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Home My WebLink AboutXR2023-1513 - Permits40ifw�p RT City of Newport Beach111IIIIIIIIIII11111111111111111111111111111111111p1111 jjCOMB Permit:XR2O23-1513 ytCommunity Development Department -BuildingDivision x R 2 0 2 3 1 5 1 3 � yYfl 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0627-2022 ` fA Permit Counter Phone: (949) 718-1888 Issued Date : 06/05/2023 nwpoU Nr S .,.r�. r Combination Type civic Inspection Area : 1 ?irFr,nN` Combination Type - �""'� 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 : 1914 COURT AVE Legal Desc : A TR FIRST ADD TO NEWPORT BEACH BILK 119 LOT 8 Description: SFR BLOCK WALL 36" HIGH X 30 LF INSIDE P/L *MARKERS ON SITE" Owner: NEWPORT HOMES LLC Address : 6859 E REMBRANDT AVE STE115 MESA, AZ 85212 Phone: Applicant: DAVIDDILETTOSO Address : 3090 BRISTOL ST, 4TH FL COSTA MESA, CA 92926 Phone: (949)204-0076 Owner/Builder : Address : Contractor: RON CARROLL Address : P 0 BOX 7829 HUNTINGTON BEACH, CA 92615 Phone: (714)749-0622 Con State Lic : 682756 Lic Expire: 10/31/2024 Bus Lic : BT30069597 Bus Lic Expire : 11/30/2023 Workers' Compensation Insurance Carrier: NO EMPLOYEES Policy No: EXEMPT W. C. Expire : Architect: DAVID DILETTOSO Address : 3090 BRISTOL ST, 4TH FL COSTA MESA, CA 92926 Phone: (949)204-0076 State Lic : Engineer : RICHARDS GEORGE LEWIS Address : 2211 MICHELSON DRIVE SUITE 450 IRVINE, CA 92612 Phone: (949)752-0601 Designer Address Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $5,400.00 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. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 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 reason(s) 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 to 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 'rofassions Code) or that he or she is exempt from Iloensum 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 penafty of at more than five hundred dollars ($500), 3 I, as owner of the property, or my employees with wages as theirsolecompensation, will do (_,) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, rosiness and Professions Code. The Contractors State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. It, however, the building or improvement is sold within one year of completion, the Owner$uilder witl have the burden of proving that It was not built or nproved for the purpose of sale). 11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code The Contractors' Slate License Law does not 9ply 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). 1 am exempt from licertsureunder the Contractors' State License Law for the following reason. ly 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 parmh, I Cannot legal oil a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed Contractors. ) understand that a copy of the applicable. law. Section 7044 of the Business and 'rofassiona Code, is available upon request when this application is submitted of at the following Web seta:http:/twww.leginfo.ea.govicalaw.htmi. tlgnalure of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perju that. I am licensed under provisions of Chapter 9 (commencing with Sectio 0 of Division 3 of the Business and Pro o f 8 aid my lice sJ •" fo e Intl effect. License Class Licenso No �rg7` Dat�. ZO�I Contractor Signaturey / VORKERS' COMPENSATION DECLARATION 1 EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T SANO DOLLARS (5100.000), W ADDITION TO TH CST OF COMPENSATION„ DAMAOFS AS PROVIDED FOR IN SECTION 470$ OF THE LABOR CODE. INTEREST, "a ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: 31 have and will maintain a certificate of consent to selfAnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ti erformance of the work for which this permit Is issued, Policy No. 31 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Corte, for the performance of the work for which this permit is issued. My workers' componsa is isurance carrier and policy number are'. crier Policy Number Expiration Date me of Agent Phone IS P€ ca fy that, in the part of th rk 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 agmo t, TO?should becum I ct a ere'ns Compevisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Ds`-'� — zpz CLANATION REGA ING (RUCTION LEND . G AGENCY aeby affirm under pe ally of perjury that there is a construction lending agency for the performance of the Work for which this permit is issued (Section3097, CKVIIode). Wor's 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 c on r an sand state haws r ling to building construction. I authorize representatives of this city or coup-icjor_J rty for inspection purposesQ / G, .F` il��%%% ow,.r or..nnrr,, n, n, a.nhxr,�oH nna„e� ra.ma / L,(a't{y}'t n9m BY Y CYECLARATION OF COMPLIANCE WITH CODE OF FEDERAL 9 FOR OFFICE USE ONLY REGULATIONS PART Ei OF TITLE 40 AND ARMD RULE 1403 I SURMITT£I) ASBESTOS NOTIFICATION TO PERMIT EMENDED PERMIT FINAL € L_I ASBESTOS NOTIFICATIONS NOT APPLICABLE TO CERTft"11OF f s PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: