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HomeMy WebLinkAboutXR2023-0086 - Permits�EWPORT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r1 Permit Counter Phone: (949) 644-3288 u Inspection Requests Phone: (949) 644-3255 c94FoaN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 1111111111111111111111111111111111111111111111111111111 JillCOMB Permit : XR2O23-Dogs Plan Check No : 1025-2021 Issued Date : 01/13/2023 Inspection Area:3 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 : 2304 CLIFF DR Legal Desc : N TR 919 BLK 4 LOT 5 Description: SFR - RETAINING WALLS 4' X 40' & 6' X 20' (REV2022-1776) Owner: JASON GONTERMAN Address : 2304 CLIFF DR NEWPORT BEACH, CA 92663 Phone : Applicant: BRENTON COJEREAN Address : 502 30TH ST, A NEWPORT BEACH, CA 92663 Phone : owner/Builder: Address : Contractor: GONTERMAN CONSTRUCTION Address : 502 30TH ST, UNIT A NEWPORT BEACH, CA 92663 Phone: (949)697-0746 Con State Lie : 858073 Lie Expire : 04/30/2023 Bus Lie: BT30048414 Bus Lie Expire : 09/3012023 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9259518 W. C. Expire : 8/22/2023 Architect Address Phone: State Lie Engineer: MANSHADI FARHAD Address : 1800 E 16TH ST UNIT B SANTA ANA, CA 92701 Phone: (714)835-2800 Designer: Address : Phone Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Added/NewlTI sq. ft. Bldg : 0 Type of Construction : V-B Fire Hazard Zone : NO 1 Alteration sq. ft. Bldg : Occupancy Groups : U No of Units : 0 Added/New sq. ft. Garage: 0 Bldg Height: No of Stories : TOTAL sq. ft. : 0 Building Setbacks Flood Zone: Use Zone: PROCESSED BY Front: 20, Side: 4, Side: 4, Rear: 5 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: a a' a >aa • Vn � 3 • O i hereby arm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by thecheckmark(s) I have placed next to the applicableitem(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 toits issuance, also requires the applicant for he 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 licensors 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 rot more than five hundred dopers ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 Tlprovemenls 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 R was not built or reproved for the purpose of sale). 1, 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 tpply to an owner of properly who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). = 1 am exempt from licensure under the Contractors' State License Low 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 permit, I.cannot legall, ell a structure that I have built as an owner -builder if It has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code,, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca,gov/calaw,htmi, signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed underprovisions of Chapter 9 (commencing with Section 7000) q Di 'sion 3of the Business and Prbtesslo0 Code a i y,licenseis in full force nd effect. License Class License. No Date I. < 2 Contractor Signature/ �7 C-se VORKERS' COMPENSATION DECLARATION 'ARNING; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT�S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000jaN ADDITION TO THE OST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION STgS OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have ynd 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 th, ,or ce 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' carder and policy number are: Policy Number __-Expiration Dale Agent certify that, in the performance of the work for which this permit is issued, I shall not OMPIOY any person in any manner so as to become subject to the workers' compensation laws of California, and agm t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /) nature of Applicant —�- Date CLARATION REGARD G CON LENDING AGENCY !reby 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). Ider's Name Lender's Address my. signature below, I certify to each of the following: 1 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 tocomply with all applicablecity and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the aoc a-(dent/ifsled' 4pDperty for inspection purposes. /� I nature of Property Owner or Authorized Agent, , _.- - cox^-- � Print Pmoerty Owners nr A ,lh�rnRn An4.hrs N.n.e�- ACTION DATE B4, ` � ' DECLPRA110N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULA*IONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED rJEPA PERMr7E7(TENOED tON.0 PERMIT F/NAL ASSeSTOSNOTiFICATIONISNOTAPPLICABLE TO CERTIRCAtEOF (�-2,%- PROPOSED DEMOLITION OCCUPANCYiSSUED clrMAT11Mc-