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Home My WebLink AboutXR2022-3105 - Permits�tiwnr,� City of Newport Beach 0 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 .,: Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 o� ` newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 111I III��I111111111111111111111111111111111111111111111111COMB Permit: XR2022-3105 Plan Check No : PC2022-2969 Issued Date : 11/29/2022 Inspection Area : 6 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 : 500 ORCHID AVE Legal Desc : A TR CORONA DEL MAR BILK 542 LOT 2 Description: SFR -CONSTRUCT 42"H X 30' BLOCK WALL INSIDE P/L Owner: 500 ORCHID LLC Contractor: WEILER DON R Architect Address : 3334 E COAST HWY #644 Address : 7071 WARNER AVE F-135 Address: _ CORONA DEL MAR, CA 92625 HUNTINGTON BEACH, CA 92647 Phone: Phone: (714)612-7915 Phone: Con State Lie : 586459 State Lie Lie Expire : 01/31/2024 ; • Applicant : WEILER DON R Bus Lie: BT30077860 , Engineer Address : 7071 WARNER AVE F-135 Bus Lie Expire : 02/28/2023 Address HUNTINGTON BEACH, CA 92647 Phone: (714) 612-7915 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND - Owner/Builder : Policy No: 9290198 Designer Address : W. C. Expire: 12/31/2022 Address: Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $3,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories: 2 Added/New sq. ft, Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone: X Use Zone : R-2 - Two -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 reason(s) indicated below by the checkmark{s) I have placed next to the applicableitem(s) (Section 7031.5, Business end Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior toits issuance, also requires the applicant for the permit to file a signed statement that be 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 not more than five hundred dollars ($500). ❑ I, 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. ir, 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). El I, as droner 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 licensureunder 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 legall, sell a structure that 1 have builtas an owner-huilder if ithas not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:IlWww.leginfo.ca.gov/calaw.btml. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm unda, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7090) of ivisian 3 oS the Business and Prof ions C d , an my Ito a is In full force and effect. License Class License No Date Contractor Signature AICRKERS' COI'VENEATION DECLARATION NARN:NG 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 16100,0001,1N ADDRION TO THE COS r Or =O PENSATION', DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penaty of perjury one of the following declarations: r- 1�1 ' 11 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 r! ,_ „ Pce of the work for which this permit is issued. Policy No. 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' harrier and policy number are: u Y A;em cenify that, in Wo oerformari of the if I should become subject to the wa of Applicant Policy Number Date which this milt is issued, I shall not. employ any person in any manner so as to become subject to the workers' compensation laws of California, and npensaf{rovisions of Section 3700 of the Labor Code, I shall forthwith comply w4th those provisions. Date /- : -i' Z 2— araby 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 Cade). nders 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 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 ordinance nd ate Eaw rating to building. construction. I authorize representatives of this city or county t - Rate rope r inspection Purposes. �- ++ nature of Proosttv Owner or Authorized Agent. Print Procertv Owner's or Authorized ADent's Name ��- ��ll 1 ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED PERMITFINAL 1 1 UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERURCATE Of �.1.Q"i% Dt..�_ PROPOSED DEMOLITION SIGNATURE: OCCUPANCY ISSUED , Dale