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Home My WebLink AboutX2022-1141 - Permits�,EwPORT City of Newport Beach Community Development Department- Building Division X 2 e 2 2 1 1 4 , COMB Permit : X2022-1 1 41 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1044-2022 z° Permit Counter Phone:(949)644-3288 yr- Issued Date : 11/30I2022 Inspection Requests Phone: (949) 644-3255 r�t410�r newportbeachca.gov/inspections Inspection Area : 4 Combination Type - ELEC PLUM Work Class - Other 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: 11 RUE VILLARS Legal Desc : N TR 7800 BILK LOT 17 Description: SFR YARD DRAINAGE, GAS/ELEC TO BBQ/FIREFIT, FIRE PLACE Owner; R D OLSON INVESTMENTS II LLC Address : 11 RUE VILLARS NEWPORT BEACH, CA Phone Applicant: MATT WHITE CUSTOM HOMES INC Address : 3090 PULLMAN ST COSTA MESA, CA 92626 Phone: (714)557-1325 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: 2019 V-B U Front: 10, Side: 5, Side: 5, Rear: 15 X PC - Big Canyon SPECIAL CONDITIONS: Contractor : MATT WHITE CUSTOM HOMES INC Address : 3090 PULLMAN ST COSTA MESA, CA 92626 Phone : (714) 557-1325 Con State Lic : 940163 Lic Expire : 11/30/2023 Bus Lic: BT30030932 Bus Lic Expire : 02/28/2023 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No : WVE506121801 W. C. Expire: 7/1/2023 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories : 0 Architect Address Phone: State Lic Engineer: LOVELACE MILES T Address: 10509 VISTA SORRENTO PKWY, #102 SAN DIEGO, CA 92121 Phone: (858)535-9111 Designer Address Phone: Construction Valuation : $5,000.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION 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, 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 for a period subjects the applicant to a civil penalty of not more 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 U 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. 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 improved for the purpose of sale). ❑ 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). ❑ 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 legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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 application is submitted or at the following Web site:http:ffwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that 1 am licensed under provisions of Ch ter 9 (com�metncing with Section 7000) of ivisi IT of the Business and Professions err 9 � II force and effect. License Class License No %>/ /1! b--� Date Z 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 HUNDRED THOUSAND DOLLARS ($100,000I. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th 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' compensatiol Insurance carrier and policy number are: Policy Number ne of Agent certify that, in the performance of the work for which this if I should become subject to the w f�' corrsa�o Date issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Z1/T �V 1 nature of Applicant 4'/wr Date_ _ 6 CLARATION REGARDING CO STRUCTI N LENDING AGENCY 3reby 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 Tders Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to como.y with all applicable city and county ordinangs and state la a ling to building construction. I I authorize representatives of this city or county to ante be arty for inspection purposes. ,l/( T'lJ: e c f Prooerla Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name `art ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RUI.F 1403 PEPMI' EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED O EPA PERMIT EXTENDED UAQmo =e- Civil Cade). t rc—