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Home My WebLink AboutXR2023-1761 - Permits�EvvPoRr City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII (I COMB Permit : XR2U23-1761 0� 1 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1369-2021 Permit Counter Phone: (949) 718-1888 Issued Date : 06/27/2023 u > newportbeachca.gov/civic Inspection Area : 1 C9�IFOR�*�P 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 : 3702 PARK LN Legal Desc : A TR RIVER SECTION BLK 137 LOT 2 Description: SFR RETAINING WALL 30" HIGH X 30 LF INSIDE P/L *MARKERS ON SITE* Owner: GOLDEN OPPORTUNITY NO 17 LP Address : 4900 SANTA ANITA AVE STE2C EL MONTE, CA 91731 Phone: Applicant: CLAYTON BUILDERS INC Address : 393 LA PERLE PL COSTA MESA, CA 92627 Phone: (949) 279-5910 Owner/Builder : Address : Phone Contractor: CLAYTON BUILDERS INC Address : 393 LA PERLE PL COSTA MESA, CA 92627 Phone: (949)279-5910 Con State Lic : 846631 Lic Expire : 09/30/2024 Bus Lic : BT30043010 Bus Lic Expire : 04/30/2024 Workers' Compensation Insurance Carrier: ACE AMERICAN INS CO Policy No: C51255483 W. C. Expire : 8/1/2023 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U No of Units : 0 Bldg Height: No of Stories : 0 Building Setbacks : Front: 6, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Architect: ERIC AUST Address: 62 BALBOA COVES NEWPORT BEACH, CA 92663 Phone: (949)637-5220 State Lic : Engineer : ROSS SCOTT WILLIAM Address : 1800 E 16TH STREET #B SANTA ANA, CA 92701 Phone: (714)835-2800 Designer: Address Phone: Construction Valuation : $5,000.00 Added/New1TI 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 penaltyof perjury that 1 am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicableiteri 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 theprovisions of the Contractors' State License Lew (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and 'rofassions 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 ponatty of of more than five hundred dollars ($500). 1 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, 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 (het the nprovements 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 nproved 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 ply to an owner of property who builds or Immprovesthereon; 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: ly my signature balm 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, (cannot legall) all a structure that I have built as an owner -builder it 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 'rofassions Code., is available upon request when this application is submitted or at the following Web site;hUotwww.leginfo.ca.gov/calaw.html. 0iinature of Property Owner or Authorized Agent Date .ICENSEO CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section f ' isi 3 of the Business and Pe sin full force nd effect. License Class License. No Date Z 23 Contractor Signatu VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRPAKAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of perjury one of the following declarations: ] I 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 efformance 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' compensatiol su. nce carder and policy number are: Policy Number Date lame of Agent Phone # 11 certify that, in the pert manse 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 Cailfomia, and afire tat, if I should trecom s jest to the workercompe s• provisions of Section 3700 of the Labor Code; I shall forthwith wmply with those provisions. Ignature of Applicant �_ D 612 z 3 IECLARATION REGA IN ONSTRU"ON LENDING AGENCY dd99 hereby 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 3 7, C it Code). antlers Name Lender's Address ,y my signature below, I certify to each of the following: I am the property owner or authorized to act on theproperty 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 olonances and state laws relating to building Construction. I authorize representatives of this city or county to )kn . jhg 915?p*identifipp-property for Inspection purposes. jr Air J ACTION I DATE I BY �EStj&Al ION OF COMPLIANCE OM LI TITLE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PERMIT EXTENDED APPLICABLE TO CERTIFICATE OF