFICAi ION IS N01 APPUCAat£ 10 CERTIFICATE OF �"j /�/�� i PROPOSED DEMOLITION OCCUPANCY155UCD 1 SIGNATURE: