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Home My WebLink AboutXR2022-2927 - Permits�EWPORT City of Newport Beach - ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �� COMB Permit : xR2o22-2s27 D� @ Community Development Department- Building Division X R 2 0 2 2 2 9 2 7 F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2792 yy Permit Counter Phone: (949) 644-3288 Issued Date : 01/24/2023 U fE�D s Inspection Requests Phone: (949) 644-3255 , R Inspection Area : 6 �C�FOPH`P newportbeachca.gov/inspections Combination Type - a i 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 : 63 CAMBRIA DR Legal Desc : N TR 7844 BILK LOT 122 Description: SFR INSTALL (7) CAISSONS FOR (N) POOL & SPA (S2022-0234) Owner: BIRE II LLC Address: 7642 W IRVING PARK RD NORRIDGE, IL 60706 Phone Applicant: PAUL ELLISON Address: 24642 VIA RAZA LAKE FOREST, CA 92630 Phone: (949)6B3-9861 Owner/Builder: Address : Phone: Contractor : Montesantos Builders Inc. Address : 17 Tiburon Bay Drive, Corona Del Mar, CA 92625 Phone: (949)239-2022 Con State Lic : 1077463 Lic Expire : 06/30/2023 Bus Lic: BT30076141 Bus Lic Expire : 0813112023 Workers' Compensation Insurance Carrier : Policy No: EXEMPT - NO EMPLOYEES W. C. Expire: Architect Address Phone: State Lic Engineer: THOMPSON MATTHEW Address : 1201 N TUSTIN AVE ANAHEIM, CA 92807 Phone: (714)630-6100 Designer: Address: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $30,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garabas , 0 TOTAL sq. ft. 0 , Building Setbacks : Front: 6, Side: 5, Rear: 30 Flood Zone : X Use Zone : PC - Harbor View Hills , PROCESSED BY: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate. License Law for the reasonO) indicated below by the checkmaik(s) I have placed next to the applicable items) (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 7031.6 by any applicant for a permit 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 swages 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, 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, file 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 Improvedfor the purpose of sale). El 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). rl I am exempt from flcensure under the Contractors' State License Law for the following reason: _ By my signature below 1 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, soil a structure that I have built as an ownor-builder if it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted orat the following Web site:http:(Iwww.leginfo.ce.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Section 7Q00) of Division 3 of the Business and Professions Code. and my license is in full force and effect. License Class License No Date 1 —1Lh '1 Contractor Signature 1, A 4 6)4 WORKERS' COMPENSATION DECLARATION F �'�" —6, �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 ($100,000), IN ADDITION TO THE 'COST OF COMPENSATION, DAMAGES." PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY) FEES - I herehy affirm under penalty of perjuryone 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 as provided for by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy No. 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' ranee carrier and policy number are: Policy Number of Agent Date 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 , if I should become IsIubjeccnt to the /works rs' corppan aticn provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. ialure of Applicant YI oY O�/1/1,I Date areby 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). idai's Name Lenders Address my signalure below, I certify to each of the following: I am the property owner or auk rcrixrd 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 wide all apoli, abu city and county ordinances and state laws relating to building construction. I authorize representatives cf this city or county Ij enter the bove-iderrillfied property for inspection purposes. I /� /,, I P` InaW re of Proneni Ow^ar or At thorired ADant L, �i J4,4 JM �—Arinl Prooertv Owner's or Authorized Aeent's Name 4 L0K / 0,4 Date 1'--`f ACTION DA-E_ k BY DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE jfp 1403 PERMIT EXPIRED I SUBMITTED A513F.STOS NOTIFICATION TO PFRMITCANCELEO ` EPA PERMIT EXTENDED. —� LJAQMD PERMIT FINAL °dD ASBESTOS NOT IFICA 11ON IS NOT APPLICABLE TO CERTIFICATE OF OCCUPANCOSSUED I PROPOSED DEAIIqUTION �ts''�'y � _ SIGNATURfi:- Ii 3