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Home My WebLink AboutXR2023-2156 - Permitso�aEWPoRT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ~ r1 Permit Counter Phone: (949) 718-1888 u newportbeachca.gov/civic Combination Type - Work Class - Other jjIIIIIIIIIIII 111111111111111111111111111111111111111111I 11 COMB Permit : XR2O23-2156 Plan Check No : PC2022-1807 Issued Date : 08/0412023 Final Date: Permit Status: Issued Inspection Area: 1 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 : 435 COLTON ST Legal Desc : N TR 772 BLK 25 LOT 11 TR 772 LOT 11 BILK 25 ALL (E Description: SFR BLOCK WALL 2' HIGH X 33 LF AND 5' HIGH PILASTER INSIDE P/L Owner: BRYAN RIBLETT Address : 435 COLTON NEWPORT BEACH, CA 92663 Phone: (949) 887-7017 Applicant: KASEYO'KEEFE Address : 414 EMERALD BAY LAGUNA BEACH, CA 92651 Phone: (949)484-5075 OwnerlBuilder: BRYAN RIBLETT Address : 435 COLTON NEWPORT BEACH, CA 92663 Phone: (949)887-7017 Contractor Address : Phone : Con State Lie Lie Expire Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier : Policy No: W. C. Expire: 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: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: WICKSTROM ERIC Address: 28581 VIA PRIMAVERA SAN JUAN CAPISTRANO, CA 92675 Phone: (949)454-8045 Designer: KASEY O'KEEFE Address : 414 EMERALD BAY LAGUNA BEACH, CA 92651 Phone: (949)484-5075 Construction Valuation : $3,500.00 Added/New1TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 �6 ✓ r t� d Fa T a., i A v /.o OWNER -BUILDER DECLARATION 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 ftem(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 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 Pro ssions Code) or that how she is exempt from iicensum and the basis for the alleged exemption. Any violation of Section 7031.E by any applicant for a permit subjects the applicant to a civil penalty of o more than five hundred dollars ($500), i, as owner of the property, or my employees with wages as their sole compensation, will dk)) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 70", usi s and Professions Code- The Contractors' State License Law does not apply to an own r 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, 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 of improved 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 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 licensure under 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 legal) sell a structum that I have built as an owner -builder if it has not been cpnstruGIBd in its tirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, Is available upon request wire t applir -. tutted ore I eb sits:httpliWww.leginfo.Ga-gov/calaw.html. Signature of Property Owner or Authorized Agent \ Date LICENSED CONTRACTOR'S OECLARATI IN I hereby affirm under penalty of perjury that I am Iicansetl under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, a nd my license is In full force and effect. License Class License No Date Contractor Signature CORKERS' COMPENSATION DECLARATION 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 (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES" PROVIDED FOR IN SECTION 5700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'a FEES. I hereby affirm under penalty of perjury one of the fallowing declarations: 1 have and will maintain a certificate of consent to sellAnsum for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth performance of the work for which this permit is issued. Policy No. I 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' compensatfo insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone I certify that, in the performance of the work for which this permit is issued, i shall not employ any parson in any manner so as to become subject to the workers' compensation laws of California, and agre that, If I should become u iect to the workers' com�LLt at€Gn provisions of re 3 ion 3700 df the LattbrCode. I shall forfhwith comply with those provisions. U Signature of Applicant _ �-- Data �l I DECLARATION REC3A tN 4NSTRl1CTION LEN OIN6 AOE CY I hereby affirm under p alty of perjury that there is a construction lending agency for the performance of the workfor which this permit is issued (Section 3097, Iv Code). Lenders Name Lender's Address By 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 hava read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or co to a e=itlenti d or inspection purposes. _ Z Si nature of Properly Owner or Authorized A ant Pnnl Pro e Owners or Authorized Agent's Name eta z &I z J ACTION DATE BY ' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMtT EXPIRED LJ I SUBMITTED A5BEST01, NOTIFICATION TO PERMIT CANCELf,EO •• EPA � __ _�� PERMIT EX7EIvpEp __.__� QM D PERMITFBiiF__ j0 Z•23 aESTo5 TIFICATION fS NOT APPUCAfS TO CERt(FiCATE OF , Ro OSED OCCUPAMCYLS5UED I SIGN ATtIfl